About this Research Topic
Once thought a disease of affluence and more prevalent in high-income or industrialized countries, diabetes (especially Type 2) has been significantly recognized and more prevalent in low income communities around the world. Diabetic patients (especially Type 1 and Type 2) living in low income settings face unique challenges related to access to standard and sub-specialty health care, medications, and glucose monitoring devices, and as consequence, maintaining adequate glycemic control and preventing acute- and long-term complications related to diabetes. These challenges may be compounded by comorbidities, nutrition, poverty, migration, sociopolitical circumstances, culture and other social determinants of health, including intrinsic issues within healthcare systems.
The prevention of Type 2 diabetes mellitus has also been challenging in both high-income and middle-low income countries. One of the underlying challenges to effective prevention is the lack or ineffective identification and subsequent coordination of diabetes prevention programs for people at high risk within health systems.
In this Research Topic, we aim at promoting the latest research and evidence that focuses on effective models of diabetes prevention and diabetes healthcare delivery in low income settings around the world, that focus on the improvement of health outcomes (i.e., delay or prevention of diabetes and/or its micro and macro-vascular complications). We also plan to advance our knowledge about the clinical effectiveness of diabetes prevention programs and diabetes management programs implemented in those settings, especially those that are cost-effective and provide high-quality care. Low-income settings would include low- and middle-income countries, low income communities within high-income countries, and under-served populations including racial/ethnic minorities, migrants and refugees, among others.
We will focus on models that integrate multiple levels within health systems, including but not limited to chronic disease care models, diabetes-specialized primary care settings, accountability care organizations, pay per performance, valued-based care, patient participation at different levels of care including patient-reported outcomes, or other ingenious and lesser known models that demonstrate effectiveness within a context of low resources.
Manuscripts in forms of original articles, reviews, commentaries and perspectives are welcome to this Research Topic. Descriptions of soon-to be implemented research designs or protocols will not be considered.
Keywords: Diabetes Mellitus, Healthcare Models, Health Outcomes, Low Income, Underserved