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Living with dignity while managing diabetes depends on the environment.

The progression of diabetes is influenced by external factors beyond the patients’ control, a conclusion that branches into various aspects, all tied to environmental conditions.

  • The financial situation of those affected is a key factor.
  • Sugar taxes or bike lanes contribute to improving the environment.
  • Gender roles serve as invisible barriers.

Globally, 463 million people are affected by diabetes, according to 2019 estimates from the International Diabetes Federation. However, not everyone can manage their condition under the same circumstances. Of this number, 370 million live in low- and middle-income countries, including regions in Latin America and the Caribbean. In these areas, many patients face difficult choices: paying for medication or making it to the end of the month, caring for their families or themselves, buying fresh fruit for a few days or soda for the entire month.

These situations undermine their dignity and leave them vulnerable to a chronic disease that never takes a break. The CEAD participatory research project explores new approaches to improving the conditions in which people are born, grow, live, work, and age. Its goal is to create an environment where the right to live with dignity while managing diabetes is guaranteed.

The healthcare system and the patient’s environment are two of the most influential factors in successfully managing diabetes for people in Latin America and the Caribbean. Regarding the healthcare system, access to adequate medical care is crucial. Universal health coverage, patient-centered care, availability of human and material resources, effective time management, and communication between different services are key aspects for providing proper care. However, healthcare systems in these countries often fall short of meeting these standards.

In this context, patients are frequently forced to bear the costs of managing their disease. Financial stability becomes a determining factor in their ability to cope. Without economic stability, accessing private healthcare through medical insurance becomes difficult. Some individuals must confront their condition with inadequate or no medical care. In some cases, patients cannot afford medications and diabetes management tools, leading them to abandon or reduce their treatment. Financial hardships also force some patients to prioritize work over health management.

As a result, financial constraints are linked to lower adherence to treatment. Following diabetes care protocols—such as attending regular medical appointments, modifying diets, or maintaining an exercise routine—becomes increasingly challenging when time and money are in short supply.