In Practice

Introducing a multifaceted approach to the management of diabetes mellitus in resource-limited settings

Somasundram Pillay, Colleen Aldous


Globally diabetes mellitus (DM) and its complications are placing an enormous burden on individual patients and countries alike. South Africa is a developing country already under enormous pressure from communicable diseases such as HIV and tuberculosis. Added to this is DM, which serves to fuel the interactions between communicable and non-communicable diseases. Data from KwaZulu-Natal Province (KZN) have demonstrated that the majority of patients with DM in the public healthcare sector are diagnosed and started on treatment at their local resource-limited healthcare clinics. This article describes introduction of a multifaceted approach to the management of DM in a resource-limited clinic at Edendale Hospital, Pietermaritzburg, KZN. Strategies like this may help provide a blueprint for other resource-limited healthcare facilities in developing countries.

Authors' affiliations

Somasundram Pillay, Edendale Hospital, Pietermaritzburg, South Africa

Colleen Aldous, School of Clinical Medicine, University of KwaZulu-Natal, Durban, South Africa

Full Text

PDF (79KB)


Diabetes mellitus; Resource-limited; Non-communicable disease; Communicable disease; HIV; TB; Multifaceted approach; Developing country

Cite this article

South African Medical Journal 2016;106(5):456-458. DOI:10.7196/SAMJ.2016.v106i5.10409

Article History

Date submitted: 2015-11-30
Date published: 2016-03-29

Article Views

Abstract views: 5016
Full text views: 1611

Comments on this article

*Read our policy for posting comments here