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Diabetes Care in Nigeria

Authors:

Olufemi A. Fasanmade ,

Department of Medicine, College of Medicine, University of Lagos, Lagos, Nigeria
About Olufemi A.
MD
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Samuel Dagogo-Jack

Division of Endocrinology, Diabetes and Metabolism, University of Tennessee Health Science Center, Memphis, TN
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MD
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Abstract

Background

Diabetes is a noncommunicable disease that has attained great significance in the sub-Saharan region, with Nigeria being the most affected. Many persons with the condition suffer a reduced life expectancy and quality of life. Diabetes places an extra burden on the individuals and families affected, especially for the majority of patients unable to access quality health care.

Objective

To describe the elements of diabetes management in Nigeria, areas for improvement, and proposed strategies to optimize care.

Methods

A systematic literature search was performed on diabetes in Nigeria. Local and nonindexed literature, PubMed, and Google Scholar were used to source information on the subject.

Findings

Diabetes-related morbidity and mortality continue to increase due to population expansion, urban migration, declining physical activity, and dietary factors. The organization of diabetes care is poorly coordinated, especially at the primary and secondary tiers of the public health care system, with consequent poor outcomes. Thus life expectancy (just about 50 years), which is low in the region, is further reduced by the double jeopardy of communicable (eg, tuberculosisHIV/AIDS, and malaria) and noncommunicable diseases, such as diabetes and its closely related comorbidity, hypertension.

Conclusions

The way forward is to improve maternal and child care, promote screening of at-risk populations, and develop strategies for primary prevention and early intervention to optimize glycemic control. Greater commitment to health care by the government and nongovernmental organizations and greater awareness by Nigerians should facilitate the desired improvements in disease prevention and glycemic control in those who are already affected.

How to Cite: Fasanmade, O.A. and Dagogo-Jack, S., 2016. Diabetes Care in Nigeria. Annals of Global Health, 81(6), pp.821–829. DOI: http://doi.org/10.1016/j.aogh.2015.12.012
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Published on 22 Apr 2016.
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