Department of Medicine, University of Cape Town and South African Medical Research Council, Cape Town, South Africa.
Heart. 2013 Aug;99(15):1072-7. doi: 10.1136/heartjnl-2013-303773. Epub 2013 May 16.
Evidence has been accumulating on the importance of the rising burden of diabetes mellitus on the African continent at an increasingly higher pace. In the first paper of this series of two companion papers, recent evidence on the prevalence, pathogenesis and comorbidities of obesity and diabetes mellitus in Africa were summarised. In this second paper, we focus on recent developments pertaining to the prevention, screening and the economic burden of diabetes and obesity on the continent. There are indications that awareness on diabetes and chronic diseases at large has increased in Africa in recent times. However, the care for diabetes largely remains suboptimal in most countries, which are not adequately prepared to face the prevention and control of diabetes, as the costs of caring for the condition pose a tremendous challenge to most local economies. Moreover, translation strategies to prevent and control diabetes and obesity, on the continent, are still to be evaluated.
关于糖尿病负担在非洲大陆日益加重的问题,已经积累了越来越多的证据。在这两篇论文的第一篇中,我们总结了最近关于非洲肥胖和糖尿病的患病率、发病机制和合并症的证据。在第二篇论文中,我们重点关注非洲在糖尿病和肥胖预防、筛查和经济负担方面的最新进展。有迹象表明,近年来非洲对糖尿病和慢性病的认识有所提高。然而,在大多数国家,糖尿病的护理仍然不尽如人意,这些国家还没有充分准备好应对糖尿病的预防和控制,因为护理糖尿病的成本给大多数当地经济带来了巨大的挑战。此外,预防和控制非洲糖尿病和肥胖症的翻译策略仍有待评估。