Dominica Total population: 73 000

Income group: Upper middle

Mortality*
Number of diabetes deaths Number of deaths attributable to high blood glucose
males females males females
ages 30–69 ... ... ages 30–69 ... ...
ages 70+ ... ... ages 70+ ... ...

Proportional mortality (% of total deaths, all ages)* Trends in age-standardized prevalence of diabetes
Cardiovascular
Diabetes
Communicable,
Respiratory
Other NCDs
diseases
maternal,Cancers
perinatal
0% Injuries 35%
0%
diseases
0% 0%
0%
and nutritional
0%
conditions
0% 30%

25%

% of population
20%

No data available 15% No data available

10%

5%

0%

males females

Prevalence of diabetes and related risk factors

males females total
Diabetes 8.6% 14.2% 11.4%
Overweight 53.5% 63.6% 58.6%
Obesity 18.5% 33.2% 25.9%
Physical inactivity 17.9% 34.6% 26.2%

National response to diabetes

Policies, guidelines and monitoring
Operational policy/strategy/action plan for diabetes No
Operational policy/strategy/action plan to reduce overweight and obesity No
Operational policy/strategy/action plan to reduce physical inactivity No
Evidence-based national diabetes guidelines/protocols/standards Available and fully implemented
Standard criteria for referral of patients from primary care to higher level of care Available and fully implemented
Diabetes registry No
Recent national risk factor survey in which blood glucose was measured No

Availability of medicines, basic technologies and procedures in the public health sector
Medicines in primary care facilities Basic technologies in primary care facilities
Insulin ● Blood glucose measurement ●
Metformin ● Oral glucose tolerance test ●
Sulphonylurea ● HbA1c test ○
Procedures Dilated fundus examination ●
Retinal photocoagulation DK Foot vibration perception by tuning fork ●
Renal replacement therapy by dialysis ● Foot vascular status by Doppler ●
Renal replacement therapy by transplantation ○ Urine strips for glucose and ketone measurement ●
* See Explanatory Notes
DK = country responded "don't know"

〇 = not generally available ● = generally available

World Health Organization – Diabetes country profiles, 2016.