Alemu S, Watkins V J, Dodds W, Turowska J B, Watkins P J
Gondar College of Medical Sciences, Ethiopia.
Diabet Med. 1998 Sep;15(9):791-4. doi: 10.1002/(SICI)1096-9136(199809)15:9<791::AID-DIA676>3.0.CO;2-0.
Treatments for diabetes in Ethiopia are at present only available in hospitals so many patients must travel great distances to obtain insulin, tablets, and diabetes education. We reviewed all 496 people with diabetes attending the diabetic clinic at Gondar Hospital (281 with Type 1 (insulin-dependent) diabetes mellitus (DM) and 215 with Type 2 (non-insulin-dependent) DM. Half of the patients came from rural areas, all but 3 of them travelling more than 20 km, one-quarter of them more than 100 km and 33 patients (13%) more than 180 km. It is likely that many patients who fail to attend from the more distant areas have died. We are developing a scheme which would enable diabetic patients to be treated at rural health centres by nurses trained in the principles of diabetes care which could greatly improve the outlook for diabetic patients in Ethiopia.
目前，埃塞俄比亚的糖尿病治疗仅在医院提供，因此许多患者必须长途跋涉才能获得胰岛素、药片和糖尿病教育。我们对贡德尔医院糖尿病诊所的所有496名糖尿病患者进行了审查（其中281例为1型（胰岛素依赖型）糖尿病，215例为2型（非胰岛素依赖型）糖尿病）。一半的患者来自农村地区，除3人外，其他人行程超过20公里，四分之一的人行程超过100公里，33名患者（13%）行程超过180公里。很可能许多来自较远地区未能前来就诊的患者已经死亡。我们正在制定一项计划，使糖尿病患者能够在农村保健中心接受接受糖尿病护理原则培训的护士的治疗，这有望极大地改善埃塞俄比亚糖尿病患者的前景。
