The Effect of War on the Control of Diabetes in Patients with Type 2 Diabetes Mellitus in Yemen: A Cross-Sectional Study

Abstract

Background: The War in Yemen, which started in March 2015, has had many effects on patients with type 2 diabetes mellitus (DM). We conducted this study to analyze the effect of war on type 2 diabetics at our clinic.

The Effect of Armed Conflict on Treatment Interruption, Its Outcome and Associated Factors Among Chronic Disease Patients in North East, Amhara, Ethiopia, 2022

“…Compared with other studies, our finding is higher than that of 8.4% in Yemen which is a cross sectional study conducted to assess the effect of war on diabetes control. 15 …”

“…This finding is supported by the study conducted in Yemen which stated that 10% of the participants had lost a 1st or 2nd degree relative from war induced treatment interruption. 15 …”

“…The study conducted in Kenya stated that among 1605 study participants, the prevalence of treatment interruption was 71% and similarly the study conducted in Yemen stated that the prevalence of armed conflict induced treatment interruption is 8.4% among DM patients. 14 , 15 Even though different African countries have stated the prevalence of treatment interruption in conflict setting areas, there is limited information. Therefore, the purpose of this study was to evaluate how armed conflict affected the interruption of treatment for patients with chronic illnesses in North Wollo and Waghimra zone hospitals in the Amhara region.…”

Diabetes Care in Conflict Zones: Time for Action Is Long Overdue

“…2 Similar reports reflected on situations in Yemen and Iraq. 8 9 T1DM is of particular concern since it needs an organized healthcare system and is fatal without insulin treatment. 10 11…”

Factors influencing the effective management of diabetes during humanitarian crises in low- and middle-income countries: a systematic review

“…One study shows that the prevalence of diabetes in Syrian refugees residing in Lebanon was 47% (12). Glycemic control was also inadequate during the war of Yemen, with an average HbA1c increase of 1.7% (p<0.001) from 7.7% to 9.4% reported, when comparing the same population before and during the war (13). Poor management of diabetes leads to serious long-term complications such as diabetic retinopathy, renal failure, peripheral neuropathy, diabetic foot ulcers and amputations (14).…”