Diabetes and Multiple Long-term Conditions: A Review of Our Current Global Health Challenge.

Journal: Diabetes care

Volume: 46

Issue: 12

Year of Publication: 2023

Affiliated Institutions:  Diabetes Research Centre, Leicester General Hospital, University of Leicester, Leicester, U.K. School of Population Health, Royal College of Surgeons in Ireland University of Medicine and Health Sciences, Dublin, Ireland. Innovation Africa and Department of Architecture, Faculty of Engineering, Built Environment and Information Technology, University of Pretoria, Pretoria, South Africa. Division of Metabolism, Digestion and Reproduction, Imperial College London, London, U.K. Institute for Health System Science, Feinstein Institutes for Medical Research Northwell Health, New York, NY. Public Health Foundation of India, New Delhi, India.

Abstract summary 

Use of effective treatments and management programs is leading to longer survival of people with diabetes. This, in combination with obesity, is thus contributing to a rise in people living with more than one condition, known as multiple long-term conditions (MLTC or multimorbidity). MLTC is defined as the presence of two or more long-term conditions, with possible combinations of physical, infectious, or mental health conditions, where no one condition is considered as the index. These include a range of conditions such as cardiovascular diseases, cancer, chronic kidney disease, arthritis, depression, dementia, and severe mental health illnesses. MLTC has major implications for the individual such as poor quality of life, worse health outcomes, fragmented care, polypharmacy, poor treatment adherence, mortality, and a significant impact on health care services. MLTC is a challenge, where interventions for prevention and management are lacking a robust evidence base. The key research directions for diabetes and MLTC from a global perspective include system delivery and care coordination, lifestyle interventions and therapeutic interventions.

Authors & Co-authors:  Khunti Kamlesh K Chudasama Yogini V YV Gregg Edward W EW Kamkuemah Monika M Misra Shivani S Suls Jerry J Venkateshmurthy Nikhil S NS Valabhji Jonathan J

Study Outcome 

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Statistics
Citations :  Key global findings 2021, 2021. Accessed 20 April 2023. Available from https://diabetesatlas.org/
Authors :  8
Identifiers
Doi : 10.2337/dci23-0035
SSN : 1935-5548
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
Study Design
Cross Sectional Study
Study Approach
Country of Study
Publication Country
United States