John Libbey Eurotext

Médecine et Santé Tropicales


Management of type 1 diabetes Volume 28, issue 4, Octobre-Novembre-Décembre 2018


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1 DECCP, CH de Luxembourg, Clinique pédiatrique de Luxembourg/CHL, 4 rue E. Barblé, 1210 Luxembourg, Grand Duché de Luxembourg
2 ONG Santé Diabète, 17 avenue Malherbe 38100 Grenoble, France
3 Hôpital universitaire Donka Conakry, Université de Conakry, Conakry, Guinée-Conakry
* Correspondance
  • Key words: type 1 diabetes, access to care, essential drugs
  • DOI : 10.1684/mst.2018.0834
  • Page(s) : 359-62
  • Published in: 2018

Late diagnosis and lack of access to insulin contribute most to the mortality of people with type 1 diabetes. The presence of this chronic
noncommunicable disease is not bound by borders or even continents. Without treatment, it is fatal, while with treatment and good control, it is possible to prevent acute complications (hyperglycemia and hypoglycemia) and to reduce severe late complications (cardiovascular and cerebrovascular, kidney failure and blindness). Access to equipment and supplies for diagnosis and to essential drugs for hospitals and later families at an affordable price is critical to mortality and morbidity in Africa. Intensive training of professionals in the field and in hospitals to recognize and treat this disease is necessary. These factors, together with intensive education of patients and their families, can reduce the mortality and morbidity of diabetes. Adequate management of diabetes, an important noncommunicable disease, will contribute to meeting the Sustainable Developments Goals and reducing infant mortality.