Closing the Type 1 Diabetes gap in South-East Asia through government partnership working with non-government organisations

Ng, Sze May ORCID: 0000-0002-3449-0541, Malene, IV, Nilar, Myint, Rassavong, Khaysy, Chi, Dung Vu, Tan, Florence Hui Sieng, Jalaludin, Muhammad Yazid, 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. 109868-.

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Official URL: http://dx.doi.org/10.1016/j.diabres.2022.109868

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 organisationAction4Diabetes (A4D) with defined local hospitalsthrough a Memorandum of Understandingsigned with the governments in SEAthat guarantees ongoing supplies of free insulin, blood glucose meter supplies, HbA1c tests and hospital emergency funds.<h4>Participants</h4>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.<h4>Results</h4>Mean HbA1c between 2020 and 2021 for patients in these LMICs arereported for the first time. The average glycaemic index in the five SEAcountries reviewed between 2020 and 2021 were high at 83 mmol/mol (9.7%).<h4>Conclusions</h4>Government partnership working with non-government organisationsto support T1D from diagnosis to adulthood are the first steps to closing thegaps 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
Uncontrolled Keywords:	Humans, Diabetic Ketoacidosis, Diabetes Mellitus, Type 1, Insulin, Government, Adolescent, Adult, Child, Asia, Southeastern, Glycated Hemoglobin, Asia, Eastern
Divisions:	Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Clinical Directorate
Depositing User:	Symplectic Admin
Date Deposited:	24 Jun 2022 10:35
Last Modified:	08 Feb 2023 13:10
DOI:	10.1016/j.diabres.2022.109868
Open Access URL:	https://doi.org/10.1016/j.diabres.2022.109868
Related URLs:	Author Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3157114