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[Diabetes care in refugees and asylum seeking patients]
Philippine Raude-Toulliou1, Sophie Durieux-Paillard2, Christophe Kosinski1
1Service d'endocrinologie, diabétologie et métabolisme, Hôpitaux universitaires de Genève, 1211 Genève 14.
Abstract:
In the context of migration, managing chronic diseases can sometimes be a major challenge for both patients and caregivers. Screening is not systematic, glycated haemoglobin may be overestimated, especially in populations of African origin, and the risk of type 2 diabetes occurs at lower body mass index, especially in South Asia. Despite the existence of recommandations, linguistic, sociocultural, administrative and economic barriers exist and contribute to discontinuation of care. Finally, fasting during Ramadan requires risk stratification and treatment adjustments. Culturally appropriate care and therapeutic education, as well as multidisciplinary teamwork, are necessary to ensure proper care.
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