Diabetes in sub-Saharan Africa: from clinical care to health policy


Atun R, Gale E, Davies J, Bärnighausen T, Beran D, Binagwaho A, Levitt N, Mangutu F, Nyirenda M, Manguyu F, Nyirenda M, Nyonator F, Ogle GD, Ramaiya K, Sewankambo N, Sobngwi E Tesfaye S, Yudkin JS, Basu S, Manne-Goehler J, Postolovska I, Salomon J, Vollmer S, Abbas ZG, Abdullah M, Adeyi O, Besançon S, Bukhman G, Burgess PI, Burton M, Dodson P, Joel D, Jong S, Mbaye MN, Mwagomba B, Reja A, Rotimi C, Siraj ES, Stefan C, van Acker K.


Rapid demographic, sociocultural, and economic transitions are driving increases in the risk and prevalence of diabetes and other non-communicable diseases (NCDs) in sub-Saharan Africa. The impacts of these transitions and their health and economic consequences are evident. Whereas, in 1990, the leading causes of death in sub-Saharan Africa were HIV/AIDS, lower respiratory infections, diarrhoeal diseases, malaria, and vaccine-preventable diseases in children, in more recent years, cardiovascular diseases and their risk factors are replacing infectious diseases as the leading causes of death in this region, and rates of increase of cardiovascular risk factors are predicted to be greater in sub-Saharan Africa than in other parts of the world.


Lancet Diabetes Endocrinol.