Diabetes in the African-Caribbean and the Romford Experience (DARE): A Retrospective Study

In this admission-based cohort of Afro-Caribbean adults in Romford, acute hyperglycaemic emergencies (DKA/HHS) were common at first hospital presentation, and insulin therapy was frequently recorded. These findings are descriptive and hypothesis-generating and support the need for locally responsive, culturally informed approaches to earlier identification and continuity of diabetes care in high-risk communities. Further multi-centre studies with standardised definitions and improved linkage to community and primary care records are warranted to clarify pathways to diagnosis, barriers to timely care, and the impact and cost-effectiveness of targeted interventions.