Medical professionals and health experts have raised concerns about the escalating cost and unavailability of diabetes medications in Nigeria, a crisis exacerbated by the increasing prevalence of the disease, which now affects an estimated 14 million Nigerians.
On World Diabetes Day, observed on November 14, experts called for immediate government intervention to address the challenges faced by diabetic patients, including the skyrocketing prices of essential medications such as insulin.
Challenges Facing Diabetic Patients
Dr. Mansur Ramalan, a consultant physician and diabetologist, highlighted the acute challenges of drug affordability and availability.
“Several pharmaceutical companies, including Sanofi Aventis, have ceased operations in Nigeria, forcing the distribution of these essential drugs into the hands of third parties, significantly driving up costs,” Ramalan stated. He emphasized that exchange rate fluctuations further compounded the crisis, making these life-saving medications inaccessible for many patients.
The Diabetes Association of Nigeria has appealed to the government to intervene by subsidizing medications and implementing policies to ensure equitable access.
“The prevalence of diabetes in Nigeria has risen from 2.4% in 1991 to nearly 6% today, affecting between 12 to 14 million Nigerians,” Ramalan added. “This trend underscores the urgency for systemic solutions to reduce the burden on patients and prevent further escalation.”
Global and Regional Implications
The World Health Organization (WHO) Regional Director for Africa, Dr. Matshidiso Moeti, warned that without urgent action, the number of people living with diabetes in Africa is projected to rise to 54 million by 2045—the highest growth globally. Currently, over 24 million adults in the African region live with diabetes, with half remaining undiagnosed.
Moeti emphasized the devastating consequences of untreated diabetes, which include heart disease, stroke, kidney failure, and blindness. She highlighted the region’s inadequate investment in diabetes care, which accounts for only 1% of total health expenditure.
“Strengthening health systems to integrate diabetes care, improve diagnosis, and ensure access to affordable medicines is crucial,” Moeti stated. She called for a multi-sectoral approach to address risk factors like obesity, poor diet, and sedentary lifestyles, along with stronger community engagement.
Calls for Action
In Nigeria, experts and stakeholders are advocating for comprehensive reforms to improve diabetes management. Dr. Tanimola Akande, a public health professor, stressed the importance of raising awareness and prioritizing prevention and early detection.
“The government must develop policies to address diabetes comprehensively. Activities like screening and awareness campaigns should be part of a national strategy to combat the disease,” Akande said.
At a sensitization campaign organized by the Federal Teaching Hospital Lokoja and the Diabetes Association of Nigeria, Chief Medical Director Dr. Olatunde Alabi reiterated the importance of regular screening and lifestyle changes. He urged Nigerians to undergo diabetes testing at least twice a year and adopt healthier diets and exercise routines.
A Path Forward
To combat the rising tide of diabetes, the WHO and other stakeholders are implementing frameworks like the Global Diabetes Compact, designed to integrate diabetes care into broader health systems.
“Governments must invest in diabetes prevention, strengthen primary healthcare, and eliminate misconceptions about the disease,” Moeti emphasized. “With collective action, we can create supportive environments that promote healthy living and provide affordable, accessible care.”
As the prevalence of diabetes continues to grow, experts stress that a coordinated effort involving individuals, communities, and policymakers is essential to mitigate its impact and enhance the quality of life for millions.
