Its a sad reality that, despite all the good research being done in Diabetes, most patients that would benefit from this research, don't have access. Sometimes, due to drug price, sometimes due to poor infrastructure- transport/ health services, sometimes due to political factors and more. Scientists and researchers don't usually want to get involved in this side of the problem. So its left to initiatives, like a Diabetes Charter in the United Nations or WHO or even to lobby groups or even nongovernmental organisations and their initiatives. An organisation like the TAC- Treatment Action Campaign- ran a very successful campaign to get drugs and services for HIV positive patients. So what is the best way forward? Its a debate we need to have.
Diabetes is linked to obesity. Our failure to reverse the obesity epidemic will reflect in the marked increase in Diabetes. Patient education, multinational food companies' power, technology induced sedentary lifestyle, patient rights. Its a potent mix of factors that need to be addressed. Diabetes scientific research alone will not be enough
An'' International charter'' is a good concept. But regional implementation is a nightmare. In-spite of good research having been carried out and guidelines formulated, there is still a wide gap between service providers and the consumers.
From my view the disconnect lies in the knowledge gap, one can not implement what they don't know. Misplaced priorities and economic epitome for market produce in some regions is another handicap.
My question is, will an international charter address the socio- economic and cultural diversities that exist?