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- W2071265824 abstract "Abstract Honduras, a country of 5.6 million people, is one of the poorest countries in the western hemisphere with a per capita income of U.S $630, an unemployment rate of 15.8% and an illiteracy rate of 72%. Rapid population growth, high unemployment, inflation, and a lack of basic services including access to medical treatment, medicine and basic medical nutrition therapy are some of the challenges feeing Hondurans. There is an extremely high incidence of type 2 diabetes mellitus secondary to a high carbohydrate intake from tortillas, rice, beans, plantains and sweetened drinks, foods that are inexpensive and readily available. Oral glycemics are available for those who can afford mem, although insulin is often not available in the pharmacies. Prior contact was made with a hospital in Honduras during relief efforts after Hurricane Mitch. This public hospital was originally meant to serve 25,000 patients a year, last year mere were 250,000 visits. There are no nutritionists in the city, nor teaching materials. While visiting Honduras in March 1999, a meeting was held with four physicians in Comayagua, including one who treated most of the patients with diabetes in this city. Patients were selected to attend a two hour session based on their ability to learn basic diabetes concepts, to become peer counselors and form a diabetes support group. Nineteen participated, including 3 nurses. The session consisted of an overview of diabetes, complications, medical nutrition therapy and the need to exercise. Spanish language pamphlets, a film on diabetes and a glucose meter were used and later donated for replication. Typical foods and utensils were used to show serving sizes and measuring techniques. The original 2 hour session lasted almost 4 hours. The evaluation from the class participants were extremely positive. Those in attendance agreed to begin their own Diabetes Association. The physicians will provide support and coordinate the group." @default.
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- W2071265824 date "1999-09-01" @default.
- W2071265824 modified "2023-09-28" @default.
- W2071265824 title "Establishment of a Diabetes Education Program and a Diabetes Support Group in Comayagua, Honduras" @default.
- W2071265824 doi "https://doi.org/10.1016/s0002-8223(99)00780-4" @default.
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