Building a Diabetes Educational and Clinical Program in Kenya

摘要

My wife and I first traveled to Eldoret in February, 2005. I was the Brown faculty member for the month, primarily respon- sible for teaching on a general medical ward at Moi Teaching and Referral Hos- pital (MTRH). Aside from these duties, I began a series of lectures in diabetes and clinical endocrinology for the residents. What struck me the most was the inad- equate care of the diabetic patients, par- ticularly on the wards. Glucose values were sent to the lab as there was no bed- side glucose monitoring. A1c testing was not available at MTRH or anywhere in western Kenya. Dietitians were present on the wards. However, diabetic educa- tion was very limited. There was an out- patient diabetes clinic but it was manned by one private physician, not trained as an endocrinologist, and a few residents.