Diabetes Care in the Philippines

Background: <a title="Learn more about Diabetes" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/diabetes">Diabetes</a> is increasing at an alarming rate in Asian countries including the Philippines. Both the prevalence and incidence of <a title=&...

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Autor principal:	Gerry H. Tan
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2016
Materias:	diabetes diabetes care Philippines Southeast Asia type 2 diabetes Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/f7df1e1276d141f48f91000fdadd5f84
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spelling	oai:doaj.org-article:f7df1e1276d141f48f91000fdadd5f842021-12-02T03:30:46ZDiabetes Care in the Philippines2214-999610.1016/j.aogh.2015.10.004https://doaj.org/article/f7df1e1276d141f48f91000fdadd5f842016-04-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/1453https://doaj.org/toc/2214-9996Background: <a title="Learn more about Diabetes" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/diabetes">Diabetes</a> is increasing at an alarming rate in Asian countries including the Philippines. Both the prevalence and incidence of <a title="Learn more about Diabetes mellitus type 2" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/diabetes-mellitus-type-2">type 2 diabetes</a> (T2D) continue to increase with a commensurate upward trend in the prevalence of <a title="Learn more about Prediabetes" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/prediabetes">prediabetes</a>. Objectives: The aim of this study was to review the prevalence of diabetes in the Philippines and to describe extensively the characteristics of diabetes care in the Philippines from availability of diagnostics tests to the procurement of medications. Methods: A literature search was performed using the search words 'diabetes care' and 'Philippines'. Articles that were retrieved were reviewed for relevance and then synthesized to highlight key features. Findings: The prevalence of diabetes in the Philippines is increasing. Rapid urbanization with increasing dependence on electronic gadgets and sedentary lifestyle contribute significantly to this epidemic. Diabetes care in the Philippines is disadvantaged and challenged with respect to resources, government support, and economics. The national insurance system does not cover comprehensive diabetes care in a preventive model and private insurance companies only offer limited diabetes coverage. Thus, most patients rely on “out-of-pocket” expenses, namely, <a title="Learn more about Laboratory Procedure" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/laboratory-procedure">laboratory procedures</a> and daily medications. Consequently, poor pharmacotherapy adherence impairs prevention of complications. Moreover, <a title="Learn more about Behavioral Modification" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/behavioral-modification">behavioral modifications</a> are difficult due to cultural preferences for a traditional diet of refined sugar, including white rice and bread. Conclusions: Translating clinical data into practice in the Philippines will require fundamental and transformative changes that increase diabetes awareness, emphasize <a title="Learn more about Lifestyle Modification" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/lifestyle-modification">lifestyle change</a> while respecting cultural preferences, and promote public policy especially regarding the health insurance system to improve overall diabetes care and outcomes.Gerry H. TanUbiquity Pressarticlediabetesdiabetes carePhilippinesSoutheast Asiatype 2 diabetesInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 81, Iss 6, Pp 863-869 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	diabetes diabetes care Philippines Southeast Asia type 2 diabetes Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	diabetes diabetes care Philippines Southeast Asia type 2 diabetes Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Gerry H. Tan Diabetes Care in the Philippines
description	Background: <a title="Learn more about Diabetes" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/diabetes">Diabetes</a> is increasing at an alarming rate in Asian countries including the Philippines. Both the prevalence and incidence of <a title="Learn more about Diabetes mellitus type 2" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/diabetes-mellitus-type-2">type 2 diabetes</a> (T2D) continue to increase with a commensurate upward trend in the prevalence of <a title="Learn more about Prediabetes" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/prediabetes">prediabetes</a>. Objectives: The aim of this study was to review the prevalence of diabetes in the Philippines and to describe extensively the characteristics of diabetes care in the Philippines from availability of diagnostics tests to the procurement of medications. Methods: A literature search was performed using the search words 'diabetes care' and 'Philippines'. Articles that were retrieved were reviewed for relevance and then synthesized to highlight key features. Findings: The prevalence of diabetes in the Philippines is increasing. Rapid urbanization with increasing dependence on electronic gadgets and sedentary lifestyle contribute significantly to this epidemic. Diabetes care in the Philippines is disadvantaged and challenged with respect to resources, government support, and economics. The national insurance system does not cover comprehensive diabetes care in a preventive model and private insurance companies only offer limited diabetes coverage. Thus, most patients rely on “out-of-pocket” expenses, namely, <a title="Learn more about Laboratory Procedure" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/laboratory-procedure">laboratory procedures</a> and daily medications. Consequently, poor pharmacotherapy adherence impairs prevention of complications. Moreover, <a title="Learn more about Behavioral Modification" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/behavioral-modification">behavioral modifications</a> are difficult due to cultural preferences for a traditional diet of refined sugar, including white rice and bread. Conclusions: Translating clinical data into practice in the Philippines will require fundamental and transformative changes that increase diabetes awareness, emphasize <a title="Learn more about Lifestyle Modification" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/lifestyle-modification">lifestyle change</a> while respecting cultural preferences, and promote public policy especially regarding the health insurance system to improve overall diabetes care and outcomes.
format	article
author	Gerry H. Tan
author_facet	Gerry H. Tan
author_sort	Gerry H. Tan
title	Diabetes Care in the Philippines
title_short	Diabetes Care in the Philippines
title_full	Diabetes Care in the Philippines
title_fullStr	Diabetes Care in the Philippines
title_full_unstemmed	Diabetes Care in the Philippines
title_sort	diabetes care in the philippines
publisher	Ubiquity Press
publishDate	2016
url	https://doaj.org/article/f7df1e1276d141f48f91000fdadd5f84
work_keys_str_mv	AT gerryhtan diabetescareinthephilippines
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Diabetes Care in the Philippines

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