Wednesday, February 22, 2012

THE INFLUENCE OF PPOVERTY IN ATTAINING GOOD HbA1c IN PEOPLE LIVING WITH DIABETES

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 On diagnosis with type 2  diabetes, studies has shown that some form of microvascular dysfunction must have commenced earlier considering the natural history of type 2 diabetes. The concern of physician and patients is to bring the HbA1c (Haemoglobin A1c) to normal of below 6.5% as approved by ADA and IDF.
 persons living with diabetes especially in sub-saharan Africa, poverty is a force to contend with. Irrespective of the zeal and enthusiasm of the doctor and patient to maintain good A1c value which is a determinant to prevent complications, the availabilIty of equipment, modern diabetes management approach, insulin pump, modern insulin analogs, drugs, lack or inadequate diabetes Education facilities, contribute towards frustrating these effort.
  It is a difficult situation for many persons living with diabetes, they cannot afford the treatment and most diabetes drugs and equipment imported in most of these Countries are heavily taxed and are excluded from insurance coverage.
  As we proceed in these decade, the entire World having realize that diabetes is a challenge, needs to evolve strategies to curb it.
 PROCRASTINATION IS DANGEROUS AND NOT ALLOWED IN DIABETES. 

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