Barriers and facilitators to successful management of type 2 diabetes mellitus in Latin America and the Caribbean: A systematic review

Abstract

Background Given that most evidence-based recommendations for managing type 2 diabetes mellitus (T2DM) are generated in high-income settings, significant challenges for their implementation exist in Latin America and the Caribbean region (LAC), where the rates of T2DM and related mortality are increasing. The aim of this study is to identify the facilitators and barriers to successful management of T2DM in LAC, from the perspectives of patients, their families or caregivers, healthcare professionals, and/or other stakeholders.

Exploring Early Combination Strategy in Latin American Patients With Newly Diagnosed Type 2 Diabetes: A Sub-analysis of the VERIFY Study 

“…The diverseness of baseline characteristics con rms that the VERIFY study protocol genuinely allowed enrollment of a globally heterogeneous population re ective of currently diagnosed individuals with diabetes. In Latin America as in other global regions outside Northern Europe [18], a deeper analysis of the glycemic data from the screening phase reverberates the challenges in accurate, early and timely diagnosis of T2DM based on glycemia as reported for Latin America [6,8]. Therefore, in this region where there is less-structured public healthcare infrastructure, socioeconomic inequality, and limited access to care, it is sensible that recommendations and procedures facilitate early diagnosis and intervention.…”

“…The heterogeneity in the economic vulnerabilities towards diabetes across the region [6] might be due to inequalities in the socioeconomic aspects among countries in the Latin American region [7]. Socioeconomic conditions in Latin America present several public health challenges for diabetes care, such as low disease awareness, inadequate diagnosis, treatment and preventive measures, and limited access to healthcare facilities [6,8,9]. Diagnosis is often delayed as the prevalence of undiagnosed patients ranges from 10.3-50% in this region [10].…”

Knowledge, attitude, and practice of patients with type 2 diabetes mellitus with regard to their disease: a cross-sectional study among Palestinians of the West Bank

“…This might improve the health and quality of life of the patients. Additionally, unfavorable attitudes were associated with poor control over blood glucose and incidence of complications [ 22 ]. Previous studies have shown differences in knowledge, attitude, and practice among patients with T2DM in primary and tertiary healthcare settings in Saudi Arabia, Sri Lanka, Ethiopia, and India [ 3 , 15 – 18 ].…”

Exploring early combination strategy in Latin American patients with newly diagnosed type 2 diabetes: a sub-analysis of the VERIFY study

“…The heterogeneity in the economic vulnerabilities towards diabetes across the region [ 5 ] might be due to inequalities in the socioeconomic aspects among countries in the Latin American region [ 6 ]. Socioeconomic conditions in Latin America present several public health challenges for diabetes care, such as low disease awareness; inadequate diagnosis; treatment, and preventive measures; and limited access to health care facilities [ 5 , 7 , 8 ]. Diagnosis is often delayed as the prevalence of undiagnosed patients ranges from 10.3 to 50% in this region [ 9 ].…”