How Health Systems World-wide Fail Type 2 Diabetics
For over 50 years, health systems the world over have failed people with type 2 diabetes mellitus (T2DM). The WHO documents a quadrupling of people with diabetes in a 34-year period to 422 million in 2014, the overwhelming majority of whom were T2DM. This happened despite extensive scientific litera...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2025-12-01
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| Series: | Health Systems & Reform |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/23288604.2024.2437898 |
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| author | Abdo S. Yazbeck Son Nam Nguyen Maria-Luisa Escobar |
| author_facet | Abdo S. Yazbeck Son Nam Nguyen Maria-Luisa Escobar |
| author_sort | Abdo S. Yazbeck |
| collection | DOAJ |
| description | For over 50 years, health systems the world over have failed people with type 2 diabetes mellitus (T2DM). The WHO documents a quadrupling of people with diabetes in a 34-year period to 422 million in 2014, the overwhelming majority of whom were T2DM. This happened despite extensive scientific literature on the causes of, as well as proven treatments for, this disease. Using a health systems prism to review the extensive medical and nutritional T2DM published research, we identified three main shortcomings of health systems in T2DM: (i) failure in early detection; (ii) failure in understanding the actionable lifestyle drivers; and (iii) subsidizing the causes of the disease. Although small-scale success stories in T2DM control exist, the lack of documented evidence of any country-wide health system’s successful attempt to address this epidemic is alarming. The immense and ever-growing health and economic burdens of T2DM should provide all the motivation needed for national and global efforts to counteract the political-economy constraints standing in the way of successful whole-of-system approaches to T2DM. |
| format | Article |
| id | doaj-art-f624f7984cc34f119582c28aa7d13cbb |
| institution | Kabale University |
| issn | 2328-8604 2328-8620 |
| language | English |
| publishDate | 2025-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Health Systems & Reform |
| spelling | doaj-art-f624f7984cc34f119582c28aa7d13cbb2025-01-23T21:20:13ZengTaylor & Francis GroupHealth Systems & Reform2328-86042328-86202025-12-0111110.1080/23288604.2024.2437898How Health Systems World-wide Fail Type 2 DiabeticsAbdo S. Yazbeck0Son Nam Nguyen1Maria-Luisa Escobar2Lead Economist and Adjunct Faculty, Johns Hopkins University, Baltimore, USALead Health Specialist, The World Bank, Washington, DC, USAIndependent Consultant, Alexandria, VA, USAFor over 50 years, health systems the world over have failed people with type 2 diabetes mellitus (T2DM). The WHO documents a quadrupling of people with diabetes in a 34-year period to 422 million in 2014, the overwhelming majority of whom were T2DM. This happened despite extensive scientific literature on the causes of, as well as proven treatments for, this disease. Using a health systems prism to review the extensive medical and nutritional T2DM published research, we identified three main shortcomings of health systems in T2DM: (i) failure in early detection; (ii) failure in understanding the actionable lifestyle drivers; and (iii) subsidizing the causes of the disease. Although small-scale success stories in T2DM control exist, the lack of documented evidence of any country-wide health system’s successful attempt to address this epidemic is alarming. The immense and ever-growing health and economic burdens of T2DM should provide all the motivation needed for national and global efforts to counteract the political-economy constraints standing in the way of successful whole-of-system approaches to T2DM.https://www.tandfonline.com/doi/10.1080/23288604.2024.2437898Health systemsinsulin resistancetype II diabetes |
| spellingShingle | Abdo S. Yazbeck Son Nam Nguyen Maria-Luisa Escobar How Health Systems World-wide Fail Type 2 Diabetics Health Systems & Reform Health systems insulin resistance type II diabetes |
| title | How Health Systems World-wide Fail Type 2 Diabetics |
| title_full | How Health Systems World-wide Fail Type 2 Diabetics |
| title_fullStr | How Health Systems World-wide Fail Type 2 Diabetics |
| title_full_unstemmed | How Health Systems World-wide Fail Type 2 Diabetics |
| title_short | How Health Systems World-wide Fail Type 2 Diabetics |
| title_sort | how health systems world wide fail type 2 diabetics |
| topic | Health systems insulin resistance type II diabetes |
| url | https://www.tandfonline.com/doi/10.1080/23288604.2024.2437898 |
| work_keys_str_mv | AT abdosyazbeck howhealthsystemsworldwidefailtype2diabetics AT sonnamnguyen howhealthsystemsworldwidefailtype2diabetics AT marialuisaescobar howhealthsystemsworldwidefailtype2diabetics |