¥issue 01

Abstract Diabetes is a considerable global problem. Recent projections suggest that at least 194 million people suffer from diabetes worldwide. The World Health Organization suggests this number will increase to 333 million by 2025. Approximately four million deaths each year are caused by diabetes-related complications totaling an astounding 9% of deaths worldwide. Currently, epidemiological studies indicate that 1% of the Maltese population suffer from Type I Diabetes Mellitus and 9% from Type II Diabetes Mellitus. Following global predictions, it is probable that the incidence of Type I diabetes will increase also. This article evaluates the current Maltese diabetic care system and conducts a strategic analysis of diabetic practices. Recommendations for a cost-effective standard of care, legislative support for comprehensive diabetic care, and a national policy are proposed. Introduction Diabetes is a considerable global problem. Recent projections suggest that at least 194 million people suffer from diabetes worldwide and the World Health Organization suggests this number will increase to 333 million by 2025. Approximately 4 million deaths each year are caused by diabetes-related complications, totaling an astounding 9% of deaths worldwide. Although no nations or cultures are exempt from this devastating disease, developing countries will account for 150% of the increase. 1 Diabetes was once considered a disease of wealthy countries but now is affecting low-income and developing countries that currently have the fastest growing numbers of newly diagnosed patients. For example, in India it is estimated that over the next 25 years, the number of citizens with diabetes will soar from 32 million currently affected to over 80 million persons diagnosed with diabetes. Additionally, obesity and overweight, often precursors to diabetes, now affect an alarming 50-60% of a nation's population, not only in the USA, Europe and Australia, but also in lower to moderate income countries such as Mexico, Egypt and the black population of South Africa. The Costs of Diabetes Mellitus The expenses associated with caring for persons with diabetes are staggering Studies have shown that diabetes mellitus is a costly disease with Type II diabetes accounting for between 3% and 6% of total healthcare expenditures in eight European countries