Basit Abdul, Riaz Musarrat, Fawwad Asher
Department of Medicine Baqai Institute of Diabetology and Endocrinology Baqai Medical University, Plot No. 1-2, II-B, Nazimabad No. 2, Karachi 74600, Pakistan.
Department of Medicine Baqai Institute of Diabetology and Endocrinology Baqai Medical University, Plot No. 1-2, II-B, Nazimabad No. 2, Karachi 74600, Pakistan.
Diabetes Res Clin Pract. 2015 Feb;107(2):224-32. doi: 10.1016/j.diabres.2014.10.013. Epub 2014 Oct 24.
Pakistan is a developing country with limited recourses and diverse economic social patterns. Pakistan has high prevalence of diabetes and its complication, which is a huge challenge to the existing health care system. The major contributing risk factors are urbanization and change in lifestyle, maternal and fetal malnutrition and genetic factors. National action plans for control of diabetes have been made since 1995 but actions in this regard were not perfect. Training of primary care physicians and development of multidisciplinary diabetes care teams was initiated. Prioritization strategies were defined according to the International Diabetes Federation (IDF) guidance, mainly focusing on diabetic foot, diabetes education and children with diabetes. Researches for better understanding and management of diabetes in Pakistan were undertaken. Collaboration between various stakeholders was promoted at national and international level. In summary, public private relationships and development of multifaceted approaches is expected to improve the lives of millions of diabetics of Pakistan.
巴基斯坦是一个资源有限、经济社会模式多样的发展中国家。巴基斯坦糖尿病及其并发症的患病率很高，这对现有的医疗保健系统构成了巨大挑战。主要的促成风险因素包括城市化、生活方式的改变、母婴营养不良以及遗传因素。自1995年以来已制定了控制糖尿病的国家行动计划，但这方面的行动并不完善。开展了初级保健医生培训并组建了多学科糖尿病护理团队。根据国际糖尿病联合会（IDF）的指导确定了优先策略，主要侧重于糖尿病足、糖尿病教育以及糖尿病儿童。开展了相关研究以更好地了解和管理巴基斯坦的糖尿病。在国家和国际层面促进了各利益相关方之间的合作。总之，公私关系以及多方面方法的发展有望改善数百万巴基斯坦糖尿病患者的生活。
