Lesley J, Manning L A, Ogle G D
HOPE worldwide, Port Moresby, Papua New Guinea.
P N G Med J. 2001 Sep-Dec;44(3-4):88-95.
To determine the number and distribution of diabetic persons in Papua New Guinea (PNG), and to document available services.
Survey of the 19 hospitals thought to be the most significant centres for care of diabetes.
16 hospitals were successfully surveyed. Type 1 diabetes is very rare, with 18 known cases in the country (6 less than 15 years old). Known type 2 cases totalled around 4600 with almost all cases in coastal centres, particularly Port Moresby, East New Britain and Manus. There were very few cases in the highlands. Insulin is generally available, along with oral hypoglycaemic drugs. Testing for complications is very limited, and glycosylated haemoglobin (HbA1c) testing is available in only one centre. Only 3 trained diabetes educators are available in the country, with 1 dietitian and no specialist endocrinologists.
The vast majority of persons with type 2 diabetes in PNG are undiagnosed and are not receiving treatment: based on the lower of two country prevalence estimates, less than 3% of the diabetic persons in the country are seen at health facilities. Services are limited, with only a handful of health professionals specially trained in diabetes. Expansion of services and awareness and prevention programs are urgently needed.
确定巴布亚新几内亚（PNG）糖尿病患者的数量和分布情况，并记录现有的医疗服务。
对被认为是糖尿病护理最重要中心的19家医院进行调查。
成功调查了16家医院。1型糖尿病非常罕见，该国已知18例（6例年龄小于15岁）。已知2型病例总计约4600例，几乎所有病例都在沿海中心，特别是莫尔斯比港、东新不列颠省和马努斯。高地地区病例极少。胰岛素和口服降糖药一般都有。并发症检测非常有限，糖化血红蛋白（HbA1c）检测仅在一个中心提供。该国仅有3名经过培训的糖尿病教育工作者，1名营养师，没有专科内分泌学家。
巴布亚新几内亚绝大多数2型糖尿病患者未被诊断，也未接受治疗：根据该国患病率估计值中较低的那个，该国不到3%的糖尿病患者在医疗机构就诊。服务有限，只有少数经过糖尿病专门培训的卫生专业人员。迫切需要扩大服务以及开展提高认识和预防项目。
