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ISSN 1527-3172 (Electronic)

2021, Number 3-4

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MEDICC Review 2021; 23 (3-4)

Improving Ketosis-Prone Type 2 Diabetes Diagnosis in Africa

Álvarez-Aldana D

Language: English
References: 7
Page: 61-62
PDF size: 137.58 Kb.


Text Extraction

Diabetes mellitus (DM) is a serious health problem with high— and increasing—prevalence and incidence around the world. Africa, with a considerable communicable disease burden, is not exempt and is facing greater DM risk due to rapid demographic, sociocultural, economic and nutritional changes. According to the International Diabetes Federation, Africa will experience the largest jump in DM prevalence (143%) of all regions over the next 25 years.
As a member of the Cuban medical team working in Luanda, Angola, I’ve repeatedly seen male patients presenting with newonset diabetic ketoacidosis (DKA) without evident precipitating cause. Medical records show these patients are between 40 and 50 years old; during ambulatory follow-up, they sometimes maintain good metabolic control despite having discontinued insulin therapy due to dramatic decline in glycemia. These clinical findings suggest the presence of ketosis-prone type 2 diabetes (KPD). Unfortunately, this variant of type 2 diabetes is often not considered during diagnosis and can lead to misclassification and incorrect treatment protocols.


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