Identifying barriers to the implementation of effective interventions, and research on the optimal mechanisms for making evidence-based clinical interventions available to all people with diagnosed diabetes in low- and middle-income countries, are of prime importance
(53, 54). A study in urban and rural Cameroon showed that protocol-driven type 2 diabetes management delivered by nurses in primary health care was successful in reducing glucose levels and blood pressure (55). Some data from developed countries indicate that women may not benefit from therapeutic interventions as much as men do (56), therefore gender-sensitive research is also relevant for low- and middle-income countries.