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"it is important to consider the impact of societal, cultural and religious beliefs when it comes to diabetes care in LICs in SSA. Misconceptions derived from traditional beliefs can have a detrimental effect on diabetes selfcare. It is crucial to explore myths and misconceptions and gain a better understanding of what diabetes means to people living in LICs. Secondly, there is a need to develop an integrated and dedicated diabetes services in SSA healthcare systems, incorporating culturally adapted DSMES and tailored diabetes training for all professions involved in diabetes management (i.e. nutritionist, psychologist, nurses). We must ensure that a 'shared language' (referring to the same definitions, principles and standards of care) is adopted across SSA and endorsed by national guidelines specifically for DSMES. Thirdly, we must consider the role of the media and community leaders to help engage with communities and to support the wider infrastructure and implementation of DSMES programmes.
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