Will undocumented migrants contribute to change epidemiology, presentation and pharmacologic treatment of diabetes in Western countries?

Fiorini, G.; Milani, S.; Pincelli, A.I.; Calella, D.; Galliani, S.; Badalamenti, S.; Rigamonti, A.E.; Marazzi, N.; Sartorio, A.; Cella, S.G.

doi:10.1016/j.pcd.2019.04.004

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AIMS: Migrants from countries in which health and social conditions are unsatisfactory, and their offspring, are becoming a growing component of the western population. Available health data show that their morbidity is at least comparable to that of the host country population, with a significant contribution of chronic diseases as diabetes. The possibility that diabetes shows different features in undocumented migrants is the hypothesis that we tried to investigate in this study. METHODS: We retrospectively analysed the data of 413 patients with type 2 diabetes mellitus (T2DM): 222 patients followed in a diabetes clinic at a University Hospital and 191 undocumented migrants cared for by a Charity in Milan, Italy. RESULTS: We found that the onset of the disease was earlier in migrants; they showed a significant lower body mass index (BMI) and had lower socioeconomic conditions. They had a worse glycaemic control. The pattern of complications was also different between the two groups, with cardiovascular complications more frequent in Italians. Finally, also pharmacologic treatment differed significantly. CONCLUSIONS: Age of onset, clinical manifestations and complications of T2DM in undocumented migrants and natives may show significant differences. This is important for both epidemiological and clinical reasons. If these preliminary observations are confirmed by larger studies, we can conclude that undocumented migrants should be screened for T2DM earlier than natives, and that therapies should be tailored to the specific features of their disease.

Titolo:	Will undocumented migrants contribute to change epidemiology, presentation and pharmacologic treatment of diabetes in Western countries?
Autori:	Fiorini, Gianfrancesco MILANI, SILVANO Pincelli, Angela I Calella, Damiano Galliani, Silvia Badalamenti, Silvia RIGAMONTI, ANTONELLO EMILIO Marazzi, Nicoletta Sartorio, Alessandro CELLA, SILVANO GABRIELE mostra contributor esterni nascondi contributor esterni
Parole Chiave:	Diabetic complications; Type 2 diabetes; Undocumented migrants
Settore Scientifico Disciplinare:	Settore BIO/14 - Farmacologia Settore MED/13 - Endocrinologia
Data di pubblicazione:	2019
Rivista:	PRIMARY CARE DIABETES
Tipologia:	Article (author)
Data ahead of print / Data di stampa:	4-mag-2019
Digital Object Identifier (DOI):	http://dx.doi.org/10.1016/j.pcd.2019.04.004
Appare nelle tipologie:	01 - Articolo su periodico

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