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High prevalence of cardiometabolic risk factors, lack of awareness among patients and physicians, deficient infrastructure, and economic constraints lead to a cascade of CRCs at a significantly earlier age in MENA and AFR. In this review, we present consensus recommendations by experts in MENA and AFR, highlighting region\u2010specific challenges and potential solutions for management of CRCs. Health professionals who understand sociocultural barriers can significantly increase patient awareness and encourage health\u2010seeking behavior through simple educational tools. Increasing physician knowledge on early identification of CRCs and personalized treatment based on risk stratification, alongside optimum glycemic control, can mitigate therapeutic inertia. Early diagnosis of high\u2010risk people with regular and systematic monitoring of cardiorenal parameters, development of region\u2010specific care pathways for timely referral to specialists, followed by guideline\u2010recommended care with novel antidiabetics are imperative. Adherence to guideline\u2010recommended care can catalyze utilization of sodium glucose cotransporter 2 inhibitors and glucagon\u2010like peptide 1 receptor agonists with demonstrated cardiorenal benefits\u2014thus paving the way for overcoming care gaps in a cost\u2010effective manner. Leveraging digital technology like electronic medical records can help generate real\u2010world data and provide insights on voids in adoption of newer antidiabetic medications. A patient\u2010centric approach, collaborative care among physicians from different specialties, alongside involvement of policy makers are key for improving patient outcomes and quality of care in MENA and AFR.<\/jats:p>","DOI":"10.1111\/1753-0407.13266","type":"journal-article","created":{"date-parts":[[2022,4,18]],"date-time":"2022-04-18T06:39:15Z","timestamp":1650263955000},"page":"315-333","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Current gaps in management and timely referral of cardiorenal complications among people with type 2 diabetes mellitus in the Middle East and African countries: Expert recommendations"],"prefix":"10.1111","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9309-7715","authenticated-orcid":false,"given":"Alper","family":"Sonmez","sequence":"first","affiliation":[{"name":"Department of Endocrinology and Metabolism Gulhane School of Medicine, University of Health Sciences  Ankara Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6960-1056","authenticated-orcid":false,"given":"Hani","family":"Sabbour","sequence":"additional","affiliation":[{"name":"Heart &amp; Vascular Institute Cleveland Clinic  Abu Dhabi UAE"},{"name":"Brown University Warren Alpert School of Medicine  Providence Rhode Island USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akram","family":"Echtay","sequence":"additional","affiliation":[{"name":"School of Medicine Lebanese University  Hadath Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abbas Mahdi","family":"Rahmah","sequence":"additional","affiliation":[{"name":"National Centre for Diabetes College of Medicine, Al\u2010Mustansriya University  Baghdad Iraq"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amani Matook","family":"Alhozali","sequence":"additional","affiliation":[{"name":"Department of Medicine King Abdulaziz University Hospital  Jeddah Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fahad Sulman","family":"al Sabaan","sequence":"additional","affiliation":[{"name":"Security Forces Hospital  Riyadh Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fares H.","family":"Haddad","sequence":"additional","affiliation":[{"name":"Endocrine &amp; Diabetes, Abdali Hospital\/Endocrine &amp; Diabetes Clinic  Amman Jordan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hinde","family":"Iraqi","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Pharmacy Mohammed V University  Rabat Morocco"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ibrahim","family":"Elebrashy","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Cairo University  Cairo Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samir N.","family":"Assaad","sequence":"additional","affiliation":[{"name":"University of Alexandria  Alexandria Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zaheer","family":"Bayat","sequence":"additional","affiliation":[{"name":"Division of Endocrinology and Metabolism, Department of Internal Medicine Helen Joseph Hospital  Rossmore, Johannesburg South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zeynep","family":"Osar Siva","sequence":"additional","affiliation":[{"name":"Turkish Diabetes Association  Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed","family":"Hassanein","sequence":"additional","affiliation":[{"name":"Dubai Hospital, DHA  Dubai UAE"},{"name":"Gulf Medical University  Ajman UAE"},{"name":"Cardiff University  Cardiff UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,4,17]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"IDF Diabetes Atlas 9 Edition 2019. 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