ESPE Abstracts

Like many other parts of the world the incidence of type 1 diabetes is increasing in Sudan leading to the double load of communicable and noncommunicable diseases. Many international guidelines for management of these cases have been published to help managing these children. In developing countries proper implementation of these guidelines is faced with difficulties due to lack of trained personnel, health care structure, accessibility to medical services, lack of facilities in addition to low health care budget. This is compounded by poverty, ignorance and adapted to the high illiteracy rate. Most medications and monitoring facilities are costly and beyond the ability of most of the families. Therefore these guidelines might need to be on adapted to suit the local situation of each country taking into consideration the sociocultural factors.

In this communication we will share our experience sudanese on building up services for caring of children with diabetes and show the outcome of collaboration between the local NGOs(Sudanese Childhood Diabetes Association), the Government Nd International NGOs. Management guidelines have been adapted, services made accessible as well as medications and monitoring facilities. The rate of acute complications and death at onset have been reduced. However still a lot have to be done to improve on HbA1c and chronic complications. Governments need to be more committed and more budget made available for health services this in addition to fighting against poverty and ignorance.