Diabetes in South and Central America: An update

摘要: Abstract The estimated population of the South and Central America (SACA) Region is 467.6 million 64% in age range 20–79 years but pyramid distribution are changing. average prevalence diabetes 8.0% expected to reach 9.8% by year 2035. Prevalence much lower rural settings than urban differences attributed lifestyle changes may be a target for intervention. indigenous particularly vulnerable group needing special attention. On average, 24% adult cases with undiagnosed some countries this still as high 50%. Health expenditure due around 9% global total. Inadequate glycemic control, defined HbA1c >7%, strong predictor chronic complications which increase resource use less half patients enrolled care programmes at target. Fifty percent or more overweight/obese one third has metabolic syndrome using regional cutoffs waist circumference. number people IGT almost equal those presenting an additional challenge prevention. Children type 1 represent only 0.2% total incidence increasing. In many places they have limited access insulin, even when available, it not used appropriately. available epidemiological data provide background act developing national integrate cardiovascular prevention promote well.