DO YOU KNOW ANYONE WHO IS DIABETIC?

DO YOU KNOW ANYONE WHO IS DIABETIC?

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Did you answer the question above?  Well, I asked this same question in a gathering of about 150 youths I had the opportunity to address some couple of months back. Surprisingly, almost all of them knew someone who is diabetic; parent(s), relatives, neighbours etc. Some had family members who had died of diabetes. A second question then followed, WHAT DO YOU KNOW ABOUT DIABETES? The second question had only a few respondents. Most of the respondents had inadequate knowledge of the disease.

Diabetes affects all age groups. The 3 most common types of DM are:

  • Type 1 DM (affects young individual)
  • Type 2 DM (affects all age groups but more common between 40 and 50 years)
  • Gestational diabetes (seen in pregnancy)

The classical symptoms of DM include: excessive thirst (polydipsia), excessive urination (polyuria), excessive eating (polyphagia) and weight loss. However, majority of cases of DM could be asymptomatic and clinical features may be manifestation of complications like diabetic ketoacidosis (DKA), retinopathy, nephropathy, neuropathy, leg ulcer, stroke among others.

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According to the International Diabetes Federation (IDF) diabetes atlas, sixth edition published in 2013, 382 million people have diabetes globally and about 175 million others are undiagnosed.

1 in 20 adults are diabetic. $548 billion in health expenditure was spent on diabetes care globally (11% of total budget on health). In 2013 alone, more than 21 million live births were affected by the disease. The world population is currently about 7.2 billion. This means 5.3% of the entire world population is diabetic. About 5.1 million diabetes-related deaths occurred in 2013 representing 8.4% of global all-cause mortality.

Currently, an estimated 19.8 million adults in Africa have diabetes – a regional prevalence of 4.9%. Nigeria has the highest number of people living with diabetes in Africa (3.9 million) and about 1.8 million cases are undiagnosed.

An estimated 522,600 people in the Africa died from diabetes-related causes in 2013. 105, 091 of these occurred in Nigeria. 76% of deaths due to Diabetes Mellitus in Africa occur before age of 60 years.

Comparatively, 35.3 million people have HIV/AIDS worldwide and annual death of 1.1 million was recorded in 2012. The prevalence of HIV/AIDS is also on the decline.

Another question then arises, why is there no attention on DM that is 11 times as prevalent globally as HIV/AIDS and causes 3 times more deaths as HIV/AIDS; and why is it not given the same or more attention than HIV/AIDS? Diabetes is indeed a SILENT KILLER.

 

WHAT CAN BE DONE?

There is clearly growing evidence that earlier detection of people with Impaired Glucose Tolerance and others at high risk, followed by interventions to delay or prevent Type 2 diabetes and improve glucose control, can result in clinically important reductions in the incidence of diabetes, its complications and co-morbidities.

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How do you know if you are high risk? A simple and available option is to take advantage of the several screening programs organised by different advocacy groups.

A second option is to use one of the several questionnaires available e.g Finnish Diabetes risk score. It is simple and can be self-administered.

Good control of the modifiable risk factors is also important and they include:

Obesity (central and total)

Obesity is the most important single risk factor for Type 2 diabetes. The WHO estimates that there are currently 1.1 billion people who are overweight and expect this total to rise to over 1.5 billion by 2015. Studies have shown obesity to be a powerful predictor of Type 2 diabetes development.

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Conscious efforts must be made at maintaining a weight appropriate for age and height. Body Mass Index is a good tool at determining if you are overweight or obese.

The incidence of obesity is increasing worldwide in the developing countries. Consequently the incidence of Type 2 DM is also on the increase in the lower age groups.  Furthermore, interventions directed at reducing obesity also reduce the incidence of Type 2 diabetes.

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Physical inactivity

Physical activity levels have decreased over recent decades in many populations, and this has been a major contributor to the current global rise of obesity. Physical inactivity has been found, in both cross-sectional and longitudinal studies, to be an independent predictor of Type 2 diabetes. For equivalent degrees of obesity, more physically active subjects have a lower incidence of diabetes.

Brisk walking for about 30 minutes daily is the minimum activity expected of an individual.

 

Nutritional factors

Much uncertainty still surrounds the dietary factors involved in developing diabetes, partly because of the difficulty in collecting accurate dietary data. Nevertheless, some of the more consistent messages indicate that a high total calorie and low dietary fibre intake, a high glucose load and a low polyunsaturated to saturated fat ratio (junks, fries etc.) and may predispose to the disease.

 

WHAT WILL HAPPEN IF WE DO NOTHING?

If the current trends continue, by 2035, some 592 million people, or one adult in 10 will have diabetes. This equates to approximately three new cases every 10 seconds or almost 10 million per year. The largest increases will take place in the regions where developing economies are predominant this includes Nigeria. Global health spending on diabetes was estimated to be at least $581 billion in 2013 and $678 billion by 2035. An estimated average of USD 1,437 per person was spent globally on treating and managing the disease in 2013.

 

If you are currently above 16 years, these projections points directly at you as you will be close to or above your 40th birthday by 2035 (the peak age range for developing type 2 diabetes). The good news however is that if the prevention strategies above is adhered to the prevalence of diabetes can be reduced by as much 42% as supported by several studies.

Remember, maintaining a healthy eating habit, regular exercises and keeping your weight in check will reduced significantly your chance of having the disease. Join the fight against. diabetes today.

You may not know anyone who is diabetic now. But if we do nothing, that may not be the case in 2035.

Let us UNITE AGAINST DIABETES

 

References

IDF Diabetes Atlas 6th Edition 2013

IDF Prevention Consensus Alberti et. al 2007

www.who.int

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.

‘bolaji B. Dauda

HEALTHY LIVING CAMPAIGN IN SAGAMU AND ABEOKUTA, OGUN STATE, NIGERIA

HEALTHY LIVING CAMPAIGN IN SAGAMU AND ABEOKUTA, OGUN STATE, NIGERIA

thengdoc
The importance of healthy living cannot be overemphasized. There is a popular saying that a man too busy to take care of his health is like a mechanic too busy to take care of his tools.
It is said that he who has health has hope and he who has hope has everything. Healthy living should be a habit and over time,its positive effects on health become obvious.
Live healthy and less trips are made to the doctors. Live healthy and on the long run, it saves money.   Regular exercise and eating healthy are some components of healthy living and are easy to do.
All that is needed is determination. Eating healthy and regular exercise go a long way in preventing being overweight and obese. They are important aspects in the management of chronic diseases like hypertension and diabetes.
With the importance of healthy living at the back of our minds, we at The Nigeria Diabetes Online Community (NGDOC) decided to go on a healthy living campaign.

Randomly,we chose the ancient city of Abeokuta, the capital of Ogun State and Sagamu, a semi-urban local government area in Ogun State.

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The aim of this campaign was to interact with as many people as possible, have an idea of what they consider to be components of healthy living, understand their views, learn from them and impart some knowledge about healthy living as it relates to obesity and diabetes.
The people of Abeokuta were receptive and willing to share. Most importantly, they were willing to learn. We spoke to people individually and in groups,and I must say for me, the experience was fun and enlightening. Topics covered included Healthy eating and the importance of exercise.
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I spoke to a 65 year old grandmother who exercises regularly and eats healthy. Not looking bad for her age right?
We also talked about Diabetes and its types and we realized that a lot of work still needs to be done in raising awareness for diabetes.
We did try in our capacity to enlighten them as much as time would permit on how healthy living may on the long run reduce the risk of developing obesity and diabetes and how healthy living is important in the management of diabetes.
Most of them were all ears, and we were glad! Some people requested us to come back for another campaign in Abeokuta. They obviously understand than knowledge is power.
We at The NGDOC intend to take the healthy living campaign to as many places as possible. If you’d like us to visit a particular place, please let us know. We’ll be glad to come and say hi.
Good health isn’t something that can be bought.You can however increase your chances of having good health by living healthy.
Make a positive change in your lifestyle today. For more information you can contact us on thengdoc@gmail.com, follow us @theNGdoc and visit our website www.ngdoc.com
Odewale Halimah

The Second African Diabetes Congress Yaounde 2014 “Diabetes: Challenges and Opportunities in Africa”

The Second African Diabetes Congress  Yaounde 2014

“Diabetes: Challenges and Opportunities in Africa”


The Second African Diabetes Congress Yaounde-Cameroon:25th-28th February 2014 “Diabetes: Challenges and Opportunities in Africa”


The 2nd African Diabetes Congress will promote excellence in the field of diabetes.

The congress has been appropriately themed: “Diabetes: Challenges and opportunities in Africa”. The Congress will provide an ideal opportunity to cross fertilize with colleagues from Africa and mingle with international renowned experts in the field of diabetes.
The conference organizers are putting together an exciting scientific programme of the most recent diabetes evidence and best practice that will underpin the improvement in diabetes care, treatment and prevention adapted to the African region.
The congress will be held at the Palais des Congres Yaoundé -Cameroon from the 25th–28th February 2014. We look forward to welcoming you to Cameroon, Africa in Miniature!
More information can be gotten here

DIET

DIET

A diabetes diet is simply a healthy eating plan that is high in  nutrients, low in bad fat and moderate in calories. It is a healthy diet for anyone! The only difference is the need to pay more attention to some of the food choices most notably the carbohydrates eaten.
Eating right is vital when trying to prevent or control diabetes. While exercise is also  important, what is eaten has the biggest impact when it comes to weight  loss. Its important to note that nutritional needs are virtually the same for  everyone else as for PWDs, no special foods or complicated diets are  necessary.
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Speaking of carbohydrates being part of the notable choice we eat; Carbohydrates have a big impact on blood sugar levels more than fats and protein but its not always necessary to avoid them.

Its always good to be smart about what type of carbohydrate taken.  It is best to limit highly  refined carbohydrates like white bread, rice, snack foods, carbonated  drinks, candy e.t.c; focusing on high-fibre complex carbohydrates (also  known as slow-release carbohydrates) instead.
Slow-release carbohydrates  help keep blood sugar levels even because they are digested more slowly, thus preventing the body from producing too much insulin. They also provide lasting energy and help stay full longer.

 

FOOD TIPS FOR DIABETES DIET

1. Instead of of highly refined carbohydrates, try these high-fibre options:  Non-starchy vegetables, beans and fruits such as apple,pears, peaches, berries, bananas, mangoes e.t.c. Grains in the least processed state possible such as brown rice, white barley, millet, wheat berries e.t.c

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2. Limit concentrated sweets – including high calorie foods with a low  glycemic index, such as ice cream.  Reduce fruit juice to no more than  one cup a day.
Avoid sugar sweetened drinks.
3. Eat a healthful type of protein at most meals such as beans, fish, skinless chicken e.t.c.
4. Choose foods with healthy fats such as olive-oil, nuts (almond, walnuts and avocados).
Limit saturated fats from dairy and other animal products like cheese, yoghurt etc.
5. Completely avoid partially hydrogenated fats (Trans-fat), which are usually found in fast foods and many packaged foods.
6. Have complete three meals a day (do not skip breakfast).
7. Eat slowly and stop when full. Having Diabetes does not mean  eliminating sugar. If you have diabetes, you can still enjoy a small  serving of your favourite dessert now and then.
The key to it is MODERATION.
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But maybe you have a sweet tooth and the thought of cutting back on sweets sounds almost as bad as cutting them out together.

The good news about diet is that cravings do go away. The more your habits become healthier, the more the food you seem to love becomes too rich or too sweet and you may find yourself craving healthier options instead

This Article is written by Damilola Shobiye a Student of Nutrition and  Dietetics from Babcock University, Ilishan-Remo, Ogun State, Nigeria.
To be our Guest Blogger on the nigeria diabetes online community kindly  send your article to us on thengdoc@gmail.com, follow us on @theNGdoc and like our facebook page

10 DIABETES FACTS

10 DIABETES FACTS

Here are 10 facts from the World Health Organization website featured on our twitter handle and Facebook Page.

1) There is an emerging global epidemic of diabetes that can be traced back to rapid increases in overweight, obesity and physical inactivity.
2) Total deaths from diabetes are projected to rise by more than 50% in the next 10 years. Most notably, they are projected to increase by over 80% in upper-middle income countries.
3) Type 1 diabetes is characterized by a lack of insulin production and type 2 diabetes results from the body’s ineffective use of insulin.
4) Type 2 diabetes is much more common than type 1 diabetes, and accounts for around 90% of all diabetes worldwide.

5) Reports of type 2 diabetes in children – previously rare – have increased worldwide. In some countries, it accounts for almost half of newly diagnosed cases in children and adolescents.

6) A  third type of diabetes is gestational diabetes. This type is characterized by hyperglycaemia, or raised blood sugar, which is first recognized during pregnancy.

7) In 2005, 1.1 million people died from diabetes. The full impact is much larger, because although people may live for years with diabetes, their cause of death is often recorded as heart diseases or kidney failure.

8) 80% of diabetes deaths are now occurring in low- and middle-income countries.

9) Lack of awareness about diabetes, combined with insufficient access to health services, can lead to complications such as blindness, amputation and kidney failure.

10) Diabetes can be prevented. Thirty minutes of moderate-intensity physical activity on most days and a healthy diet can drastically reduce the risk of developing type 2 diabetes.

Image and Text Credit to World Health Organization; for more info visit here

MY MEANING OF DIABETES AND MY PERSONAL EXPERIENCE.

MY MEANING OF DIABETES AND MY PERSONAL EXPERIENCE

Since our last meeting with Omolade our relationship has improved drastically, with her mom attestating to the tremendous changes and her improved attitude to health.

So we asked her to reflect on how it has been to date (Her Journey so far) and she dropped us this letter.

Omolade with the NGDOC Team
Omolade with the NGDOC Team

 

MY MEANING OF DIABETES AND MY PERSONAL EXPERIENCE

Diabetes to me is a disease that does not enable my body to provide insulin and does not enable my body to store glucose to glucogen Or A non-communicable disease that can only be transferred through traits or heredity. 

MY BRIEF EXPERIENCE OF THE DIABETES DISEASE
On the 13th of august 2012 I realised I am diabetic but because it was new to me and due to my worries all the time i am always saying that there is someone behind my condition and I am always putting myself into crisis, scared, thinking, crying and always running away from people.
When I met My Clinicians and the NGDOC Team this year, they explained a lot to me that many people around the both whites and blacks have diabetes and are living well so I need not to put myself into more crisis.

They said by taking my insulin regularly I will be preventing a lot of problems for myself and my family.
I now have become shy and so happy when I saw people from all over the world on the system, in the books and mobile phone. I realise I need to cope with my diabetes and leave the rest to God Almighty to take control of all.
I have hence begun to rejoice with all the choices of mine, thanks to my doctors and the NGDOC team.
Onafowokan Omolade
You can read our previous post on omolade here
If you know any Type 1CWD please contact us

We wish to thank the Paediatric Endocrinology Department of the Olabisi Onabanjo University Teaching Hospital under the supervision of Dr Mrs Fetuga (Consultant Paediatric Endocrinologist) for connecting us with Omolade.

 

DIABETIC EXPERIENCE: MY NINE YEAR SECRET AFFAIR

DIABETIC EXPERIENCE: NASIRU’S NINE YEARS SECRET AFFAIR

Nasiru Olafimihan
Nasiru Olafimihan

Nasiru’s experience is a certain secret affair that is not known to most people that he has come across at work, school and the neighborhood etc . However, this year, the international diabetes awareness period coincided with his nine years of secret affair with diabetes mellitus and this prompted him to write us this piece on his personal experience.

His early life could be described as very relatively healthy one with little visitations to the hospital, all childhood ailments were treated with over the counter drugs and “epa-ijebu” (a herbal antibiotic) as he called it.

 

Traditional Medicine for sale
Traditional Medicine for sale

He wrote his final university examination in August 2004 with a heart full of joy and hope of what future holds. He left campus for the National Youth Service Corp (a compulsory 1 year national program for fresh graduates to facilitate cross-cultural mixture). It was early in the month of September 2004 that he started observing some strange changes in his body system.

He observed his excessive crave for water to the extent of drinking water meant for ablution in the mosque whenever he went for prayers, and he would always have water beside him at night. His second observation was frequent urination during the day and night. He initially did not give any serious consideration to these observations simply because he always regarded himself a lover of water.

His third observation was actually made by people around, asking if there was anything wrong with his health because he was losing weight and he always responded to being alright. The curiosity of people about his health prompted him to make consultation.

His first place of consultation was a certain patent medicine store, where he was diagnosed wrongly of having worms (due to his loss of weight). After failed attempt, he visited a “doctor” in his neighborhood that he later discovered to be a quack. After series of injection shots by the “doctor” and with no knowledge of diagnosis by Nasiru, he told the “doctor” he was getting better and the “doctor” then stopped the injection and switched to oral drugs. Consequently his condition became worse again.

This time Nasiru had to visit Apapa Health Centre on the 25th October 2004  where he met a doctor who asked him to go for a test, precisely blood sugar test and urinalysis, in the laboratory. Subsequently, he was diagnosed of Diabetes Mellitus and frightened Nasiru was counselled on the care and management of Diabetes.

 

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For Nasiru the experience of living with diabetes, especially insulin dependent diabetes, is sometimes psychologically awful. The first challenge arises when in the company of others and you’re required to reject some kinds of food without letting them know the reason. Regular injection is another challenge faced by Nasiru.

Some experiences of Hypo by Nasiru have resulted in him passing out in his room and sometimes at public places. He had to be re-deployed from the northern part of Nigeria to the south west on his request due to diabetes and the need for adequate care close to his family.
His non disclosure according to Nasiru are due to some reasons. There are some forms of myths or advice gotten from ignorant people about diabetes. For instance, he had been told once that diabetes is sometime spiritually casted on people. Also, a colleague advised him to come to church where he will be totally healed.
Another person also encouraged him to stop insulin as she had somebody that would give him an herbal medicine that will cure it, though she never brought anything.

When Nasiru volunteered to share his experience with us we were thrilled as it is a common phenomenon for people living with diabetes especially in Africa not to want to share their experience for fear of social stigmatization.

 

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According to Nasiru this medium is also necessary to intimate government on the need to provide assistance to diabetic people, especially the young ones that are insulin dependent, by ensuring easy accessibility of medications.
“I am always sad whenever I meet diabetic people from other countries, for instance Europe, describing how insulin is made easily available to them free of charge by their governments” – Nasiru

We at The Nigeria Diabetes Online Community are committed towards advocating for the about 5 million already diagnosed of Diabetes Mellitus in Nigeria and also through adequate education prevent the surge of Diabetes in Nigeria.

Please do feel free to mail your experiences to us (thengdoc@gmail.com)  in order to share and build a great and empowered community of people living with diabetes.

Lastly, we want to implore the federal government to kindly live up to the free insulin declaration.
Nasiru can be reached via his email: nasoola77@yahoo.com

 

HEALTH AND POLITICS

HEALTH AND POLITICS

Health is the level of functional or metabolic efficiency of a living being. In humans, it is the general condition of a person’s mind and body, usually meaning to be free from illness, injury or pain.

The World Health Organization (WHO) defined health in its broader sense in 1946 as “a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity.”
World Health Organization
World Health Organization

 

Health is of major concern to nations of the world. WHO and the member states strive hard to ensure this is achieved across board.  A major WHO goal is to improve equity in health, reduce health risks, promote healthy lifestyles and settings, and respond to the underlying determinants of health.
This among others are the goals expected to be followed by member states and organizations.

A meeting with Prof. Cees Th. Smit Sibinga was a real eye opener as we discussed the problems faced by developing nations and africa as a continent.
Prof Sibinga is a WHO expert involved in international short term consulting missions; medium and long term projects focused on the development of Transfusion Medicine in economically restricted countries in Asia, Eastern Europe, Central Asia, Africa, Western Pacific and the Middle East.
Prof. Cees Th. Smit Sibinga and I
Prof. Cees Th. Smit Sibinga and I

A lot has been invested in terms of resource on health in the continent with little impact and Africa being a toast of many investors has to be self motivated towards adequate care especially in health for her citizens.

Our focus of discussion centered around blood transfusion practices in Africa (His area of expertise) and diabetes (my passion ),we realized that so much needs to be done to step our health practices up to conform to international standards especially in Nigeria.

Nigeria is a large country with great prospect and promising health policies but implementation has been a major hindrance to quality health care delivery.
The World Health Organization’s activities deals directly with member nations and organizations hence whatever agreement signed at the World Health Assembly is binding on all member nations and as such must be implemented, likewise any feedback given by the member nations must reflect the true state of health affairs in the member country as that would be the blue print guiding WHO activity in such country.

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So what happens inbetween agreements, implementation and feedback: The Politics of Health;

So many questions ranging from if the Member nations especially developing countries abide by the  agreements signed at the World Health Assembly; if they give the true state of health in their respective countries as a feedback to WHO?
These questions are endless but from the few minutes interaction with Prof Sibinga i realized that the problems are not as cumbersome as thought and the solution is within reach.

Prof Sibinga said: “When you vote, you exercise your authority not just to choose your favorite candidate to govern your affairs for a particular period but also to represent your interest within that same period’
So, it is not just in us as individuals or as a nation to vote for personalities we love or adore but we also need to vote for policies and adequate representation especially in health care delivery across board.

It is imperative to note that once we are misrepresented at the international level as against the true state of health affairs or when policies end only on the papers then we need not scream isolation by the international community when in real truth the world can only help those willing to help themselves.
Interesting to note is that topmost on the agenda at this year’s world health assembly is Non Communicable diseases (click here) among which is Diabetes which has affected over 347million people worldwide (about 50% of those with diabetes are yet to be diagnosed; More than 80% of diabetes deaths occur in low- and middle-income countries; WHO projects that diabetes will be the 7th leading cause of death in 2030)

With all these knowledge at our fingertips it is important for all stake holders and health advocates to rise to the challenge of ensuring that proper health care policies and delivery are achieved at all levels of governance.
This is a clarion call to all health advocates especially at community level to also encourage the people to in addition to voting for personalities also consider policies that will make their health better and more secured.

We believe all governmental administrative structures from the community to national heads must be filled with people who stand for policies that will better the health and lives of the people
With this evolutionary mind set in view and in place we believe the African health care system will become more proactive.

 

 

HEALTHY HABITS TURNED LIFESTYLE: LESSONS TO BE LEARNT FROM GRONINGEN, THE NETHERLANDS.

HEALTHY HABITS TURNED LIFESTYLE: LESSONS TO BE LEARNT FROM GRONINGEN, THE NETHERLANDS

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Groningen is the main municipality as well as the capital city of the eponymous province in The Netherlands.

With a population of around 190,000, it is the largest city in the north of the Netherlands.
An ancient city, Groningen was the regional power of the northern Netherlands, a semi-independent city-state and member of the German Hanseatic League. Groningen is a university city: the University of Groningen and Hanze University of Applied Sciences each have about 25,000 students.

World Diabetes Day

With a background knowledge of Diabetes mellitus, or simply diabetes, being a group of metabolic diseases in which a person has high blood sugar, either because the pancreas does not produce enough insulin, or because cells do not respond to the insulin that is produced.

There are 3 main classifications of Diabetes Mellitus but for the purpose of this article we would major on Type 2 DM which makes up about 90% of cases of diabetes with the other 10% due primarily to diabetes mellitus type 1 and gestational diabetes.


Obesity is thought to be the primary cause of type 2 diabetes in people who are genetically predisposed to the disease. Type 2 diabetes is initially managed by increasing exercise and dietary modification.

Rates of type 2 diabetes have increased markedly over the last 50 years in parallel with obesity: As of 2010 there are approximately 285 million people with the disease compared to around 30 million in 1985.


Long-term complications from high blood sugar can include heart disease, strokes, diabetic retinopathy where eyesight is affected, kidney failure which may require dialysis, and poor circulation of limbs leading to amputations.
The acute complication of ketoacidosis, a feature of type 1 diabetes, is uncommon. However, non-ketotic hyperosmolar coma may occur

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But a proper diet and exercise are the foundations of diabetic care, with a greater amount of exercise yielding better results. A diabetic diet that promotes weight loss is important.
 Aerobic exercise leads to a decrease in HbA1c and improved insulin sensitivity. Resistance training is also useful and the combination of both types of exercise may be most effective.

Culturally appropriate education may help people with type 2 diabetes control their blood sugar levels, and also prevent type 2 diabetes.
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Groningen has been called the “World Cycling City”, since 57% of journeys within the city are made by bicycle. The city is very much adapted to the wishes of those who want to get around without a car, as it has an extensive network of segregated cycle-paths, good public transport, and a large pedestrianized zone in the city centre.

The transformation of the historic centre into a pedestrian priority zone enables and invites walking and biking by making these active modes of transport comfortable, safe and enjoyable. These attributes are accomplished by applying the principle of “filtered permeability”.

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It means that the network configuration favours active transportation and selectively, “filters out” the car by reducing the number of streets that run through the centre. While certain streets are discontinuous for cars, they connect to a network of pedestrian and bike paths which permeate the entire centre. In addition, these paths go through public squares and open spaces increasing the enjoyment of the trip.

The logic of filtering a mode of transport is fully expressed in a comprehensive model for laying out neighbourhoods and districts – the Fused Grid.
In the Italian TV programme of investigative journalism “Report” appeared a short film, considering the use of bikes in Groningen a good practice to emulate in Italy.

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My experience at The International Student Congress of (bio)medical sciences in Groningen is a typical example of a healthy habit turned Lifestyle, I was thrilled by the fact that a city can turn cycling a good means of daily exercise into a lifestyle and I was thrilled seeing kids cycling around.
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Nigerian Medical Students at the ISCOMS (From Ukraine and Nigeria)
I believe other countries like Nigeria can emulate this great healthy habit, the hot West African weather might not allow for cycling all day long but evenings are great time to cycle. So in the future, road constructions should have bicycle lanes; there should be subsidized rates on bicycles and importation of bicycles to Nigeria must be encouraged.
All these efforts will go a long way in creating healthy lifestyles for Nigerians thereby preventing and managing type 2 diabetes among Nigerians. Also I will suggest the Nigerian Government should encourage student research exchanges through adequate funding and motivation as this is instrumental to economic and academic development, as this exposure is one not easily forgotten.

 

DIABETES CARE IN NIGERIA : THE WAY FORWARD

DIABETES CARE IN NIGERIA : THE WAY FORWARD

On the 28th of April The Nigeria Diabetes Online Community and Diabeticare International in their usual style had a 1hour tweetchat that aimed at discussing the way forward in diabetes mellitus care in Nigeria.
There has been a progressive increase in the prevalence of diabetes mellitus in Nigeria and the burden is expected to increase even more. Considering this fact there is an urgent need to examine our healthcare systems, work on existing  programmes for persons with diabetes and effectively implement a process that facilitates accessibility to such.
This discussion that pulled interested participants from Nigeria and beyond was aimed at getting opinions and suggestions that are people oriented towards forging ahead in our clamour for quality health care services and delivery in Nigeria.

Five questions were thrown in the chat. Responses are summarized

1st QUESTION: On a scale of 1-10, how would you rate DM (Diabetes Mellitus) care in Nigeria and why?
Response Given;

Diabetic care in Nigeria is very poor because it is reactive rather than proactive. Prevention should be a key strategy

2nd QUESTION: how do you think NGOs can help with DM care and T2 (type2) DM prevention in your community?

Response Given;

Access to information & education is key. People can be empowered to be advocates for change in their own #diabetes communities
Education is key; insulin without education is like a car without a steering wheel and of course access to supplies is essential: affordability & availability are major issues in many countries, especially rural areas.
NGOs have more ability to influence education in a sustainable fashion and can help through health education programmes and the organisation of peer support groups for affected individuals
Crucial programs need to consider local customs & culture – involving #youth is essential!
Founders of t1 international and 100 campaign (international NGOs dedicated to T1DM CARE and promotion of access to insulin by all by 2022) our partners find it hard to believe that insulin is still so expensive – they believe insulin should be a human right.

3rd QUESTION: How can Health care providers enhance adequate support for people with D (diabetes)?

Response Given;
There should be more awareness and education provided in the communities
Pressure needs to be put on the pharmaceutical Companies – Diabetes is not a money making scheme
Connecting them to others. Empowering people to realize they can live a normal life, without limitations
By working together we can achieve this! We can learn from other movements. Strength in numbers & empowered groups
Individualising the treatment is key. Proper education of patients with Diabetes and making them partners in their own treatment

4th QUESTION: What role can the food, drinks and beverage industry play in DM care and prevention?

Response Given;
The food, drink and beverage industries need to be properly regulated!
Remember type1 is about a lack of insulin nothing to do with food types – watching food groups helps maintain better blood glucose control
Although food, drink & beverage industries do play a role in the lifestyles of people (& co morbidities), more sugar free alternatives of common beverages should be made available

5th QUESTION: In what ways can ‘WE’ increase community awareness on a large scale?

Response Given;
TV campaigns or radio jingles on Diabetes  happen to be important means of mass education and this can be  linked to a local community (health/ fitness) prevention event.
Empowering local role models with diabetes.
recognizing the basic symptoms and encouraging a healthy lifestyle for all
All forms of media (TV, Radio, Print, and Social) will help with the awareness. Currently very little is being done through them.

In lieu of this we at the Nigeria Diabetes Online Community hope to partner with individuals and organizations who see a need to propose and effect change in the Nigeria Healthcare system towards adequate Diabetes Care.
Thanks to all our Nigerian participants and our international friends who graced the meeting and also participated through great ideas and suggestions.

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