Category Archives: Diabetes Education

Amputations: the politics behind limb loss

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A lovely writeup on diabetes and lim salvage by a seasoned HCP.

Do find time to read and enjoy

Cutting off people’s legs is never a pleasant job for the surgeon;

But many times there are, when it’s the only way forward;the only way to save a life.

Apart from limbs lost to trauma via accidents, or to cancers, today the leading cause of limb loss ‎across the world is chronic non communicable disease in one form or another and diabetes ranks a leading offender ;

Diabetes is not a disease until it is made to be.

it is made to be when high sugar is made into high grief ‎;

High grief when mere number set to a higher than normal level by regulatory defects in the body is allowed to hold the body hostage for too long.

A high sugar effectively beaten down and kept so keeps the diabetic away from diabetes : diabetes sans diabetes.

Each time I’ve come across a rotten leg from diabetes, the chances are more often than not

I always opine

there is more than diabetes to blame.

…there is the patient who might have been too slack or not compliant enough,

….the treatment regime that might ‎have become too unsuited to the challenges at hand

Or

….the diabetes that has become part of a larger complex ravaging the particular patient :

in clinical parlance,part of a multimorbidity transcending mere sugariness.

Diabetologists are the sugar experts but any clinician unable or unwilling to offer tangible help with the management of diabetes in its most general sense is likely to come to grief at some point in his career.

Surgeons are regularly sucked into the sugar issue but sadly often to bring bitter pills.

Uncontrolled sugar over a long enough period raids virtually every tissue of the victim, none less so than the blood vessels.
Increasing deterioration in calibre and reflex performance of the blood vessels lead to progressive interference in the circulatory status of the tissues, gradually compromising the nutritional transactions at the tissue interfaces.

Add to this, the simultaneous deterioration in the integrity of the nerves, compromising their sensory efficiencies,

….the stage is more than set for tissue death :

a death that may even be so painless

and thus unnoticed if and when any attendant nerve damage has also come to compromise the ability to feel.

Bacteria lurk everywhere: the good and the bad. When they smell luck, they rush to the spot, and their feeding frenzy only expedites the rate at which tissue is lost and the system beyond poisoned.

The ultimate compound effect is a sore, which no matter how small it started can fester into a huge crater, as deep as it is wide.

To have flesh eating bacteria ( saprophytes) in the vicinity of sugar laden tissues poses a particular danger to the uncontrolled diabetic:

not just to the limb, the entire system.

Any organ can be lost to diabetes but particularly the limbs.

As a clinician and surgeon, , I’ve always ‎favored saving a limb to sacrificing it.

But there are ironically too many patients who are their own worst enemies ‎.

When a bad leg ulcer presents itself to the surgical clinic, what is often required to heal it can involve far more ‎sacrifices than what is required to amputate the leg.

And though some Surgeons might be constitutionally reluctant for protracted involvement with ulcer care,opting instead to dovetail the drama into an amputation, some patients, inspite of the words dripping between their lips are often themselves too indisciplined to withstand the drawn out rigor attendant to limb saving protocols ;

they cheat on themselves or are frankly non compliant with limb saving regimes.

Or

sometimes the cost involved healing an ulcer ( daily dressing, antimicrobials, regular tissue trimmings, restricted activities, regular blood checks, upped dosages etc) might prove too prohibitive to the payer.

An ulcer is any break in the skin lining; But it can very rapidly progress to well beyond the skin to involve underlying fat, muscles and bones.

Surgeons have evolved various ways to classify these ulcers to facilitate communication between and betwixt handlers :

But by and large, most of the classification systems speak to depth or width or more commonly both along with notions about presence or absence of associated infections

For any ulcer to heal,the strategic aim is reverse the very process or processes that led to it in the first instance.

In many cases, such reversal is possible with or without difficulties.

In others, fixed damages to the support system in the particular part, like the blood vessels and nerves prevent reversibility ‎.

This latter group forms the bulk of cases that may lose limbs. There are many agents on the shelves that are aimed at countering the negatives inside an ulcer;

Those that will kill offensive germs

Or

improve blood flow

Or

expand oxygen supply

Or

bring vital elements to the arena

Or

prevent water logging

Or

retard tissue destruction.

Or

any number of petty but contributary roles towards recovery.

For many years, research has concentrated on stealing ideas from the body itself ;seeking to break into the secrets of the body regulatory pathways ; it’s innate checks and balances.

Luckily the body is getting to yield more and more of its secrets to those researchers who relentlessly knock at its many doors.

And through these unlocked secrets, the applied science at the bed sideis ‎getting richly and confidently relevant .
One thing is clear ; biologically nothing ever happens in the body unless pulled or pushed.

There are no happenstances where the body is concerned.

If my foot turns red,something has pushed or pulled the red to the foot or in the foot ‎.

Every cell is responding to something under a complex but well ordained set of traffic rules ‎.

For a cell to grow, it must be pushed to grow.

And the pushers of such growth are called growth factors.

But the pushers of growth( growth factors) are unable to push if the cell to be pushedhas no handles that can be engaged by pushers’ hands.

These handles when they exist ‎are called receptors.

So growth factors to be fully relevant must have growth receptors granting a hole into which reciprocal key can fit to unlock the handle to the transaction.

The pusher ( growth factor) engages the ‎handle ( growth receptor) on the pushed then the cell grows.

Growth often means multiplication when the process is unfettered.

If an ulcer is loss of tissue anywhere between the skin level and deeper, it also means if the area can be brought under the influence of growth factors, new cells can be produced to replace lost ones:

And like mortar filling up a hole in the floor, the new cells can fill up the hole in say the leg.

This is a simplistic analysis, but as true as it ever gets.

The new drive towards cure of stubborn leg ulcers is now the use of growth factors.

But their use is still patchy,by and large restricted to research centres.

Cuban scientists have for the past nine years been trying to get their newly found products

( herbeprotP) into the wider market but read through below ( in red) and see how politics can retard progress , leaving amputations at run away levels

HerbeprotP is drug formulation composed of epidermal growth factor ; the growth pusher that can stimulate cell production at depleted sites causing tissue defects to fill up and stave off amputation.

But standing in its path is politics.

The embargo is preventing the drug from getting out of Cuba to be tested for claimed impact on the wider market.

wish to know more about the polit‎ics standing in the path of ulcer healing and limb salvage ?
‎…………..

“I don’t know what’s going to happen, but I do know that it may be that American legs are being lost while Cuban legs are being saved because Washington agencies …won’t allow that medicine in,”

said Dr. I. Kelman Cohen, professor emeritus in surgery at Virginia Commonwealth University.

“I think all the American medical community really wants is for Heberprot to be allowed into the country for testing

…Let’s get it tested and see if it will really save the thousands of limbs that many believe it can,” Cohen said.

In December, 2013, 111 members of Congress petitioned the Treasury secretary to allow the drug to be tested in the U.S., but up to now there has been no sign of progress, according to several lawmakers who signed the letter.

Diplomatic talks between Washington and the Castro government on issues such as immigration, travel and commercial ventures are scheduled to start next week.

At a briefing today on Obama’s normalization plans, administration officials were asked about the status of Heberprot but were noncommittal.

A proven drug that will thwart flesh-destroying diabetic wounds is desperately sought by physicians throughout the world, according to Dr. David Armstrong, professor of surgery and director of the University of Arizona’s Southern Arizona Limb Salvage Alliance.

Diabetes researchers at Umeå University in Sweden reported in 2013 that worldwide, a limb is lost every 20 seconds because of a foot ulcer that doesn’t heal.

According to the American Diabetes Association, in the U.S. alone more than 73,000 diabetics undergo amputations every year, or about one every seven minutes.

“It just rips me apart to know that there may be something out there that has the potential to save limbs and we can’t get a chance to test it because of politics rather than public health,”

Armstrong said in an interview.

Each year, he and his team at the Tucson medical center spend hours in operating rooms trying to save the lower limbs of more than 11,000 patients from around the world.

“So far this year, there have been several patients who may have benefited from a study of the type needed for the Cuban drug,” he said.

Dr. Georges Benjamin, executive director of the American Public Health Association, said that “there is politics in everything” but putting public health before politics is of prime importance to his organization, which just last month signed a agreement to work more closely with its Cuban counterparts.

“We recognize that there is opportunity for allowing them to learn from us, but even more importantly, for us to learn from them and that would include any technological advances they may have made that still need to be studied and validated,”

Benjamin said.

There is nothing mysterious about the path between diabetes and the loss of a limb.

Untreated or poorly treated, diabetes often interferes with blood flow to the extremities, causing vascular disease, a failure in anti-bacterial defenses and nerve damage.

Because of this loss of protective sensation, diabetic ulcers form but often go undetected. Without a proper blood supply, the tissue around the ulcer becomes infected, continues to die and the wound grows.

Hyperbaric oxygen treatment is sometimes useful, say diabetes specialists, but surgical removal of the dead flesh is the typical treatment. And at a certain point, amputation becomes the only option to save the life of the patient.

Dr. Elof Eriksson, a Harvard University professor and chief of plastic surgery and a wound care expert at Boston’s Brigham and Women’s Hospital, last month returned from an international meeting of hundreds of wound specialists near Havana.

He called the results of studies presented at the conference on Heberprot’s effectiveness to treat severe diabetic ulcers “impressive.”

“The only definite answer can come from a large clinical trial,” Eriksson said.
‎.

‎When Republicans continue to threaten reversing obama ‘s thaw of US- Cuban relationship, the public health implications are numerous : this is just one.

Building walls between nations, the type Cruz and Trump want to do retard intellectual and scientific diffusion of knowledge and skills ; those of us who know this too well have no choice but fight against a Republican victory by any means.

Basil jide fadipe.
Justin fadipe centre.
He is a Surgeon in the Carribeans.
His hobbies includes writing on anything about life and living.
West indies.

Why Africa needs the Global DOC

It is with a heavy heart that I share the tragic story of a promising young boy with type 1 diabetes.

I met Durojaiye Bola through the Pediatric Endocrinologist of The Olabisi Onabanjo University Teaching Hospital (OOUTH) a year ago. This meeting coincided with our peer support program for children living with diabetes at the same institution where we met online with Jack Terschluse of Penpals United.

Although Durojaiye was diagnosed with Type1 diabetes his family was without the means to support the expense of his treatment and medication. He was on our list for support, next in line to Omolade who, thanks to T1International through its diabetes warrior initiative underwent a vocational training to help her pay for her insulin needs and later a partner NGO called Priceless Jewel, now supports with her insulin and university education from a kind philanthropist.

If only we had been able to support Durojaiye sooner. Last Friday I followed a friend to the ER of the teaching hospital and found him with burn scars on all of his limbs.

Apparently Durojaiye had fallen into an hypoglycemic coma at a religious center. In a bid to bring him back to life, his digits were burnt badly in fire by the religious members. This shock reminded me of the huge importance of educating religious leaders on diabetes. The NGdoc submitted a project proposal 2 years ago to a foundation for support of such an education initiative but unfortunately we never got the funding.

Right now Durojaiye has been referred to a plastic surgeon in a bigger hospital with the possibility of amputation. With tears on their eyes his parents told me categorically that they cannot afford it. They said that sending him to another hosptial will be like a death sentence.

A team was constituted by NGdoc with initial finances being given by the association. The team also has support from T1international.

The aim of the team is to ensure:

1) Optimal care for Durojaiye, including psychotherapy and rehabilitation

2) Financial support to cater for a substantial part of his bills

3) A strategy to prevent such occurrences from happening again

4) An advocacy plan to ensure liable children with diabetes have access to insulin and other essential consumables.

The team is comprised of:

Adejumo Olamide – NGdoc/Access Alliance

Elizabeth Rowley – T1International/Access Alliance

Odewale Ibironke – NGdoc

Dr Adekoya Adesola – Pediatric Endocrinologist/NGdoc Social peer support for CWD in OOUTH coordinator

Dr Ajose Femi – Surgery

Dr Safiriyu Isreal – Medicine (Endocrinology)

Adesanya Adebukonla – Medical Student

This is a clarion call to the Global DOC. There must be more focus on Africa. How many young boys and girls in Africa must go through the same traumatic experience before our community takes action?

We need to address poverty, lack of access and lack of diabtetes education. We must support community based organizations centered around caring for people with diabetes, encourage social peer support and help make the lives of children living with diabetes a meaningful one.

Interested in supporting? Click here

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Interested in supporting? Click here

The International Diabetes Federation launches the World Diabetes Day Guide

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The International Diabetes Federation launches the World Diabetes Day Guide and Infogram.

The International Diabetes Federation (IDF) is an umbrella organisation of over 230 national diabetes associations in 170 countries and territories.

It represents the interests of the growing number of people with diabetes and those at risk.

The Federation has been leading the global diabetes community since 1950 and it’s activities aim to influence policy, increase public awareness and encourage health improvement, promote the exchange of high-quality information about diabetes, and provide education for people with diabetes and their healthcare providers.

IDF is associated with the Department of Public Information of the United Nations and is in official relations with the World Health Organization (WHO) and the Pan American Health Organization (PAHO).

We are delighted to announce that World Health Day 2016 will be dedicated to diabetes.

According to the IDF website, this announcement was made public by Dr Etienne Krug, WHO Director of NCD Prevention and Control, at the launch of the World Diabetes Day campaign during the World Health Assembly, on May 19.

The campaign will focus on healthy eating  as a key factor in the fight against diabetes and a  cornerstone of global health and sustainable  development.

Healthy eating:
a) Can help prevent the onset of type 2 diabetes
b) Is an important part of the effective management of all types of diabetes to help avoid complications

Two questions inform campaign activities:
a) How to ensure access to healthy food?
b) Which healthy foods  will help prevent the onset of type 2 diabetes and which healthy foods will help effectively manage all types of diabetes?

While WDD 2015 primarily addresses key opinion leaders, the campaign success also relies on the stakeholders of the global diabetes community.

Join in the campaign by downloading the guide and effectively creating the much needed awareness in your community.

Visit The World Diabetes Day official website for more information.
To download the World Diabetes Day Guide visit here

Ramadan Healthy Mix

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The Ramadan Healthy Mix ended with an increased awareness and sensitization about the need for fasting muslims to eat healthy during the month of Ramadan.

Gift was given to the participant who was able to show her healthy Ramadan diet.

The overall objective of this hashtag is to encourage muslims to fast healthy as against the popular notion of eating heavy and predominantly carbohydrates during fasting.

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The Nigeria Diabetes Online Community had about 71 Participants in the #RamadanHealthyMix who created about 489,128 Impressions on Twitter.

A huge thanks to all our partners.

@kayodeolowu multiple international creative arts award winner and partner #RamadanHealthyMix. He can be reached on www.kayodeolowu.com

Huntella:

Huntella is a multiple winning online wholesale and retail outfit and partner #RamadanHealthyMix. They can be reached on www.huntella.net

1one4.com is the hub of Muslims, from Nigeria to the world. With its wide range of content aiming not only to inform muslims on issues that affect them, but also educate all people, muslim or non-muslim alike.

NGDOC partners with Ogun State Government

 

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The 21st of May was a memorable day for the students of Ogun State as the ministry of health launched its School Health Cadet program.

The School Health Cadets involves cross section of secondary school students from across Ogun State.
Their responsibility is to create a health conscious Community through their various activities in their schools and respective communities.

The Nigeria Diabetes Community partnered with the ministry of health to train the students on Diabetes education and Advocacy with the aim of creating adequate diabetes awareness at community level.

Special guests with The Honorable Commissioner for Health
Special guests with The Honorable Commissioner for Health

The Honorable Commissioner for Health Dr. Olaokun Soyinka charged the children to be health ambassadors in their communities creating passionate change that will make the communities a safer environment and healthier.

Among distinguished guests present at the launch are the representatives from Ogun State ministry of education, Dangote Groups, Talabi Diabetes Center, Unity Bank, Eli Lilly Pharmaceuticals and The Nigeria Diabetes Community .

Diabeducation manual for secondary school students
Diabeducation manual for secondary school students

A team of 10 participants to include students, a school teacher and school health worker from 10 schools across the 3 geographical zones in the states were trained.

Cross Section of Participants at the Program
Cross Section of Participants at the Program

 

It is expected that the team will  translate the knowledge acquired during the training to their colleagues at school and their respective communities.

Followup on their activities will be done through the school health unit of the department of public health.

PHOTOSPEAKS

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Facilitators
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Cross section of secondary school students
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Cross section of participants
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Cross section of secondary school students
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Cross section of secondary school students
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NGdoc Co-Founder speaking on ‘You too can save a life;role of youths in diabetes advocacy’
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A training unit with their facilitator
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A training unit with their facilitator
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A training unit with their facilitator
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Facilitators Meeting prior to the event at The Commissioner for health conference room.

 

Our Profound Gratitude goes to everyone who has supported this program and made it a reality most especially the sponsors of the diabeducation project:
Eli Lilly Pharmaceuticals
Mr Olumuyiwa Talabi – Talabi Diabetes Center
Dr Gbadebo Saba – Owokoniran Memorial Hospital
Dr Dunni Osofisan
Dr Okubenna Oladunni
Dr Tosin Ojo
Alhaja R.O Balogun

Diabetes and Sickle Cell Anaemia

The burden of Diabetes in resource poor settings are enormous and coupling it with other co-morbidities might not be a very pleasant experience.

A couple of days ago I met a young lady in her early 30s who was recently diagnosed with diabetes. Looking at her facie I requested for her genotype done and was surprised when the result came and she is SS- Sickle Cell Anaemia.

In my 3 years of Advocacy it has never occurred to me a possibility of both conditions coexisting and this lady got me thinking so I decided to conduct a mini research into it.

Sickle-cell disease (SCD ), also known as sickle-cell anaemia (SCA ) , is an inherited blood disorder , characterized by an abnormality in the oxygen carrying haemoglobin molecule in red blood cells .

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This leads to a propensity for the cells to assume an abnormal, rigid, sickle -like shape under certain circumstances. Sickle-cell disease is associated with a
number of acute and chronic health problems, such as severe infections, attacks of severe pain (“sickle-cell crisis”), and stroke , and there is an increased risk of death.

According to an article on Medscape, clinical experience in tropical countries with a high incidence of SCD indicates that the concurrence of SCD with either type 1 or type 2 diabetes is a rare finding.

Although there are no population-based data to determine the relative prevalence of diabetes among patients with SCD in the tropics, it seems that the SCD population enjoys relative ‘protection’ from diabetes.
Theoretical mechanisms for such protection would include the low BMI, hypermetabolism, and possibly other genetic factors.

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The situation in the tropics might be quite different from that in affluent countries, where blood transfusions are more widely used to palliate the anemia of SCD.

According to this article iron overload due to multiple transfusions can result in β-cell damage and decreased insulin production. The result can range from glucose intolerance to frank diabetes that requires insulin for control.

The analysis revealed that, for every 10 years of transfusion use, transfused subjects with SCD had 2.5-times greater odds of diabetes. The analysis showed, moreover, that transfused patients with thalassemia had 5.2-fold greater odds of diabetes compared with transfused patients with SCD.

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But beyond this scientific expose there is need for specialized adequate medical care for people living with diabetes and those who might have other co-existing morbidities such that the burden won’t lead to state of hopelessness, depression and mortality.

Food for thought:

After interacting with her I discovered she is from a middle class family hence she might be able to get her medical supplies but what if she were from a family living below the UN $1 a day poverty benchmark?
What will be her fate?

NGOs and advocates should brace up to stand for equity in medical access across board and a health system that can cater for people in dire need for support and care.

Adejumo Olamide H.

Contact us on thengdoc@gmail.com

Join the Nigeria Diabetes Online Community on twitter @theNGdoc and visit our website and blog www.ngdoc.com and www.ngdocblog.com respectively for more information.

Just One Less Sugary Drink A Day Makes A Difference

Just One Less Sugary Drink A Day Makes A Difference

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A new study on Diabetologia says that every 5% of a person’s daily energy intake that comes from sugary drinks correlates to an 18% higher risk of developing Type 2 Diabetes – that’s almost a 20% greater risk of developing Type 2 Diabetes for ever glass of sugary soda!

“The good news is that our study provides evidence that replacing a daily serving of a sugary soft drink or sugary milk drink with water or unsweetened tea or coffee can help cut the risk of diabetes,” said researcher Dr. Forouhi, adding that this allows them to “(offer) practical suggestions for healthy alternative drinks for the prevention of diabetes.”

The researchers’ analysis of the data, which accounted for a range of factors such as total energy intake, found that soft drinks and other sweetened beverages posed a particularly insidious risk, as opposed to the consumption of natural fruit juice, coffee, or tea.

News and Image Credit: Daily Health Post

DIABEDUCATION

INTRODUCTION

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Currently in Nigeria, the emphasis of most policies and interventions is on screening and early treatment.

Though diabetes education forms a part of most strategies, screening of people at risk is the main focus.
The current strategies that exist in Nigeria are mainly health-care facility based and as such do not provide adequate information to the teeming population.

According to the IDF Diabetes Atlas (2013), about 3.9million out of the 78 million adult population in Nigeria (20-79years) is diabetic.
This puts the National prevalence of type 2 diabetes at approximately 5%. According to the same report, about 105,000 diabetes related deaths occurred in 2013.

There is thus a need for improved diabetes education and awareness

WHY DIABEDUCATION?

DIABEDUCATION is aimed at imbibing healthy living lifestyle, good physical activities among young individuals as well as make them diabetes advocates in their schools and communities through adequate diabetes education in a “catch them young approach”.

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The training manual was developed to teach basic symptomalogy of the disease in easy to understand plain language for children and adults as well as utilizing community focused advocacy methods and via the use of social media- the latest social trend as a veritable tool for diabetes advocacy.

With Nigeria’s mobile subscriber base estimated to grow by a significant 14 percent this year to 120 million, utilization of social media in youth health advocacy will help educate, motivate, encourage, and act as a viable propagation medium for adequate diabetes information and education among Nigerians.

With this project we will be directly training over a hundred secondary school students across Ogun State who will then create awareness and educate their peers and community hence indirectly affecting over a hundred thousand individuals across the state.

Our profound gratitude goes to The Ogun State Government, The Ogun State Ministry of Health and the Department of Public health and School health board for the tremendous support.

We also say a big thank you to the Honorable Commissioner for Health for Ogun State, Dr Olaokun Soyinka, Mr Talabi Olumuyiwa – Patron of The Talabi Diabetes Center, the Directors, Facilitators, Volunteers, Sponsors and finally our contributing authors.

This program is scheduled to hold on the 16th of April, 2015. Follow the hashtag #diabeducation on Twitter and on Facebook.

Interested in being a part of the program either as a sponsor or volunteer? Please send us an email on thengdoc@gmail.com

DIABETES AND HEALTHY LIVING – THE TWENTY-FIRST CENTURY BATTLE

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Few decades ago, I moulded sand castles as kid, rolled abandoned car tyres around street corners, woke up each morning to the crowing of the cock – life was serene and unperturbed.

As the world has evolved and technology has improved, computer games have fast replaced outdoor games; kids now learn even their basic nursery rhymes on ‘iPads’.
Loud zooms of fast-moving cars, blaring of horns, footsteps of workers hurrying out before dawn to beat traffic to work has taken over the function of my alarm clock. Welcome to the 21st century!

The “fast and furious” demands of the 21st century are not without their tolls on our health; recourse to a sedentary lifestyle, increased stress level, on-the-go meals to say the least.

One of the most devastating effects of our new way of life in this century is the increase in the number of people being diagnosed with diabetes. Diabetes is a disease of the body’s ability to appropriately utilize sugar, the primary metabolic fuel.

It is a major health concern of the world we live in today, affecting about 400 million people worldwide and accounting for about 5 million deaths annually from its complications which include problems with but not limited to the kidneys (Diabetic nephropathy), eyes (Diabetic retinopathy), nerves (Diabetic neuropathy), poor wound healing, and the heart.

The world’s population has grown from 6.2 billion to about 7 billion in the last decade putting an untold pressure on food production. The resultant effect is production of more processed and synthetic food, making healthy diet more expensive on the average.

Obesity being one of the biggest risk factors of diabetes, hence, healthy diet is of paramount importance. Leafy vegetables, fresh fruits, whole grains cereals, lean meat, fish and nuts should be incorporated.

Corporate organisations now carry out much of their work in virtual offices,many staffers of such organisations do a lot of their tasks on the computer than around the office space. “Work” now colloquially refers to sitting behind a desk pressing the computer all day.

Sedentary life style is another big risk factor. Regular exercise is key. Work-out frequently. Why don’t you try walking down the road for ten minutes before calling a cab,when you go to work tomorrow and subsequently.

Take the “#bigbluetest” as often as you can.
We have deadlines to beat and targets to meet daily. We often need ready-made refreshments or other energy source. Take water or unsweetened coffee instead of processed fruit juice or carbonated drinks.

Peanut butter instead of chocolate or jam spread on bread, nuts and freshly-made fruit juice or sugar-free yoghurt for snacks instead of hamburger and ‘coke’.
Avoid simple sugars
Do not skip breakfast; this is associated with weight gain. Rather, go for smaller ration par meal with a healthy breakfast being pivotal. Choose whole grain bread over white bread, brown rice to replace white rice, whole grain pasta instead of processed ones.

The internet has become part of the fabric of our everyday life. Its use elevates dopamine (the juice of addiction) levels just like cocaine does.

We all are guilty as our devices are never really more than one foot away. The wrong use of the social network has made antisocial beings out of us. Before checking what you have missed online, take some aerobics.

More importantly, monitor your weight and blood sugar level from time to time as early diagnosis and prompt management is central to good prognosis. Whether diabetic or pre-diabetic, living healthy in the 21st century,even with its demands on our health is possible, though a difficult battle, its also winnable.

Join an advocacy group to promote awareness through social media. Take a “blue-circle selfie” and tag along your tweets. Let us propagate the message together and we shall stand tall.

The winning Essay written by Omole Temitope @omoleMD

WORLD DIABETES DAY EVENTS 2014

The World Diabetes Day is celebrated every year on November 14. The World Diabetes Day campaign is led by the International Diabetes Federation and its member association worldwide.

The World Diabetes Day was created in 1991 by the International Diabetes Federation and the World Health Organization in response to the growing concerns about the escalating health threats that Diabetes poses.
World Diabetes Day became an official United Nations Day in 2007 with the passage of The United Nations Resolution 61/225. The campaign draws attention to issues of paramount importance to the diabetes world and keeps diabetes firmly in the public spotlight.

The World Diabetes Theme for 2014-2016 is HEALTHY LIVING AND DIABETES.

(The information above is culled from the International Diabetes Federation website. For more information on The International Diabetes Federation visit here)

To celebrate the 2014 World Diabetes Day; The Nigeria Diabetes Online Community (NGdoc) will be involved in series of National and International Programs listed below. Kindly participate in these events happening online and offline.

1) The Nigeria Diabetes Online Community World Diabetes Day Essay runs from November 1- November 10, 2014. Visit here for more info.

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2) The Nigeria Diabetes Online Community World Diabetes Day Diabeducation Program. This year NGdoc will partner with The Ogun State Ministry of Health, Nigeria to train a cross section of about 110 senior secondary school students on diabetes advocacy.

This program to be attended by The Commissioners of Health and Educaton, The Special Adviser to the Ogun State Governor on Health and Chief Olumuyiwa Talabi, the founder and patron of Talabi Diabetes Center Iperu amongst other eminent guests will also herald the launch of the School Health Cadet program of The Ministry of Health, Ogun State.
Follow NGdoc on twitter for updates.

3) The World Diabetes Day 24hour Twitter chat is the 3rd edition of the much anticipated 24 hour twitter chat on the 14th of November hosted by Cherise Shockley of the Diabetes Community Advocacy Foundation. This program features 24 moderators who will each handle the chat hourly from 0.00 EST to 24:00EST.

This chat event has had over 500 participants globally in previous editions. NGdoc will be one of the moderators and thus we’d be hosting an hour. Follow the hashtag #WDDChat14 for more information on moderators, timing and theme of the chat. Visit DCAF website here.

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4) Our official partners The Access Alliance is Putting the world back in The World Diabetes Day by campaigning for access to Insulin for All. You can participate by you sharing a photo of yourself with the inscription boldly written “LETS PUT THE WORLD BACK IN WORLD DIABETES DAY #INSULIN4ALL” Visit here to take part.

5) The Diabetes Hand Foundation  will from 1pm-4pm EDT on November 3 discuss the unmet needs of Diabetes in a twitter chat with The Food and Drug Adninistration (FDA) Follow the hashtag #DOCasksFDA to participate and visit DHF website here.

Join the Diabetes Hand foundation movement by taking the Big Blue Test right now. Each Big Blue Test entry you log between October 20th and November 19th triggers a $1 donation on your behalf to nonprofit groups that are providing life-saving supplies, services and education to people with diabetes in need. Taking the Big Blue Test is easy.

1. Test your blood glucose.  If you do not have diabetes, you can skip this step.

2. Get active.  For 14 to 20 minutes, get up and get moving.  You can , walk, run, clean the house, swim, tap dance…whatever!

3. Test again.  On average, Big Blue Testers seen their blood glucose level drop 20% after 14-20 minutes of exercise.

4. Share your results.  Answer the questions in the right column of this page. And don’t forget to talk about your experience on social media. Visit here for more infobbt-hashtag

 

 

6) Our partner 100campaign 100voices for diabetes aims at bringing together 100 Globalvoices who will advocate for access to insulin. Visit here to include your voice.

EVENTS PENDING CONFIRMATION BY US

Diabetes Community Outreach to the Students of Babcock University at Ilishan, Ogun State, Nigeria. The second edition of this program holding this year aims at Diabetes Education and screening of students of The Babcock University. Follow us on twitter for more information on the date.

A community outreach with The National Youth Service Corp Members of Oyo State, Nigeria. . Follow us on twitter for more information on the date and venue.