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
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/5339
Acceder
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oai_identifier_str oai:ri.conicet.gov.ar:11336/5339
network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling 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 Técnicas2025-10-22T11:31:16Zoai: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:34982025-10-22 11:31:16.898CONICET 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
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
_version_ 1846781914935984128
score 12.982451

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