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The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
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Mortality attributable to diabetes in Cuba: Estimates for 2019.

A H Seuc1, M Mirabal-Sosa1, Y Garcia-Serrano1

  • 1Instituto Nacional de Higiene, Epidemiología y Microbiología (INHEM), Infanta 1151, e/ Clavel y Llinas, Centro Habana, La Habana, 10300, Cuba.

Public Health in Practice (Oxford, England)
|September 12, 2024
PubMed
Summary

Diabetes caused 7.5 times more deaths than officially reported in Cuba in 2019, representing 16.4% of all fatalities. These findings highlight the significant, underestimated burden of diabetes mortality nationwide.

Keywords:
Burden of diseaseDiabetesEpidemiologyMortality

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Area of Science:

  • Epidemiology
  • Public Health
  • Biostatistics

Background:

  • Diabetes mellitus is a significant global health concern.
  • Accurate mortality data is crucial for understanding disease burden and guiding public health interventions.
  • Cuba's National Death Registry may underestimate diabetes-related mortality.

Purpose of the Study:

  • To estimate the excess mortality attributable to diabetes in Cuba in 2019.
  • To provide national and provincial estimates of diabetes-related deaths.
  • To compare these estimates with official mortality data.

Main Methods:

  • Utilized a cross-sectional design with secondary data analysis.
  • Employed the DISMODII (Disease Modeling and Estimation) software, a generic disease model.
  • Integrated data on population, total mortality, diabetes prevalence (Cuban National Health Survey 2019), and relative risk of death.

Main Results:

  • Estimated excess mortality from diabetes was 7.5 times higher than reported by the National Death Registry.
  • Diabetes accounted for an estimated 16.4% of all deaths in Cuba in 2019.
  • Provincial all-cause mortality percentages attributed to diabetes ranged from 10.7% (Villa Clara) to 24.5% (Ciego de Avila).

Conclusions:

  • Diabetes is a substantially underestimated leading cause of death in Cuba.
  • Official mortality statistics likely do not fully capture the impact of diabetes.
  • Disease modeling tools like DISMODII are vital for validating epidemiological indicators and disease burden calculations.