In this perspective review, we describe a brief background on the status quo of diabetes mellitus-related therapies and glycemic control among patients in rural communities in sub-Saharan Africa. The article discusses insulin therapy as well as the difficulties in obtaining insulin and oral hypoglycemic medications for diabetic patients living in sub-Saharan Africa. We wrap up our discussion with suggestions on solutions and opportunities for future research to tackle this health challenge in these impoverished communities. We conducted a literature search from PubMed and Google Scholar up until August 2023. Key words were used to generate search terms used to retrieve the required information. All types of literature with pertinent information on the current topic were included in the study. Diabetes mellitus is on the rise in sub-Saharan Africa. Several studies have reported poor glycemic control, low screening rates for diabetes mellitus, cigarette smoking, high alcohol consumption, prescription of antidiabetic therapy, and associated costs as contributors to the uptake of antidiabetic treatment. Although there is paucity of data on the extent of insulin therapy uptake and its possible modifiable contributors among the diabetic patients in the region, the anticipated increase in the number of people with diabetes on the continent makes it critical for global leaders to address the research gaps in insulin therapy among rural communities of sub-Saharan Africa, thus reducing the burden of diabetes in these populations.

中文翻译：

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撒哈拉以南非洲农村社区糖尿病患者的胰岛素治疗：透视综述

在这篇前瞻性综述中，我们描述了撒哈拉以南非洲农村社区患者糖尿病相关治疗和血糖控制现状的简要背景。本文讨论了胰岛素治疗以及生活在撒哈拉以南非洲的糖尿病患者获得胰岛素和口服降血糖药物的困难。我们在讨论结束时提出了解决方案和未来研究机会的建议，以应对这些贫困社区的这一健康挑战。我们从 PubMed 和 Google Scholar 进行了截至 2023 年 8 月的文献检索。关键词用于生成用于检索所需信息的搜索词。研究中包括了与当前主题相关的所有类型的文献。撒哈拉以南非洲地区的糖尿病发病率呈上升趋势。一些研究报告称，血糖控制不佳、糖尿病筛查率低、吸烟、酗酒、抗糖尿病治疗处方以及相关费用是影响接受抗糖尿病治疗的因素。尽管该地区糖尿病患者接受胰岛素治疗的程度及其可能的可改变因素的数据很少，但非洲大陆糖尿病患者人数的预期增加使得全球领导人必须解决研究差距撒哈拉以南非洲农村社区的胰岛素治疗，从而减轻这些人群的糖尿病负担。