Management of Type 2 Diabetes in Developing Countries: Balancing Optimal Glycaemic Control and Outcomes with Affordability and Accessibility to Treatment.
Viswanathan Mohan, Kamlesh Khunti, Siew P Chan, Fadlo F Filho, Nam Q Tran, Kaushik Ramaiya, Shashank Joshi, Ambrish Mithal, Maïmouna N Mbaye, Nemencio A Nicodemus, Tint S Latt, Linong Ji, Ibrahim N Elebrashy, Jean C Mbanya
Diabetes Therapy | Published : 2020
With the growing prevalence of type 2 diabetes, particularly in emerging countries, its management in the context of available resources should be considered. International guidelines, while comprehensive and scientifically valid, may not be appropriate for regions such as Asia, Latin America or Africa, where epidemiology, patient phenotypes, cultural conditions and socioeconomic status are different from America and Europe. Although glycaemic control and reduction of micro- and macrovascular outcomes remain essential aspects of treatment, access and cost are major limiting factors; therefore, a pragmatic approach is required in restricted-resource settings. Newer agents, such as sodium-gluc..View full abstract