Category Archives: Information

MYTH 2: DIABETES IS A DEATH SENTENCE by Opawale Damilola

We recently started the discussion about Myths and Facts on Diabetes. If you missed the last post, kindly click here.

Today, we will continue on the discussion

MYTH 2: DIABETES IS A DEATH SENTENCE

FACT

Diabetes is not a death sentence. We established the last time that diabetes is a serious condition and is presently not curable. However, a diabetes diagnosis does not mean that you have been given an “expiry date”. It simply means you have to pay more attention to your health than before. 

There are several people who have lived with the disease for many years, some several decades and still living normal healthy lives without complications. 

We have a few testimonials from some of them:

Miss O.O, 17 years old – “I have been diabetic for 5 years. My living has been managed through regular use of Insulin, daily exercise, controlled diet, regular blood sugar checks and regular clinic visits. I am living well and happy”

Mrs. A.C. 52 year old diabetic diagnosed 9 years ago – “Basically what keeps me going is that I take my medications regularly, I choose my food carefully and I attend clinic regularly”

Mr. J.S – “When I was first diagnosed with the disease, I went online and read articles to educate myself. Diabetes education was a life saver for me. I have relationship with my doctors and that has been of great help”

 I will make attempts to outline a few things people living with diabetes must do to ensure that they live healthy and without complications

1. Have a positive attitude: Many people die not because the disease killed them but because they allowed the diagnosis to overwhelm them. Make up your mind to be happy, positive and active regardless of the fact that you have the disease

2. Get informed – Get information from authentic sources (Your doctors, support groups, books). This will help you understand better about the disease and how it should be managed. 

3. Drug Compliance: Take your medications religiously. Let your doctors prescribe drugs for you.

4. Know yourself – You need to know yourself to be able to recognize signs of when your sugar is going too low (hypoglycemia) or too high (hyperglycemia) and you need to know what to do at those times.

5. Diet Control: Contrary to the old teaching that diabetics have to eat only unripe fruits and vegetables. Studies have shown that diabetics can actually eat most of the food every other person eats, only that they need to eat them in right proportions. It is advisable to eat more of food that are high in fibre and low in calorie. Your doctor should educate you more about this.

6. Regular exercise: This also helps to control your blood sugar better, reduce weight, slows down ageing and improves heart function. However, rigorous exercise is not advised. Exercises recommended include brisk walking, swimming, cycling, Dancing, Playing court games, etc. 

7. Regular Clinic visit

8. Regular blood sugar checks

9. Avoid cigarette and alcohol consumption. These can worsen the disease.

10. Weight loss

11. Participate in support groups. 

People living with diabetes will benefit a lot from family support. 

In conclusion, Diabetes is a serious health condition which may have devastating consequences if not properly managed. 

People living with the disease must be ready to take responsibility for their health and they can live normal healthy lives. 

Please feel free to drop your questions and comments.

Feel free to send your diabetes related articles to thengdoc@gmail.com

Dr Oluwadamilola Opawale is a medical practitioner with interest in Public health and preventive medicine. She has had a stint of experience from the famous St. Nicholas hospital as a clinician.

She is also the President of IBuildAfrica Foundation, an NGO that reaches out to female adolescents, helping them maximize their potentials environment and background notwithstanding.

She has a passion to teach people how to stay healthy by imbibing healthy lifestyle and choices. 

TYPE[1]WRITER TO FACILITATE INSULIN ACCESS TO NIGERIAN CWDS

This was the start of a beautiful friendship and the creation of our diabetes project. Back in 2013 I had the pleasure of meeting Adejumo Hakeem from Nigeria.

We’d been in constant communication prior to the International Diabetes Federation Conference in Melbourne as I’d managed to win their essay competition, ‘Diabetes in Nigeria: Protecting the Future’.

I even went on to write my masters on ‘The Relationship Between Urbanisation and Type 2 Diabetes: a human rights-based approach to health in Nigeria’. So here we were, online friends from New Zealand and Nigeria, finally able to cross the ocean and meet in person.

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It’s been 6 months since the book was launched and the sales are still doing great. The profits from my book go directly to Adejumo at NGdoc to aid children with type 1 diabetes in Nigeria who do not have access to the supplies they need to survive. There are already stories of young children who we, and our consumers, have supported. If you have bought a book – YOU helped a child!

Our very first child was enough to spur us on, the fact that we’d made a difference in someone’s life is very humbling. Oluwatimileyin Daniel was 14 years old and in a state of diabetes ketoacidosis in hospital as his family had no money to buy insulin. Through our partnership we were able to pay for both the insulin and glucometer test strips he needed. He was lucky, many are not.

If you want to help us make a difference you can buy the book, or the cheaper e-book version on Amazon. If your child has type 1 diabetes they will hopefully love the book and be saving another child at the same time

Culled from type1writerblog 

Carrie Hetherington can be contacted here

FDA APPROVES ARTIFICIAL PANCREASE SYSTEM.

According to the American Diabetes Association, the FDA approved the first hybrid insulin delivery system on the 28th of September, 2016. 

This critical step, according to the ADA website in the development of an artificial pancreas is an important milestone for people with type 1 diabetes.

The MiniMed 670G is the first pump-sensor system to automatically adjust basal insulin levels, up or down, based on continuous glucose readings from an integrated continuous glucose monitor.

Patients will continue to make insulin dosing decisions at mealtime, with the MiniMed 670G providing dose recommendations based on the patient’s blood glucose levels and trends.

Patients will also need to perform finger-stick glucose checks for calibration of the device. 

The system is appropriate for anyone who is currently using or is a good candidate for an insulin pump. 

The FDA has approved the MiniMed 670G for people age 14 and older.

We are excited for this advancement, and we look forward to the development of the next phase of automated systems that can provide bolus doses of insulin. We envision that these incremental innovations will lead to a fully automated closed-loop system to provide optimal glucose control and independence for people with diabetes.

HOW DOES A CONTINUOS GLUCOSE MONITOR (CGM) WORK

CGM is a way to measure glucose levels in real-time throughout the day and night. 

A tiny electrode called a glucose sensor is inserted under the skin to measure glucose levels in tissue fluid. 

It is connected to a transmitter that sends the information via wireless radio frequency to a monitoring and display device. The device can detect and notify you if your glucose is reaching a high or low limit.

To engage with the Diabetes Online Community follow The Nigeria Diabetes Online Community on Facebook NGDOC and on Twitter @theNGdoc

– See more at: http://www.diabetes.org/newsroom/press-releases/2016/american-diabetes-association-FDA-approval-first-hybrid.html?referrer=https://t.co/VkIIhiSJFd#sthash.qkMPxHBk.dpuf

Raising a child living with diabetes in Africa: Challenges and Motivations

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On May 27th The Nigeria Diabetes online Community conducted it’s monthly chat dedicated to children living with diabetes in Africa.

The chat that coincides with Children’s day in Nigeria drew participants from Nigeria, UK, South Africa and Ghana.

The children’s day chat reflects the reality that faces us as a nation and africa as a continent on the need for a vibrant healthcare sector to combat the scourge of diabetes.

All our participants have wards living with diabetes (we encourage parents and guardians to get their wards involved in social peer support chats online).

Most wards view living with diabetes as a burden (stressful,frustrating, depressive and expensive – in the words of pearl who has young relatives living with diabetes) with a few having a good insight of the condition.

Large percentage of our wards living with diabetes seemingly initially have a feeling of being the only ones with such condition in the world.
(A typical reflection of poor awareness of other children living with diabetes)

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Living with diabetes for children has been noticed to be emotionally challenging and it’s been suggested by experience that more interaction and peer support works in Ghana with listening ears producing better results  than criticisms.

Parents and guardians have been advised to stay involved in their children’s care even if such wards is able to manage his/her diabetes.

At this point parents should be aware of that their support, respect and love for each other has a direct impact on their child’s metabolism (a good thesis for research)

It was also noted that there’s a constant battle of emotions as the children hit their teens with their tendencies to want to fit in like their friends.

In cases when their emotions are really all over the place, a constant show of love, mentoring and continuous education about diabetes has been noted to be very helpful.

It was unanimously agreed by all participants that interacting with other children living with diabetes worldwide is very helpful with NGO’s and government being actively involved in ensuring living with diabetes for our children doesn’t end up as a death sentence.

We graciously call on the minister of health in all african countries to emulate the South Africa government who is said to provide free medications to include insulin and glucose strips.

The international diabetes federation life for a child has been commended for their active support in resource poor settings where insulin, glucometers and teststrips are provided for free.

We also call on governments to ensure these supplies gets to the children import tax free.

Wouldn’t it be great to see life saving medications donated for free exempted from import tax which could be enormous?

We wish to thank all our participants for their contributions and commitments to ensuring an healthy life with diabetes is achievable by our children.

Do you have or know any child living with diabetes?
Kindly get through to us on our platforms and we will be glad to connect.
thengdoc@gmail.com
Facebook: NGDOC
Twitter: @thengdoc

Amputations: the politics behind limb loss

This email was forwarded and we obtained permission to post on our blogs for our visitors.#
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

DIABETES WARRIOR INITIATIVE

The Nigeria Diabetes Online Community is excited to partner with T1International on its Diabetes Warrior initiative.

The Type 1 International setup the Diabetes warrior initiative with the aim of training Nigerian children living with type 1 diabetes on vocational skills towards self sufficiency and ability to afford their medicines.

A warrior is defined as ‘a brave or experienced solder or fighter’. It is believed that those who are sponsored for vocational programs are experience fighters of diabetes and are prepared to put in the work it takes to not let diabetes dominate their life.

Our pioneer diabetes warrior is Omolade Onafowokan who is currently undergoing her part time weekend only vocational skills training in  Ogun State, Nigeria.

Her demonstration of great awareness and acceptance for living with type 1 Diabetes is highly impressive. She has accepted her living  with diabetes and hopes to further her studies after the holidays into the University where she aspires to study medicine.

In her own words having expressed a profound thanks to T1International for the kind gesture, wants to start a network of children living with diabetes where they can learn from one another and form a social peer support club.

We believe that through this skill acquisition she might be able to generate some funds to ensure a steady supply of her essential medicine – Insulin.

Visit  here to support T1International’s effort aimed at helping children living with diabetes in Africa.

New study links antibiotic use to increased risk of Type 2 Diabetes

According to a new study published August 27, 2015 in the Journal of Clinical Endocrinology and Metabolism by Kristian Hallundback Mikkelsen, MD, a PhD student at the Center for Diabetes Research, Gentofte Hospital, University of Copenhagen (Hellerup, Denmark) and colleagues;  there are suggestions of a clear link between Type 2 diabetes mellitus and the number of times a patient has been prescribed antibiotics.

Data from three national Danish registries revealed that prior exposure to antibiotics was associated with a 53% increased risk of developing type 2 diabetes (170,404 patients with Type 2 diabetes and 1.3 million who did not have the disease).

The finding could mean that antibiotics play a direct causal role in type 2 diabetes or that people with as-yet-undiagnosed diabetes may have a greater risk for infection and therefore are more likely to use antibiotics.

“Both interpretations are supported by the literature and could contribute to the observed associations,” Dr Mikkelsen told Medscape Medical News.

They found the risk of getting diabetes was highest in those given antibiotics that are effective against a narrow range of bacteria.

Study author Dr Kristian Mikkelsen said: “In our research we found people who have Type 2 diabetes used significantly more antibiotics up to 15 years prior to diagnosis compared to healthy controls.”

Dr Mikkelsen, of Gentofte Hospital in Hellerup, Denmark, also said more research was needed because the findings did not prove that the drugs trigger diabetes.

Antibiotics, the main way of treating infections for more than 60 years, can alter the bugs living in the gut.
Some of these bugs may contribute to the impaired ability of people living with diabetes to metabolise sugar.

But an alternative explanation could be that people with undiagnosed diabetes may be more prone to infection and therefore use more antibiotics.

Clinically, the findings add a new argument to the current movement toward less frequent and more judicious use of antibiotics.

“Microbiologists frequently remind clinicians not to overuse antibiotics because of the growing resistance problems and inadequate development of new antibiotics. If it appears that antibiotics also have long-term and potentially negative metabolic adverse effects, it of course puts additional weight behind a strict policy for antibiotics prescribing and selling,” he noted.

Sources: Daily Express UK; Medscape News.

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

Monologues of a Diabetic (Series 1)

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I am Olayeye Olumuyiwa Ayokunle. I am a DIABETIC living in Lagos State, Nigeria. I am in my early 40’s &  i run a small business.

I was diagnosed with diabetes in my early 20’s. That means i have been managing diabetes for almost 20 years now.

I am married & have a 2 year old daughter. (She is my world) These are my monologues from a diabetic point of view.
Hopefully, you will learn one or two things & also keep you entertained.

Before i go into my monologues, permit me to blow your mind a bit with this question: How many people have diabetes in Nigeria? “. 

Now as a Nigerian, our data gathering techniques or process is not top notch but from the one I could gather from the World Health Organization people living with diabetes in Nigeria are estimated to be 1,707,000. i.e  One million, seven hundred & seven thousand people & by 2030 it is expected to rise to 4,835,000 i.e Four million Eight hundred & thirty five thousand people.

As observed this is exponential!
Now that is the known people.

(The International Diabetes Federation latest figure on Nigeria (3.9 million diagnosed and about undiagnosed 1.8 million cases) can be found here)

In Africa, especially Nigeria, people seldom share their health challenges except when absolutely necessary.

And why is this? Obviously the stigma… I was a victim of this too.
My diabetic status was not something i was willing to let anyone know. It was a closely guarded secret.

So back to our statistics, a lot of people are living with diabetes, they don’t tell, they simply keep mum.

Some are diabetic, they just don’t care as long as they are able to go about their everyday chores.

Some are diabetic & they don’t know yet because Nigeria is a place where a large percentage seldom go for a full medical check up.

An average Nigerian can go for as long as 8 to 9 years without doing a full medical checkup & a large percentage that do, do simply because it was absolutely necessary. 

So putting all these into perspective, i can confidently say the unknown diabetic case in Nigeria is up to one million people. So that is to say about 2.5 million people are living with diabetes in Nigeria.

A whooping 2.5 million in Nigeria are diabetics.

Stay tuned… To be continued.

The monologues of a diabetic is a series by Mr Muyiwa Olayeye and he can be reached on muyiwaolayeye@yahoo.com  or jesuoseunti@gmail.com

Disclaimer: Views expressed are solely the author’s.

Are you living with Diabetes or you know anyone living with diabetes that might wish to share their experiences with us. Kindly contact us on thengdoc@gmail.com.

Together we can stop the stigmatization