阿尔及利亚2型糖尿病管理的现状:一项全面的专家综述。
Perspectives of type 2 diabetes mellitus management in Algeria: a comprehensive expert review.
作者信息
Belhadj Mohamed, Malek Rachid, Baghous Houssem, Boukheloua Mourad, Arbouche Zakia, Nouri Nassim, Amani Mohammed El Amine, Sersoub Fethia, Haireche Mohamed Amine
机构信息
Internal Medicine Department, Specialist Hospital 1er Novembre 1954, Oran, Algeria.
Internal Medicine Department, University of Medical Sciences Ferhat Abbas, Setif, Algeria.
出版信息
Front Clin Diabetes Healthc. 2025 Apr 15;6:1495849. doi: 10.3389/fcdhc.2025.1495849. eCollection 2025.
BACKGROUND
The health and economic impacts of type 2 diabetes mellitus (T2DM) remain substantial, notably in developing countries.
OBJECTIVES
To provide an in-depth assessment of the T2DM situation in Algeria to understand its multifaceted burden and identify priority areas of intervention.
METHODS
A systematic literature search was conducted on all published articles about T2DM in Algeria over the past 30 years, including original research, reviews, and case series. The extracted data were thoroughly analyzed and synthesized by a committee of diabetes experts.
RESULTS
Algerian epidemiological data point towards a constant rise of T2DM prevalence, roughly from 8.9% in 2003 to 14.4% in 2016-2017. The mean onset is around 41 years with women experiencing a greater burden at younger age. Low socioeconomic status, limited education, and lack of health insurance exacerbate T2DM risk and health inequities. Lifestyle and metabolic risk factors are prevalent. Despite advancements in glycemic control, prescribing practices lack standardization, with suboptimal use of antidiabetic drugs and absence of novel drugs in the market. Health and economic burdens are dominated by complications, highlighting inadequate primary and tertiary prevention strategies.
CONCLUSION
Notwithstanding the increasing burden of T2DM in Algeria, the healthcare strategies and therapeutic outcomes remain suboptimal. This underscores the necessity for a comprehensive strategy including enhanced prevention, access to novel treatments, standardized practices, along with a patient-centered approach.
背景
2型糖尿病(T2DM)对健康和经济的影响依然巨大,在发展中国家尤为显著。
目的
深入评估阿尔及利亚的T2DM状况,以了解其多方面负担并确定优先干预领域。
方法
对过去30年发表的所有关于阿尔及利亚T2DM的文章进行系统文献检索,包括原创研究、综述和病例系列。提取的数据由糖尿病专家委员会进行全面分析和综合。
结果
阿尔及利亚的流行病学数据表明T2DM患病率持续上升,大致从2003年的8.9%升至2016 - 2017年的14.4%。平均发病年龄约为41岁,女性在较年轻时负担更重。社会经济地位低、教育程度有限以及缺乏医疗保险加剧了T2DM风险和健康不平等。生活方式和代谢风险因素普遍存在。尽管血糖控制有所进展,但处方实践缺乏标准化,抗糖尿病药物使用欠佳且市场上缺乏新药。健康和经济负担主要由并发症所致,凸显了初级和三级预防策略的不足。
结论
尽管阿尔及利亚T2DM负担日益加重,但其医疗保健策略和治疗效果仍不理想。这突出了制定全面策略的必要性,包括加强预防、提供新型治疗手段、规范实践,以及采取以患者为中心的方法。