Related Experiment Video
Updated: Mar 13, 2026

Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
Contribution of SWEET to improve paediatric diabetes care in developing countries
Danièle Pacaud1, Jean-François Lemay2, Erick Richmond3
1Alberta Children's Hospital, Department of Paediatrics, University of Calgary, Calgary, Canada. daniele.pacaud@ahs.ca.
Insights
Caring for children with diabetes in developing nations presents unique challenges. The SWEET initiative highlights how resource-limited centers strive for optimal pediatric diabetes care despite obstacles.
Area of Science:
- Pediatric Endocrinology
- Global Health
- Diabetes Management
Background:
- Diabetes Mellitus significantly impacts children in developing countries.
- Limited resources pose substantial challenges to pediatric diabetes care.
- The SWEET initiative aims to improve diabetes management in underserved regions.
Purpose of the Study:
- To share perspectives from SWEET centers in developing countries on pediatric diabetes care.
- To describe the populations served, care organization, and daily challenges.
- To outline anticipated benefits and challenges of participating in the SWEET initiative.
Main Methods:
- Informal survey of five SWEET centers in developing countries (Mali, Costa Rica, Argentina, India).
- Centers provided descriptions of patient demographics, care structures, and encountered difficulties.
- Analysis of reported benefits and challenges associated with SWEET participation.
Main Results:
- Detailed insights into the realities of pediatric diabetes care in resource-limited settings.
- Identification of specific challenges faced by healthcare teams in Mali, Costa Rica, Argentina, and India.
- Exploration of the practical advantages and hurdles of engaging with the SWEET program.
Conclusions:
- Dynamic teams in resource-limited environments are dedicated to achieving recommended pediatric diabetes care standards.
- The SWEET initiative serves as a crucial platform for sharing experiences and improving care globally.
- Understanding these realities is vital for developing targeted support for pediatric diabetes management in developing nations.
Abstract:
Diabetes affects many children living in developing countries. Through an informal survey, five SWEET (Better control in Pediatric and Adolescent diabeteS: Working to crEate CEnTers of Reference) centers from developing countries (Mali, Costa Rica, Argentina and two from India) share their perspective on caring for children with diabetes. Each center provides a description of the population of children with diabetes they serve, the organization of care, and the challenges encountered on a daily basis in the provision of this care. In the second part, we summarize the anticipated benefits and challenges associated with participation in SWEET. This resulting article is a testimony of the reality of managing diabetes by dynamic teams striving to achieve recommended standards of care for pediatric diabetes in an environment with limited resources.
Related Concept Videos
Diabetes Mellitus: Overview and Type I Subtype
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Diabetes: Management and Pharmacotherapy
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Pathophysiology of Diabetes
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
Insulin: Dosing Regimen and Adverse Effects
The basal dose constitutes about 40%-50% of the total daily dose, with the rest as premeal insulin. The mealtime insulin dose should mirror...
Glucose Transporters
Facilitated diffusion-glucose transporters (GLUTs) are encoded by the solute-linked carrier (SLC) family 2, subfamily A gene family, or SLC2A. The 14 GLUT protein members are distributed into three classes:
Diabetes Mellitus: Type 2 and Gestational

