Challenges for diagnosing and monitoring diabetes in ressource- limited countries (DRCongo)
Diabetes prevalence is rising dramatically in limited-resources countries, particularly in DR Congo. An estimated number of 14.2 million adults (aged between 20 and 79 years old) are suffering from diabetes mellitus, which represents a regional prevalence of 2.1–6.7%. In the near future, sub-Saharan Africa is expected to undergo the largest proportional increase in diabetes mellitus, with an estimated number of 41.5 million affected Africans in 2035.
For decades, available resources were allocated in the management of infectious diseases. Despite the increase in the prevalence of diabetes mellitus, little attention has been paid to the correct diagnosis of this disease in developing countries. About 50% of people living with diabetes mellitus in sub-Saharan Africa remain undiagnosed. A poor glycemic control increases the risk of diabetes complications and is associated with a high mortality rate.
The published report from Diabetes International Expert committees in 2009 (American Diabetes Association and European Diabetes Association) recommended the plasma glucose measurement [either a fasting plasma glucose (FPG) concentration ≥ 126 mg/dL (7.0 mM), a random plasma glucose concentration ≥ 200mg/dL (11.1 mM) or a 2- plasma glucose value ≥ 200 mg/dL in the 75 g oral glucose tolerance test (OGTT)] or an hemoglobin A1c (HbA1c) ≥ 48 mmol/ mol for the diagnosis of diabetes mellitus.
This community talks will gives an overview of the challenges encountered in diagnosing and monitoring of diabetes mellitus in sub-Saharan Africa. It will presents also the recent progress maid in the diagnosis of diabetes mellitus.
Prof. Joris Delanghe, Ghent University
Prof. Antoine Kishabongo, UCB, Bukavu
Prof Justin Cikomola, UCB, Bukavu
To attend this Community Talks: