Diabetes and complications of the heart in Sub-Saharan Africa: An urgent need for improved awareness, diagnostics and management

Nadezhda Glezeva, Master Chisale, Kenneth McDonald, Mark Ledwidge, Joe Gallagher, Chris J Watson

Research output: Contribution to journalReview article

5 Citations (Scopus)
52 Downloads (Pure)

Abstract

Type 2 diabetes mellitus is no longer a disease of high income countries but a global health pandemic. With the continued and rapid increase in its prevalence worldwide it is forecasted that diabetes will be a leading cause of morbidity and mortality. A major concern stems from its role in development and progression of cardiovascular disease, including cardiac dysfunction and heart failure. Within low- and middle-income areas such as Sub-Saharan Africa the burden of diabetes is already significant driven by many factors, including, socioeconomic (urbanisation), nutritional (high-calorie "western-diet", obesity) and lifestyle (physical inactivity) changes. Insufficient economic and community resources, poor health care system development and chronic disease management, poor education, and a lack of preventative and diagnostic measures further aggravate the severity of the diabetes problem. This review outlines the burden of type 2 diabetes mellitus in Sub-Saharan Africa and highlights the need for improved community health care and regulations to reduce its epidemiological spread and devastating impact on health.

Original languageEnglish
Pages (from-to)10-19
JournalDiabetes Research and Clinical Practice
Volume137
Early online date26 Dec 2017
DOIs
Publication statusPublished - 01 Mar 2018

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Africa South of the Sahara
Diabetes Complications
Type 2 Diabetes Mellitus
Heart Failure
Community Health Services
Urbanization
Pandemics
Disease Management
Life Style
Chronic Disease
Cardiovascular Diseases
Obesity
Economics
Morbidity
Delivery of Health Care
Education
Mortality
Health
Global Health
Western Diet

Keywords

  • Journal Article
  • Review

Cite this

Glezeva, Nadezhda ; Chisale, Master ; McDonald, Kenneth ; Ledwidge, Mark ; Gallagher, Joe ; Watson, Chris J. / Diabetes and complications of the heart in Sub-Saharan Africa: An urgent need for improved awareness, diagnostics and management. In: Diabetes Research and Clinical Practice. 2018 ; Vol. 137. pp. 10-19.
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Diabetes and complications of the heart in Sub-Saharan Africa: An urgent need for improved awareness, diagnostics and management. / Glezeva, Nadezhda; Chisale, Master; McDonald, Kenneth; Ledwidge, Mark; Gallagher, Joe; Watson, Chris J.

In: Diabetes Research and Clinical Practice, Vol. 137, 01.03.2018, p. 10-19.

Research output: Contribution to journalReview article

TY - JOUR

T1 - Diabetes and complications of the heart in Sub-Saharan Africa: An urgent need for improved awareness, diagnostics and management

AU - Glezeva, Nadezhda

AU - Chisale, Master

AU - McDonald, Kenneth

AU - Ledwidge, Mark

AU - Gallagher, Joe

AU - Watson, Chris J

N1 - Copyright © 2017. Published by Elsevier B.V.

PY - 2018/3/1

Y1 - 2018/3/1

N2 - Type 2 diabetes mellitus is no longer a disease of high income countries but a global health pandemic. With the continued and rapid increase in its prevalence worldwide it is forecasted that diabetes will be a leading cause of morbidity and mortality. A major concern stems from its role in development and progression of cardiovascular disease, including cardiac dysfunction and heart failure. Within low- and middle-income areas such as Sub-Saharan Africa the burden of diabetes is already significant driven by many factors, including, socioeconomic (urbanisation), nutritional (high-calorie "western-diet", obesity) and lifestyle (physical inactivity) changes. Insufficient economic and community resources, poor health care system development and chronic disease management, poor education, and a lack of preventative and diagnostic measures further aggravate the severity of the diabetes problem. This review outlines the burden of type 2 diabetes mellitus in Sub-Saharan Africa and highlights the need for improved community health care and regulations to reduce its epidemiological spread and devastating impact on health.

AB - Type 2 diabetes mellitus is no longer a disease of high income countries but a global health pandemic. With the continued and rapid increase in its prevalence worldwide it is forecasted that diabetes will be a leading cause of morbidity and mortality. A major concern stems from its role in development and progression of cardiovascular disease, including cardiac dysfunction and heart failure. Within low- and middle-income areas such as Sub-Saharan Africa the burden of diabetes is already significant driven by many factors, including, socioeconomic (urbanisation), nutritional (high-calorie "western-diet", obesity) and lifestyle (physical inactivity) changes. Insufficient economic and community resources, poor health care system development and chronic disease management, poor education, and a lack of preventative and diagnostic measures further aggravate the severity of the diabetes problem. This review outlines the burden of type 2 diabetes mellitus in Sub-Saharan Africa and highlights the need for improved community health care and regulations to reduce its epidemiological spread and devastating impact on health.

KW - Journal Article

KW - Review

U2 - 10.1016/j.diabres.2017.12.019

DO - 10.1016/j.diabres.2017.12.019

M3 - Review article

C2 - 29287838

VL - 137

SP - 10

EP - 19

JO - Diabetes Research and Clinical Practice

JF - Diabetes Research and Clinical Practice

SN - 0168-8227

ER -