Kaselitz Elizabeth, Rana Gurpreet K, Heisler Michele
Department of Global REACH, University of Michigan Medical School, 1111 Catherine Street, Ann Arbor, MI, 48104, USA.
VA Center for Clinical Management Research (CCMR), Ann Arbor, MI, 48105, USA.
Curr Diab Rep. 2017 Aug;17(8):65. doi: 10.1007/s11892-017-0888-x.
Successful interventions are needed to diagnose and manage type 2 diabetes (T2DM) in Latin America, a region that is experiencing a significant rise in rates of T2DM. Complementing an earlier review exploring diabetes prevention efforts in Latin America, this scoping review examines the literature on (1) policies and governmental programs intended to improve diabetes diagnosis and treatment in Latin America and (2) interventions to improve diabetes management in Latin America. It concludes with a brief discussion of promising directions for future research.
Governmental policies and programs for the diagnosis and treatment of diabetes in different Latin American countries have been implemented, but their efficacy to date has not been rigorously evaluated. There are some promising intervention approaches in Latin America to manage diabetes that have been evaluated. Some of these utilize multidisciplinary teams, a relatively resource-intensive approach difficult to replicate in low-resource settings. Other evaluated interventions in Latin America have successfully leveraged mobile health tools, trained peer volunteers, and community health workers (CHWs) to improve diabetes management and outcomes. There are some promising approaches and large-scale governmental efforts underway to curb the growing burden of type 2 diabetes in Latin America. While some of these interventions have been rigorously evaluated, further research is warranted to determine their effectiveness, cost, and scalability in this region.
拉丁美洲2型糖尿病（T2DM）发病率显著上升，因此需要成功的干预措施来诊断和管理该地区的T2DM。作为对早期探索拉丁美洲糖尿病预防工作的综述的补充，本范围综述考察了以下方面的文献：（1）旨在改善拉丁美洲糖尿病诊断和治疗的政策及政府项目；（2）改善拉丁美洲糖尿病管理的干预措施。综述最后简要讨论了未来研究的有前景的方向。
拉丁美洲不同国家已实施了糖尿病诊断和治疗的政府政策及项目，但迄今为止其疗效尚未得到严格评估。拉丁美洲有一些已得到评估的有前景的糖尿病管理干预方法。其中一些方法利用了多学科团队，这是一种资源相对密集的方法，在资源匮乏地区难以推广。拉丁美洲其他已评估的干预措施成功利用了移动健康工具、培训同伴志愿者和社区卫生工作者（CHW）来改善糖尿病管理及治疗效果。目前有一些有前景的方法和大规模政府举措正在遏制拉丁美洲2型糖尿病日益加重的负担。虽然其中一些干预措施已得到严格评估，但仍需进一步研究以确定其在该地区的有效性、成本和可扩展性。
