A number of issues are becoming blaringly apparent to me as I continue to diagnosis, councel and educate new diabetics in Port Moresby.
Firstly there is a total lack of a coherent multidisciplinary referral and support system within the existing fragmented health system for people living with diabetes, which according to one estimate by the International Diabetes Federation was estimated to be around 204, 000 in 2013.
This is despite the fact that the disease was well recognised as an emerging problem as early as the 1990s.
In their article ‘A survey of diabetes services in hospitals in Papua New Guinea’ published in the PNG Medical Journal in 2001 Ogle et al wrote:
‘….for the diabetic patients who are receiving treatment, there are very limited services. Optimal diabetes care ideally needs specialized staff and a multidisciplinary team. However, there are no specialist endocrinologists currently resident in the country…
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