A Review on the Double Burden of Diabetes and Myocardial Infarction: Healthcare Challenges and Future Prospects in Low and Middle-Income Countries.

Background and Aim: The dual burden of diabetes and myocardial infarction (MI) significantly increases morbidity and mortality, especially in low- and middle-income countries (LMICs). This study evaluates current treatment strategies, emphasizing the impact of limited access to medications, diagnostics, and specialized care. It proposes adaptable solutions tailored to resource-constrained settings. Method: For this review study, we investigated many databases-including PubMed, Scopus, Embase, Web of Science, Google Scholar, and the Cochrane Library-using different relevant terms. Discussion: Low public awareness and healthcare limitations often delay diagnosis and treatment, leading to poor outcomes. While comprehensive care, including medication, lifestyle modification, and education, is ideal, it remains out of reach for many LMICs due to systemic barriers. Conclusion: Improving chronic disease outcomes in LMICs requires targeted investment in healthcare infrastructure, patient education, and scalable interventions. Community-based care, digital tools, and task-shifting models show strong potential for enhancing disease management.