New global move to improve diabetic care

The launch of a global initiative to improve the management of diabetes, especially among low and middle income countries is highly commendable.

Director-General, World Health Organization(WHO), Dr. Tedros Ghebreyesus, underscored ‘the need to take target action on diabetes is clearer than ever.’

The new compact was launched at the Global Diabetes Summit, co-hosted by WHO and the Government of Canada, with the support of the University of Toronto.

In a statement, he said ‘the development comes as risk of early death from diabetes is increasing, underscoring why countries must tackle the disease and bring treatment to all who need it.’

He also highlighted various strategies on charting a new course in prevention and treatment of the deadly disease.

His words: ‘The number of people with diabetes has quadrupled in the last 40 years. It is the only major noncommunicable disease for which the risk of dying early is going up, rather than down. And a high proportion of people who are severely ill in hospital with COVID-19 have diabetes.’

‘More than 420 million people worldwide live with diabetes, a group of chronic diseases characterized by elevated blood sugar, which can cause damage to the heart, blood vessels, eyes, kidneys and nerves.’

‘The most common is type 2 diabetes, which occurs when the body becomes resistant to insulin, the hormone that regulates blood sugar.

‘But we cannot take on diabetes alone. We must each share knowledge and foster international collaboration to help people with diabetes live longer, healthier lives — in Canada and around the world.’

For now ‘the global compact focuses on several priorities. Among the most urgent is increasing access to diabetes diagnostic tools and medicines, particularly insulin, in low and middle-income countries.’

‘Roughly half of all adults with type 2 diabetes remain undiagnosed, according to WHO. Additionally, half of all people with the condition do not get the insulin they need, putting them at risk of irreversible complications such as early death, amputation and sight loss.’

‘The insulin market is currently dominated by three companies, but a pilot programme for WHO prequalification of the medication, introduced two years ago, could change the situation. The prequalification process ensures medicines meet global standards for quality, safety and efficacy.’

‘Prequalification of insulin produced by more manufacturers could help increase the availability of quality-assured insulin to countries that are currently not meeting demand.’

Meanwhile, discussions are underway with manufacturers of insulin, and other diabetes medicines and diagnostic tools, which could help meet demand at prices that countries can afford.

Another key aim of the compact is to set a ‘global price tag’ that quantifies the costs and benefits of meeting new targets for diabetes care. Governments also will be encouraged to meet their commitments to include diabetes prevention and treatment in primary healthcare and universal health coverage packages.’

According to the he country’s Minister of Health, Dr. Patty Hajdu, Canada has a proud history of diabetes research and innovation. From the discovery of insulin in 1921 to one hundred years later, we continue working to support people living with diabetes,’

Dr Bente Mikkelsen, Director of the Department of Noncommunicable Diseases at WHO, explained that ‘the compact seeks to rally key stakeholders, as well as people who live with diabetes, around a common agenda to generate new momentum and create solutions.’

‘The ‘all hands on deck’ approach to the COVID-19 response is showing us what can be achieved when different sectors work together to find solutions to an urgent public health problem,’ he said.

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