The Development of an Electronic Medical Record System to Improve Quality of Care for Individuals With Type 1 Diabetes in Rwanda: Qualitative Study.

Background: Electronic medical record (EMR) systems have the potential to improve the quality of care and clinical outcomes for individuals with chronic and complex diseases. However, studies on the development and use of EMR systems for type 1 (T1) diabetes management in sub-Saharan Africa are few.

Objective: The aim of this study is to analyze the need for improvements in the care processes that can be facilitated by an EMR system and to develop an EMR system for increasing quality of care and clinical outcomes for individuals with T1 diabetes in Rwanda.

HbA variability and the development of nephropathy in individuals with type 1 diabetes mellitus from Rwanda.

Aim: To estimate the incidence and prevalence of nephropathy and investigate whether high and fluctuating HbA levels were associated with development of nephropathy among T1 diabetes individuals in Rwanda.

Methods: From 2009 to 2018, 471 T1 diabetes individuals from Rwanda were assessed for nephropathy (albumin-creatinine ratio (ACR) ≥ 30 mg/g). We calculated the mean HbA (HbA-MEAN) and two measures of HbA variability, i.