The Department of Endocrinology, 
Interventions to address global inequity in diabetes: international progress.
- Department of Health Services Research, Management and Policy, University of Florida, Gainesville, FL, USA.
- Menzies School of Health Research, Charles Darwin University, Darwin, NT, Australia.
- Menzies School of Health Research, Charles Darwin University, Darwin, NT, Australia
- Department of Endocrinology, Royal Darwin and Palmerston Hospitals, Darwin, NT, Australia.
- Department of General Internal Medicine, Center for Advancing Population Science, Medical College of Wisconsin, Milwaukee, WI, USA.
- MRC/Wits Rural Public Health and Health Transitions Research Unit, Wits School of Public Health, University of the Witwatersrand, Johannesburg, South Africa
- Division of Endocrinology, Diabetes and Metabolism, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
- Division of Endocrinology, Department of Internal Medicine and Specialties, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon.
- Division of General Internal Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
- Corporal Michael J Crescenz VA Medical Center, Philadelphia, PA, USA.
- Diabetes Unit, KEM Hospital Research Centre, Pune, India.
- Department of Endocrinology, Christian Medical College, Vellore, India.
- T1D Exchange, Boston, MA, USA.
- Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA.
- Fleischer Institute for Diabetes and Metabolism, Department of Endocrinology, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY, USA
- New York Regional Center for Diabetes Translation Research, Albert Einstein College of Medicine, Bronx, NY, USA. Electronic address: shivani.agarwal@einsteinmed.edu.
Lancet (London, England) Vol. 402 · Issue 10397 · pp. 250-264
PMID 37356448 DOI 10.1016/s0140-6736(23)00914-5
Cite This Article
Ashby F Walker, Sian Graham, Louise Maple-Brown, Leonard E Egede, Jennifer A Campbell, Rebekah J Walker, Alisha N Wade, Jean Claude Mbanya, Judith A Long, Chittaranjan Yajnik, Nihal Thomas, Osagie Ebekozien, Oriyomi Odugbesan, Linda A DiMeglio, Shivani Agarwal. Interventions to address global inequity in diabetes: international progress. Lancet (London, England). 2023;402(10397):250-264. doi:10.1016/s0140-6736(23)00914-5
Abstract
Diabetes is a serious chronic disease with high associated burden and disproportionate costs to communities based on socioeconomic, gender, racial, and ethnic status. Addressing the complex challenges of global inequity in diabetes will require intentional efforts to focus on broader social contexts and systems that supersede individual-level interventions. We codify and highlight best practice approaches to achieve equity in diabetes care and outcomes on a global scale. We outline action plans to target diabetes equity on the basis of the recommendations established by The Lancet Commission on Diabetes, organising interventions by their effect on changing the ecosystem, building capacity, or improving the clinical practice environment. We present international examples of how to address diabetes inequity in the real world to show that approaches addressing the individual within a larger social context, in addition to addressing structural inequity, hold the greatest promise for creating sustainable and equitable change that curbs the global diabetes crisis.
Keywords
- Humans
- Diabetes Mellitus
- Ecosystem
- Social Environment
