5.ECG, Echoccardiography, etc

In the current century, a very rare diabetes complication is still seen in sub-Saharan Africa, which is Mauriac syndrome. It is a constellation of hepatomegaly, delayed growth, and puberty with cushingoid features in a poorly controlled diabetic. In addition to that, contracted small joints creating what is known as "a prayer sign" is a common clinical sign that junior staff are trained to look for when taking care of patients in the outpatient setting. No recent publication from the region has estimated its prevalence.

Other complications that are seen in the transitional clinics are problems related to final adult height, puberty delay, and infertility. At the same time, adolescents, commonly females, refuse to take frequent insulin injections so as not to gain weight. Learning difficulties like dyslexia and memory disturbances as well as psychological instabilities of poorly controlled diabetic children and adolescents are other serious complications that are not always discovered.

To prevent such complications in the coming future, more epidemiological studies are needed from the region to identify the burden of the disease. Continuous training to the HCP and Enhancing the awareness among the community about diabetes could play a role in improving the delivery and efficiency of diabetes services through better glycemic control, early complications detection, and timely intervention whenever needed. Intensive insulin therapy should always be the practice, targeting better glycemic control and less complications.
