Diabetes in South and Central America: An update
- Autores
- Aschner, Pablo; Aguilar Salinas,Carlos; Aguirre, Loreto; Franco, Laercio; Gagliardino, Juan Jose; Gorban de Lapertosa, Sylvia; Seclen, Segundo; Vinocour, Mary
- Año de publicación
- 2013
- Idioma
- inglés
- Tipo de recurso
- artículo
- Estado
- versión publicada
- Descripción
- The estimated population of the South and Central America (SACA) Region is 467.6 million and 64% is in the age range of 20–79 years but the population pyramid and age distribution are changing. The average prevalence of diabetes in the Region is 8.0% and is expected to reach 9.8% by the year 2035. Prevalence is much lower in rural settings than in urban and the differences attributed to lifestyle changes may be a target for intervention. The indigenous population is a particularly vulnerable group needing special attention. On average, 24% of the adult cases with diabetes are undiagnosed but in some countries this is still as high as 50%. Health expenditure due to diabetes in the Region is around 9% of the global total. Inadequate glycemic control, defined as HbA1c >7%, is a strong predictor of chronic complications which increase resource use in the Region and less than half of the patients enrolled in diabetes care programmes are at target. Fifty percent or more of the adult population is overweight/obese and around one third of the adult population has metabolic syndrome using regional cutoffs for waist circumference. The number of people with IGT is almost equal to those with diabetes presenting an additional challenge for prevention. Children with type 1 diabetes represent only 0.2% of the total population with diabetes but the incidence may be increasing. In many places they have limited access to insulin, and even when available, it is not used appropriately. The available epidemiological data provide the background to act in developing national diabetes programmes which integrate diabetes care with cardiovascular prevention and promote diabetes prevention as well.
Fil: Aschner, Pablo. Pontificia Universidad Javeriana; Colombia. Hospital Universitario San Ignacio; Colombia
Fil: Aguilar Salinas,Carlos. Instituto Nacional de Ciencias Médicas y Nutrición; México
Fil: Aguirre, Loreto. Asociación de Diabéticos de Chile; Chile
Fil: Franco, Laercio. Universidade de São Pablo. Facultade de Medicina de Riberão Preto; Brasil
Fil: Gagliardino, Juan Jose. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Cientifico Tecnológico La Plata. Centro de Endocrinologia Experimental y Aplicada (i); Argentina
Fil: Gorban de Lapertosa, Sylvia. Universidad Nacional del Nordeste; Argentina
Fil: Seclen, Segundo. Universidad Peruana Cayetano Heredia; Perú
Fil: Vinocour, Mary. Universidad de Costa Rica; Costa Rica - Materia
-
Diabetes
South And Central America
Glycemic Control
Prevalence - Nivel de accesibilidad
- acceso abierto
- Condiciones de uso
- https://creativecommons.org/licenses/by-nc-nd/2.5/ar/
- Repositorio
- Institución
- Consejo Nacional de Investigaciones Científicas y Técnicas
- OAI Identificador
- oai:ri.conicet.gov.ar:11336/5339
Ver los metadatos del registro completo
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Diabetes in South and Central America: An updateAschner, PabloAguilar Salinas,CarlosAguirre, LoretoFranco, LaercioGagliardino, Juan JoseGorban de Lapertosa, SylviaSeclen, SegundoVinocour, MaryDiabetesSouth And Central AmericaGlycemic ControlPrevalencehttps://purl.org/becyt/ford/3.2https://purl.org/becyt/ford/3The estimated population of the South and Central America (SACA) Region is 467.6 million and 64% is in the age range of 20–79 years but the population pyramid and age distribution are changing. The average prevalence of diabetes in the Region is 8.0% and is expected to reach 9.8% by the year 2035. Prevalence is much lower in rural settings than in urban and the differences attributed to lifestyle changes may be a target for intervention. The indigenous population is a particularly vulnerable group needing special attention. On average, 24% of the adult cases with diabetes are undiagnosed but in some countries this is still as high as 50%. Health expenditure due to diabetes in the Region is around 9% of the global total. Inadequate glycemic control, defined as HbA1c >7%, is a strong predictor of chronic complications which increase resource use in the Region and less than half of the patients enrolled in diabetes care programmes are at target. Fifty percent or more of the adult population is overweight/obese and around one third of the adult population has metabolic syndrome using regional cutoffs for waist circumference. The number of people with IGT is almost equal to those with diabetes presenting an additional challenge for prevention. Children with type 1 diabetes represent only 0.2% of the total population with diabetes but the incidence may be increasing. In many places they have limited access to insulin, and even when available, it is not used appropriately. The available epidemiological data provide the background to act in developing national diabetes programmes which integrate diabetes care with cardiovascular prevention and promote diabetes prevention as well.Fil: Aschner, Pablo. Pontificia Universidad Javeriana; Colombia. Hospital Universitario San Ignacio; ColombiaFil: Aguilar Salinas,Carlos. Instituto Nacional de Ciencias Médicas y Nutrición; MéxicoFil: Aguirre, Loreto. Asociación de Diabéticos de Chile; ChileFil: Franco, Laercio. Universidade de São Pablo. Facultade de Medicina de Riberão Preto; BrasilFil: Gagliardino, Juan Jose. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Cientifico Tecnológico La Plata. Centro de Endocrinologia Experimental y Aplicada (i); ArgentinaFil: Gorban de Lapertosa, Sylvia. Universidad Nacional del Nordeste; ArgentinaFil: Seclen, Segundo. Universidad Peruana Cayetano Heredia; PerúFil: Vinocour, Mary. Universidad de Costa Rica; Costa RicaElsevier Ireland2013-12info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/5339Aschner, Pablo; Aguilar Salinas,Carlos; Aguirre, Loreto; Franco, Laercio; Gagliardino, Juan Jose; et al.; Diabetes in South and Central America: An update; Elsevier Ireland; Diabetes Research and Clinical Practice; 103; 2; 12-2013; 238-2430168-8227enginfo:eu-repo/semantics/altIdentifier/url/http://www.sciencedirect.com/science/article/pii/S0168822713003938info:eu-repo/semantics/altIdentifier/doi/info:eu-repo/semantics/altIdentifier/doi/10.1016/j.diabres.2013.11.010info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-nd/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-29T10:01:46Zoai:ri.conicet.gov.ar:11336/5339instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-29 10:01:47.072CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse |
dc.title.none.fl_str_mv |
Diabetes in South and Central America: An update |
title |
Diabetes in South and Central America: An update |
spellingShingle |
Diabetes in South and Central America: An update Aschner, Pablo Diabetes South And Central America Glycemic Control Prevalence |
title_short |
Diabetes in South and Central America: An update |
title_full |
Diabetes in South and Central America: An update |
title_fullStr |
Diabetes in South and Central America: An update |
title_full_unstemmed |
Diabetes in South and Central America: An update |
title_sort |
Diabetes in South and Central America: An update |
dc.creator.none.fl_str_mv |
Aschner, Pablo Aguilar Salinas,Carlos Aguirre, Loreto Franco, Laercio Gagliardino, Juan Jose Gorban de Lapertosa, Sylvia Seclen, Segundo Vinocour, Mary |
author |
Aschner, Pablo |
author_facet |
Aschner, Pablo Aguilar Salinas,Carlos Aguirre, Loreto Franco, Laercio Gagliardino, Juan Jose Gorban de Lapertosa, Sylvia Seclen, Segundo Vinocour, Mary |
author_role |
author |
author2 |
Aguilar Salinas,Carlos Aguirre, Loreto Franco, Laercio Gagliardino, Juan Jose Gorban de Lapertosa, Sylvia Seclen, Segundo Vinocour, Mary |
author2_role |
author author author author author author author |
dc.subject.none.fl_str_mv |
Diabetes South And Central America Glycemic Control Prevalence |
topic |
Diabetes South And Central America Glycemic Control Prevalence |
purl_subject.fl_str_mv |
https://purl.org/becyt/ford/3.2 https://purl.org/becyt/ford/3 |
dc.description.none.fl_txt_mv |
The estimated population of the South and Central America (SACA) Region is 467.6 million and 64% is in the age range of 20–79 years but the population pyramid and age distribution are changing. The average prevalence of diabetes in the Region is 8.0% and is expected to reach 9.8% by the year 2035. Prevalence is much lower in rural settings than in urban and the differences attributed to lifestyle changes may be a target for intervention. The indigenous population is a particularly vulnerable group needing special attention. On average, 24% of the adult cases with diabetes are undiagnosed but in some countries this is still as high as 50%. Health expenditure due to diabetes in the Region is around 9% of the global total. Inadequate glycemic control, defined as HbA1c >7%, is a strong predictor of chronic complications which increase resource use in the Region and less than half of the patients enrolled in diabetes care programmes are at target. Fifty percent or more of the adult population is overweight/obese and around one third of the adult population has metabolic syndrome using regional cutoffs for waist circumference. The number of people with IGT is almost equal to those with diabetes presenting an additional challenge for prevention. Children with type 1 diabetes represent only 0.2% of the total population with diabetes but the incidence may be increasing. In many places they have limited access to insulin, and even when available, it is not used appropriately. The available epidemiological data provide the background to act in developing national diabetes programmes which integrate diabetes care with cardiovascular prevention and promote diabetes prevention as well. Fil: Aschner, Pablo. Pontificia Universidad Javeriana; Colombia. Hospital Universitario San Ignacio; Colombia Fil: Aguilar Salinas,Carlos. Instituto Nacional de Ciencias Médicas y Nutrición; México Fil: Aguirre, Loreto. Asociación de Diabéticos de Chile; Chile Fil: Franco, Laercio. Universidade de São Pablo. Facultade de Medicina de Riberão Preto; Brasil Fil: Gagliardino, Juan Jose. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Cientifico Tecnológico La Plata. Centro de Endocrinologia Experimental y Aplicada (i); Argentina Fil: Gorban de Lapertosa, Sylvia. Universidad Nacional del Nordeste; Argentina Fil: Seclen, Segundo. Universidad Peruana Cayetano Heredia; Perú Fil: Vinocour, Mary. Universidad de Costa Rica; Costa Rica |
description |
The estimated population of the South and Central America (SACA) Region is 467.6 million and 64% is in the age range of 20–79 years but the population pyramid and age distribution are changing. The average prevalence of diabetes in the Region is 8.0% and is expected to reach 9.8% by the year 2035. Prevalence is much lower in rural settings than in urban and the differences attributed to lifestyle changes may be a target for intervention. The indigenous population is a particularly vulnerable group needing special attention. On average, 24% of the adult cases with diabetes are undiagnosed but in some countries this is still as high as 50%. Health expenditure due to diabetes in the Region is around 9% of the global total. Inadequate glycemic control, defined as HbA1c >7%, is a strong predictor of chronic complications which increase resource use in the Region and less than half of the patients enrolled in diabetes care programmes are at target. Fifty percent or more of the adult population is overweight/obese and around one third of the adult population has metabolic syndrome using regional cutoffs for waist circumference. The number of people with IGT is almost equal to those with diabetes presenting an additional challenge for prevention. Children with type 1 diabetes represent only 0.2% of the total population with diabetes but the incidence may be increasing. In many places they have limited access to insulin, and even when available, it is not used appropriately. The available epidemiological data provide the background to act in developing national diabetes programmes which integrate diabetes care with cardiovascular prevention and promote diabetes prevention as well. |
publishDate |
2013 |
dc.date.none.fl_str_mv |
2013-12 |
dc.type.none.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion http://purl.org/coar/resource_type/c_6501 info:ar-repo/semantics/articulo |
format |
article |
status_str |
publishedVersion |
dc.identifier.none.fl_str_mv |
http://hdl.handle.net/11336/5339 Aschner, Pablo; Aguilar Salinas,Carlos; Aguirre, Loreto; Franco, Laercio; Gagliardino, Juan Jose; et al.; Diabetes in South and Central America: An update; Elsevier Ireland; Diabetes Research and Clinical Practice; 103; 2; 12-2013; 238-243 0168-8227 |
url |
http://hdl.handle.net/11336/5339 |
identifier_str_mv |
Aschner, Pablo; Aguilar Salinas,Carlos; Aguirre, Loreto; Franco, Laercio; Gagliardino, Juan Jose; et al.; Diabetes in South and Central America: An update; Elsevier Ireland; Diabetes Research and Clinical Practice; 103; 2; 12-2013; 238-243 0168-8227 |
dc.language.none.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
info:eu-repo/semantics/altIdentifier/url/http://www.sciencedirect.com/science/article/pii/S0168822713003938 info:eu-repo/semantics/altIdentifier/doi/ info:eu-repo/semantics/altIdentifier/doi/10.1016/j.diabres.2013.11.010 |
dc.rights.none.fl_str_mv |
info:eu-repo/semantics/openAccess https://creativecommons.org/licenses/by-nc-nd/2.5/ar/ |
eu_rights_str_mv |
openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by-nc-nd/2.5/ar/ |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Elsevier Ireland |
publisher.none.fl_str_mv |
Elsevier Ireland |
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reponame:CONICET Digital (CONICET) instname:Consejo Nacional de Investigaciones Científicas y Técnicas |
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CONICET Digital (CONICET) |
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CONICET Digital (CONICET) |
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Consejo Nacional de Investigaciones Científicas y Técnicas |
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CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas |
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dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar |
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13.070432 |