阿拉伯联合酋长国糖尿病的流行病学、技术和专业视角:重点回顾

Khaled M. Al. Dahmani, Mohamed Suliman, Khadija Hafidh, S. Beshyah
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摘要

导言 阿拉伯联合酋长国(UAE)是阿拉伯海湾国家中糖尿病发病率较高的国家,主要是 2 型糖尿病(T2D)。方法 我们旨在概述糖尿病的流行病学、并发症和护理质量,包括技术在糖尿病护理中的应用。此外,我们还希望探讨糖尿病管理面临的挑战以及临床实践和研究的未来方向。本文对相关主题的文献进行了重点综述,以实现上述工作目标。结果 多项流行病学研究表明,糖尿病在本地人口和外籍人士中的发病率有所上升。绝大多数研究侧重于 T2D。据估计,阿联酋 20 至 79 岁年龄组的糖尿病患病率为 12.3%。尽管高患病率已被确认为国家优先事项,但在对整个人口进行标准化护理方面仍存在一些挑战。有关全国范围内各种形式糖尿病发病率的研究还存在空白。一些研究评估了技术在糖尿病护理中的作用、并发症的遗传倾向,以及妊娠期糖尿病、新生儿糖尿病、单基因糖尿病和糖尿病心血管风险等特定方面。阿联酋最近成为与斋月斋戒有关的健康研究(包括糖尿病)的焦点。结论 在阿联酋,糖尿病给医疗保健系统带来沉重负担。需要共同努力,在全国范围内采用更加统一的糖尿病护理和研究方法。这就需要使用统一的方法来记录全国范围内的负担,探索各种流行病学现象、医疗服务的可及性、对治疗效果的影响等方面可能存在的差异,并评估不同护理模式的成本效益。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Epidemiology, Technology, and Professional Perspectives on Diabetes in the United Arab Emirate: A Focused Review
Introduction The United Arab Emirates (UAE), among the rest of the Arab Gulf countries, exhibits a high prevalence of diabetes, primarily type 2 diabetes (T2D). Methods We aimed to provide an overview of the epidemiology, complications, and quality of care, including the use of technology in diabetes care. Also, we wished to explore the challenges of diabetes management and future directions in clinical practice and research. This is a focused review of the literature of selected relevant themes to serve the above objectives of the work. Results Several epidemiological studies have documented the increased prevalence of diabetes in the native population and expatriates. The vast majority focused on T2D. The prevalence of diabetes in the UAE is estimated at 12.3% for the 20 to 79 age group. Although the high prevalence was recognized and acknowledged as a national priority, several challenges exist in standardizing care across the population. There are gaps in research about the nationwide prevalence of all forms of diabetes. Some research studies have evaluated the role of technology in diabetes care, genetic predilection to complications, and particular aspects such as diabetes during pregnancy, neonatal diabetes, monogenic diabetes, and cardiovascular risk in diabetes. UAE recently became a focal point for health-related Ramadan fasting research, including diabetes. Conclusions Diabetes in the UAE considerably burdens the health care system. A concerted effort is needed to adopt more uniformity of diabetes care and research nationwide. This should address the use of unified methods to document the nationwide burden, explore possible differences in various epidemiological phenomena, access to health care, and impact on outcomes, and evaluation of the cost-effectiveness of different models of care.
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