Global Health Unit, Department of Health Sciences, University Medical Centre Groningen, University of Groningen, Hanzeplein 1, 9713 GZ, Groningen, The Netherlands.
J Public Health Policy. 2019 Jun;40(2):253-263. doi: 10.1057/s41271-018-00159-w.
Diabetes mellitus is rapidly becoming one of the major diseases affecting people's health globally. Over half of 100 million diabetes patients who need insulin to survive, especially in low- and middle-income countries (LMIC), are not able to get this medicine and die prematurely. Since 2000, insulin-producing companies have started support programmes with a component of insulin donations to children and youth with type 1 diabetes in 43 LMIC. Based on their experiences we conclude, contrary to common belief, that the diagnosis, treatment, and prevention of fatal complications in children with type 1 diabetes in LMIC are very possible in practice, with large improvements in survival, mean body weight, mean glucose levels, and frequency of complications. Medicine donations can never offer a sustainable solution and we now propose a ten-step transition process towards a fully sustainable national diabetes care and prevention programme for children and youth with diabetes type 1.
糖尿病正在迅速成为影响全球人口健康的主要疾病之一。全球有超过 1 亿需要胰岛素才能生存的糖尿病患者，特别是在中低收入国家（LMIC），无法获得这种药物，导致过早死亡。自 2000 年以来，胰岛素生产公司已在 43 个 LMIC 启动了支持计划，其中包括向 1 型糖尿病儿童和青少年捐赠胰岛素的部分内容。根据他们的经验，我们得出结论，与普遍看法相反，在实践中，完全有可能诊断、治疗和预防 LMIC 中 1 型糖尿病儿童的致命并发症，大大提高了生存率、平均体重、平均血糖水平和并发症的频率。药物捐赠永远无法提供可持续的解决方案，因此我们现在提出了一个十步过渡过程，旨在为 1 型糖尿病儿童和青少年建立一个完全可持续的国家糖尿病护理和预防计划。
