We took the decision to change the name at the beginning of 2010 in order to better reflect our area of focus, and in tandem with the move to put the journal on the web on an open access basis.
The incidence of diabetes in Africa continues to increase along with the other core non communicable diseases such as cardiovascular disease and hypertension. WHO and the IDF estimate that there are currently some nine million diabetes sufferers in Africa and that this figure will double in the next 30 years. As such diabetes represents a significant percentage of Africa's disease burden.
Type 2 diabetes, the most common form, and is becoming more prevalent owing to rising rates of obesity, physical inactivity and urbanisation. Type 1 diabetes exists in two major forms in the region: type 1A or autoimmune and type 1B or ketosis-prone type 2 diabetes. At present there are scanty epidemiological data on either. The current morbidity of diabetes is primarily due to the high rates of microvascular complications, while macrovascular complications, once rare, are becoming more common, particularly in the urban setting.
The disease burden needs to be addressed. Research in Africa needs to be encouraged, especially by Africans. AJDM can hopefully act as a platform for publication of this. This site will initially just provide access to the journal. But in time we intend it to become a key portal for information and resources on diabetes in Africa.