79 deaths a day: South Africa’s diabetes crisis needs a new strategy
The declaration calls for coordinated national leadership, sustainable financing, decentralised primary care, and direct participation by people living with diabetes.
In my work on strengthening diabetes care, including the Tshwane Insulin Project – a nurse-led programme that helped people with type 2 diabetes start and adjust insulin treatment in primary care, with follow-up support at home – I have seen where care pathways break down, and where they succeed.
But to close the loop, South Africa urgently needs a national diabetes registry and integrated digital tracking to understand who enters care, who remains in care, and who is being left behind.
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