From: Systematic review on chronic non-communicable disease in disaster settings
DM is most commonly studied NCD |
EMRO region with predominant focus among published studies |
Reported association between stress and increased incidence of diabetes as well as impaired fasting glucose |
Food insecurity in these settings contributes to challenges with diabetes management given lack of availability of meals |
Malnutrition also a determinant for diabetes among children exposed in utero |
Additional challenges for diabetes care include lack of access to medications and diagnostics, limited access to clinical sites for care and lack of patient understanding on disease management |
Disease complications are a common cause for presentation, including but not limited to, being the lead cause for limb amputation surpassing those due to trauma |
Being female, unmarried, having less education, additional comorbidities, and having refugee status confers worse outcomes for DM |
Reliance on established tertiary care for diabetes management contributes to worse outcomes during crisis given reduced access to care |