Ng, Sze May and Malene, I. and Nilar, Myint and Rassavong, Khaysy and Vu, Chi Dung and Tan, Florence Hui Sieng and Jalaludin, Muhammad Yazid and Toomey, Charles and Lek, Ngee (2022) Closing the Type 1 Diabetes gap in South-East Asia through government partnership working with non-government organisations. Diabetes Research and Clinical Practice, 187. ISSN 0168-8227, DOI https://doi.org/10.1016/j.diabres.2022.109868.
Full text not available from this repository.Abstract
This will be the first publication of Type 1 diabetes (T1D) outcomes in five low-middle-income countries (LMICs)-Laos, Malaysia, Vietnam, Cambodia and Myanmar in the Southeast Asia (SEA) region. The information obtained has been possible due to partnership programmes of non-government organisation Action4Diabetes (A4D) with defined local hospitals through a Memorandum of Understanding signed with the governments in SEA that guarantees ongoing supplies of free insulin, blood glucose meter supplies, HbA1c tests and hospital emergency funds. Participants: Between 2020 and 2021, 383 children and young people with T1D who were active in the A4D supported programmes were reviewed including information on health coverage, multidisciplinary team management, diabetic ketoacidosis (DKA) on admission and insulin regimen. Results: Mean HbA1c between 2020 and 2021 for patients in these LMICs are reported for the first time. The average glycaemic index in the five SEA countries reviewed between 2020 and 2021 were high at 83 mmol/mol (9.7%). Conclusions: Government partnership working with non-government organisations to support T1D from diagnosis to adulthood are the first steps to closing the gaps in many LMICs. Further epidemiological studies are needed to identify the glycaemic outcomes and DKA rates on admission for many of these countries.
| Item Type: | Article |
|---|---|
| Funders: | None |
| Uncontrolled Keywords: | Ketoacidosis; Children |
| Subjects: | R Medicine > RJ Pediatrics |
| Divisions: | Faculty of Medicine > Paediatrics Department |
| Depositing User: | Ms. Juhaida Abd Rahim |
| Date Deposited: | 09 Oct 2023 01:45 |
| Last Modified: | 09 Oct 2023 01:45 |
| URI: | http://eprints.um.edu.my/id/eprint/42296 |
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