Category Archives: Uncategorized

Diabetes and Mental Health : What You Need To Know.

Today is World Mental Health Day.

According to the WHO, Health is a state of complete physical, social and mental wellbeing and not merely the absence of disease or infirmity.

1 in 5 Nigerians have mental health issues.

So many people go through mental health issues unrecognized.

Nigeria is in dire need of mental health awareness as well as diabetes awareness as there are a lot of societal stigma attached to these conditions.

So many people would rather go to a spiritual home without consulting a physician for their mental health conditions.
It is not only those on the streets with tattered clothing that have mental health issues. So many people around us in our families or workplace might also be victims.

Mental health problems also coexist in about 25 percent of people with health challenges one of which is diabetes mellitus.

Why are people living with diabetes at risk of developing mental health problems?
Having depression raises your risk for onset of diabetes, just as having diabetes raises your risk for onset of depression. Depression can lead to poor lifestyle decisions, such as unhealthy eating, less exercise, smoking and weight gain — all of which are risk factors for diabetes.

Getting a diagnosis of diabetes in itself can lead to some emotional responses like anger, denial and fear which is normal in the initial stage of grief. However, this can be prolonged and then can lead to a myriad of problems.
Newly diagnosed people living witb diabetes can exhibit anger and wonder why they are diagnosed when other friends and relatives do not have the condition.

The stress involved in the entire lifestyle change of being careful with choice of food, regular blood sugar checks and having to take insulin can take a toll on a person.

Anxiety disorders, substance use disorders, eating disorders and post traumatic stress disorder are also common among people living with diabetes.

The financial and social burden of living with diabetes can also predispose to mental illness.
People with mental health challenge increases their risk of diabetes complications as they are more likely to be non-adherent to medications and self care.

It has been said that mental health state can affect treatment outcome of diabetes. For instance, Women with type 1 diabetes and eating disorders have poorer glycemic control, with higher rates of hospitalizations and retinopathy, neuropathy, and premature death compared with similarly aged women with type 1 diabetes without eating disorders.
The American Diabetes Association recommends that clinicians routinely screen diabetes patients for psychological problems; however, few diabetes clinics do provide those mental-health screenings
The World Health Organization estimates that diabetes will affect more than 350 million persons worldwide by 2030, with the number of persons affected more than doubling from the year 2000.

HOW TO PREVENT MENTAL HEALTH PROBLEMS IN PEOPLE LIVING WITH DIABETES
People living with diabetes need care, love and support from friends and family.
Learn coping mechanisms – diabetes management should include self care mechanisms. Exercise is said to be helpful in reducing stress and depression due to release of endorphins.
Find a support network or group.
Eating balanced diet.
Adequate sleep.
See a doctor for regular mental state examination and psychotherapy.

You can still win an all expense paid trip to a diabetes youth camp in Ghana . Click here

WIN AN ALL EXPENSE PAID TRIP TO DIABETES CAMP IN GHANA

There could be a lot of struggle for people living with diabetes especially when they’re going through it alone. There could be frustration for both the child and the care givers.
WHY SHOULD YOU ALLOW YOUR CHILD GO TO A DIABETES CAMP?
Camp experience is always exciting and it makes all the difference!

Diabetes camp provides fun and excitement while creating an avenue to learn more about how to manage diabetes. It allows children living with diabetes and those at risk of developing type 2 diabetes to learn in a safe and fun environment. It builds a community of people who grow together knowing they are not alone. It’s also a great opportunity for networking.

Camp is a lifeline for children with diabetes to develop the critical skills they need to manage the disease. Children get to be surrounded with people who understand their fears and frustrations; people who ‘get it’.
They learn about how to manage their diet, understand the symptoms and how their daily activities affect their health
It also helps build Confidence. It might be all you need to get your child motivated in a medically safe environment while also acquiring social skills and lifelong relationships (diabuddies!).
HOW TO WIN
Share a one minute video about your diabetes journey and stand a chance to go on an all expense paid trip to the West Africa Diabetes Youth Camp in Ghana from the 17th to 19th of November, 2017.

Send the video to our facebook page ‘NGDOC’.
Participants must be between ages 10-25 and must be able to attend the meeting.
Winners would be selected and reached.
For more information, Please send a mail to thengdoc@gmail.com

HEALTHY DIET DURING RAMADAAN

The month of Ramadaan is the 9th month of the Islamic calendar and regarded as a Holy month among the Muslim faithfuls. Allah (SWT ) in the Holy Quran made it compulsory for every Muslim of age with sound mind and body to fast from the Fajr(Dawn) to Maghreb(Sunset/Twilight)

Surah Al-Baqara, Verse 183-184:

يَا أَيُّهَا الَّذِينَ آمَنُوا كُتِبَ عَلَيْكُمُ الصِّيَامُ كَمَا كُتِبَ عَلَى الَّذِينَ مِن قَبْلِكُمْ لَعَلَّكُمْ تَتَّقُونَ
أَيَّامًا مَّعْدُودَاتٍ فَمَن كَانَ مِنكُم مَّرِيضًا أَوْ عَلَىٰ سَفَرٍ فَعِدَّةٌ مِّنْ أَيَّامٍ أُخَرَ وَعَلَى الَّذِينَ يُطِيقُونَهُ فِدْيَةٌ طَعَامُ مِسْكِينٍ فَمَن تَطَوَّعَ خَيْرًا فَهُوَ خَيْرٌ لَّهُ وَأَن تَصُومُوا خَيْرٌ لَّكُمْ إِن كُنتُمْ تَعْلَمُونَ

O you who believe! Observing As-Saum (the fasting) is prescribed for you as it was prescribed for those before you, that you may become Al-Muttaqun (the pious)
[Observing Saum (fasts)] for a fixed number of days, but if any of you is ill or on a journey, the same number (should be made up) from other days. And as for those who can fast with difficulty, (e.g. an old man, etc.), they have (a choice either to fast or) to feed a Miskin (poor person) (for every day).

image

But whoever does good of his own accord, it is better for him. And that you fast, it is better for you if only you know.
During
the fasting periods, no food or drink is consumed and thoughts as well as actions must be kept pure.

Muslims are required to eat the pre-dawn meal(Sahuur) and break their fast by sunset (Iftar ) with fruits and meal and may continue eating and drinking till the next Fajr.
Thus, it is important that good and wholesome meals be consumed in good proportions to maintain vitality.

It is common practice here in Nigeria, to often take “Swallows” (Okele) for Sahuur and lighter meals for Iftar since the Sahuur is to last through the day till  sunset. More often than not, such meals largely contain carbohydrates while other food classes are to a lesser amount.

The Sahuur should contain the food classes in right proportions to provide adequate energy that will last throughout the day and yet nutritious to the body without causing fatigue during the day.
Vegetables and fruits/natural fruit juices are a good complement.

It is advised that a cup of water at room temperature be taken because this will help mix with the already secreted gastric acid, overnight.

It is encouraged to break fast with fruits such as Dates or Oranges etc in concordance with the Sunnah of the Prophet Muhammad(SAW) and If none available, then water may be used. Dates are rich in sugars that are easily broken down and quickly absorbed into the body providing energy easily.

This is done prior to eating the Iftar meal, which will take longer time to digest. Carbonated drinks are discouraged because they liberate “gas” in the stomach which distends the stomach and can cause inconveniences during the Maghreb prayer that follows shortly afterwards.

Consumption of cold drinks at Iftar causes the gastric vessels to constrict and thus reduces blood supply to the stomach and this affects digestion negatively.
Rather, water a room temperature will be ideal, especially If you’ll be eating shortly after.

The choice of food ingredients should be aimed towards a balanced diet using fresh food items.

For vitamins and minerals, use fresh vegetables and fresh fruits and natural fruit juices, fresh whole grains. Avoid coconut because of its oil.

For dairy, low fat milk(skimmed milk).is good. Avoid whole milk, ice cream, cheese and full cream yoghurt.

For protein, lean meat, skinless chicken and turkey, moderate amount of prawns and crabs, beans and peas. Eggs for children and young adults and avoid “internal animal organs” and fried flesh(fish,meat, chicken or Turkey )etc

For carbohydrates, avoid fried potatoes and yam, pastries such as Doughnut, fried rice.

Avoid the use of butter and ghee in cooking. Avoid frying, rather you may boil or grill or bake the food items as applicable.

It is important to stay well hydrated during this fasting and avoiding large volumes of water at Sahuur will help attain this.
About 2-3 glasses of water Sahuur should be adequate when the meal contains juicy fruits like water melon.

Salty diets should be avoided and you should avoid putting much salt in your meal as it leads to dehydration.

With all that is said above, I hope I’ve been able to provide you with adequate information on eating healthy this Ramadaan. I wish you a healthy Ramadaan and I pray Allah accepts our efforts in this month as worship and make us of the successful ones. Aamiin.

Dr. Kazeem Adebowale D. is a blood donation advocate and also a pioneer of the “Heal the world foundation” and member of  “Curb cancer Initiative “.
He can be reached on qasimbilaalmusab@gmail.com.

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. 

Debunking Diabetes Myths. Part 1 by Damilola Opawale

Myth 1: Diabetes is caused when a person consumes too much sugary food and soft drinks

Fact:

The cause of Diabetes goes beyond the consumption of sugary meals. 

Diabetes is caused by a combination of hereditary (inherited) and lifestyle factors.

Let me break it down

Diabetes, presently incurable, is a disease condition that occurs when the body cannot use glucose (smallest form of sugar) well. A large portion of the food we eat is converted to glucose which is the main source of energy needed to fuel the body’s functions.

Glucose leaves our intestine and enters in the blood. From the blood, it is moved to the body cells where it is needed to produce energy or stored up for later use.

The substance (hormone) in the body that helps to move glucose from the blood to the cells is called INSULIN.

Insulin works like a key that opens the doors on the cells to allow glucose in. Without Insulin, glucose cannot enter the cells, so it stays in the blood.

Insulin is produced by an organ in the body called PANCREAS.

In some individuals, this insulin (the Key) is not produced at all or produced in insufficient amount due to some abnormalities in the genes of the persons. Hence the doors on the cells cannot be opened for glucose to enter. This is called Type 1 Diabetes which commonly affects Children and Teenagers.

In some other individuals, Insulin (the Key) is present, but the Key holes (called Receptors) on the cells are faulty, so they don’t respond when Insulin tries to open them to allow glucose in. 

This is called Type 2 Diabetes which commonly affects adults.

As a result of inability of glucose to enter the cells in these individuals, glucose level in the blood becomes higher than normal and can continue to rise if nothing is done. 

High levels of glucose (sugar) in the blood and low levels of glucose (sugar) in the cells are the causes of all the problems that Diabetes cause.

From what we have discussed above, it is obvious that eating a lot of sugar is not the main cause of Diabetes. 

However, Diabetics (people who have diabetes) have to be careful with what they eat since there is a problem with the process involved in the use of glucose.

Being overweight has been found to increase the risk for developing Type 2 Diabetes and a diet high in sugar can contribute to weight gain. For this reason, it is generally advisable for everyone to carefully regulate their consumption of high calorie food (food that ultimately lead to high sugar in the body). 

Feel free to drop your comments, contributions and share.

#KnowledgeIsKey#


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. 

Diabetes Hand Foundation application for MasterLab Leadership Institute.

The diabetes hand foundation new MasterLab Leadership Institute will be an intensive, exciting, weekend conference featuring expert mentorship, leadership development, and social entrepreneurship workshops to support leaders implementing positive changes for the greater diabetes community.

MasterLab Leadership Institute is Seeking:
  • Passionate, driven leaders in the early stages of a project to improve life with diabetes.
  • Non-profits, small businesses, social enterprises, grassroots projects, or anything in between.
  • Applicants and projects that represent the diversity of the diabetes community: Type 1 diabetes, Type 2 diabetes, POC, LGBTQIA+, & international friends encouraged to apply.
Benefits of Attending:
  • 20 accepted Fellows accepted into the 2017 cohort will be given a fully-funded scholarship, and flown to the San Francisco Bay Area for an intensive weekend (March 31-April 2).
  • Fellows will attend hands-on workshops with expert mentorship from innovation experts, entrepreneurs, and non-profit leaders.
  • Fellows will learn how to refine their organizational model, use the lean startup method, sharpen their leadership toolkit, find sustainable funding, and increase their social impact.
Vision:

Through our work in the diabetes space, we’ve seen the need for more diverse community leadership, and sufficient support for those passionate leaders. Often, people touched by diabetes are under-represented in decision-making spaces and leadership roles. In addition, the Diabetes Online Community (DOC), previous MasterLab events, and community leadership have had an underrepresentation of people touched by Type 2 diabetes and people of color. This is in contrast to the fact that “…American Indians and Alaska Natives, black or African Americans, Hispanics or Latinos, and Asian Americans, Native Hawaiians, and other Pacific Islanders, have a higher prevalence and greater burden of diabetes compared to whites…” (ClinicalDiabetes Journal, 2012).

Through this program, our goal is to robustly support a diverse group of diabetes advocates and leaders that represent the full spectrum of the diabetes community – Type 1, Type 2, etc. We are looking for emerging leaders who are passionate about creating change, want support to advance their projects, and are driven to create meaningful impact.

Instructions for Applying:

Please see below for additional details; we hope you apply! Applications due February 15. Questions about the program not answered below can be emailed to Mandy Jones, Director of Advocacy, at mandy@diabeteshf.org.

For more information visit their website 

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.

screen-shot-2016-11-15-at-00-12-43

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

The 3rd Africa Diabetes Congress (YAOUNDE 2017)

3rd AFRICA DIABETES CONGRESS CALL!

image

PRE CONGRESS WORKSHOPS 17-19 APRIL 2017

CONGRESS DATES: 19-22 APRIL 2017

CONGRESS STREAMS:

1.       Education and patients

2.       Clinical

3.       Basic sciences and physiology

4.       Epidemiology public health

5.       Endocrinology (including paediatrics and reproductive)

CORPORATE SYMPOSIA

Wednesday 19th April 2017: 3 from 14:00 – 15:30

Thursday 20th April 2017: 3 from 12.30 – 14:00 and 2 from 18:00 – 20:00

Friday 21st April 2017: 2 from 12.30 – 14:00

 

SOCIAL PROGRAMME

Opening Ceremony: Wednesday 19th April 2017 from 17:30 – 18:30

Welcome reception: Wednesday 19th April 2017 from 18:30 – 19:30

Congress dinner: Friday 21st April 2017 from 19:00 – 22:00

 

IMPORTANT DATES

First Announcement: 30th April 2016

Second Announcement and Call for Abstracts: 1stJune 2016

Abstract Dateline: 30th October 2016

Breaking Abstract Dateline: 15th January 2017

Early Registration Dateline: 1st February 2017

 

PUBLICATION OF ABSTRACTS

 

Accepted abstracts for oral presentation, poster discussion and poster display will be published in a Supplement of Diabetes Research and Clinical Practice

Congress Secretariat.

Yaounde – Cameroon.

Is Glucotrack the future for non invasive glucose monitoring.

In examples of amazing medical innovations to behold is Glucotrack.

GlucoTrack uses ultrasonic, electromagnetic and thermal technologies to non-invasively measure glucose levels in the blood.

The device is battery-operated and includes a Main Unit (UMU), which contains display and control features, as well as transmitter, receiver and processor, and a Personal Ear Clip (PEC), which contains sensors and calibration electronics, and is clipped to the earlobe.

The device is small, light and easy to handle.

The equipment which is still in registration process will relieve the pressure of needle pricks and jabs.

More about the equipment from integrity application can be found here

Diabetes Cure: Prospect or Sham

image

On the 29th of January,2016 The Nigeria Diabetes Online Community coordinated its monthly tweetchat centered around creating a platform for People living with diabetes in Nigeria to interact with an overall aim of creating a social peer support.

The monthly #diabetes tweetchat – first of its kind in Africa has participants from all over Nigeria and Africa.

Below are some highlights of the chats.

image

image

image

image

image

image

image

image

image

Do join us on the 26th of February, 2016 (every last Friday of the month) to participate.

If you have topics you want raised do email us on thengdoc(at)gmail(dot)com.