Tag Archives: diabetes Nigeria

POLITICS OF DIABETES IN NIGERIA

The recent series of tweets by the USA senator and presidential aspirant, Senator Bernie Sanders, ‘attacking’ insulin makers, that followed a letter sent by him and his counterpart in the House of Representatives to the Department of Justice and Federal Trade Commission on the need for investigating insulin makers for price collusion was a result of his identification with diabetes (which runs in his family) especially during his campaign for Democrats nomination.

Bernie is not the only USA politician advocating on behalf of the People Living with Diabetes (PWD) , Senator Jenne Shaheen who is the leader of the US Senate Diabetes Caucus was quoted to be committed to ensuring that diabetes is a ” priority for legislation no matter what happens in the election” of 2012.  Her commitment could also be linked to her identification with her diabetic granddaughter.

Moreover, the revelation by the UK Prime Minister, Theresa May, on her Type 1 diabetes status in addition to the functional relationship between the UK Parliament and several diabetes groups in the UK points to the fact that fight for the people with diabetes is a major cause for UK politicians. The act of identifying with diabetes and other non communicable diseases by politicians is a common trend across the developed countries, and this has propelled them to advocating, legislating and making policies for the education, prevention, diagnosing and management of diabetes mellitus in their respective countries.

One of the tweets by Bernie Sanders on his twitter handle @sensanders reads “in the richest nation in the world diabetes patients are being forced to decide between eating and paying for the drugs they need”.

I was prompted to respond by comparing the condition of the people with diabetes (PWD) in poor and unstable nations with those in rich countries that are being sympathised with.

Also, my reaction to the letter by Bernie and his colleague on insulin price is by asking for who are to be the defenders for the “weak and helpless” people living with type 1 diabetes (PWT1D) in poor countries like Nigeria.

My last response was inspired by the attitude of politicians across Africa especially Nigeria where disclosure of true health status of politicians seems abominable whether they are being affected by common diseases or not.

Their practice is to embark on medical tourism to developed countries for treatment and management of such diseases secretly  while people only engage in speculation about their health status . For instance, former President Olusegun Obasanjo was forced to disclose his battle with diabetes over several number of years by his need to get votes for his successor who later died in government due to a then undisclosed ailment. This was at the tail end of his (Obasanjo) eight year tenure.

The failure of Nigerian politicians to identify with non-communicable diseases especially diabetes, by which many of them are believed to be affected, and their ability to travel abroad for treatment make them not to have any inspiration or encouragement to make any specific serious legislation, policy or advocacy that is needed to support the common people on the care and management of diabetes, as many are being afflicted and killed by the disease due to their helplessness.

This is evident in the absence of any specific health policy or program on diabetes, lack of appropriate medical facilities for diagnosis and care, inadequate funding for non-communicable diseases, shortage of diabetes specialists and caregivers, inadequate education on prevention and management of diabetes, absence of any parliamentary resolution on diabetes and absence of any regulation on access to and price of diabetic drugs, (especially insulin) among others.

However, according to International Diabetes Federation (IDF), as at year 2015 out of 415 million people living with diabetes in the world, 75 percent are in the poor and middle income countries with Sub-Sahara Africa accounting for 14.2 million . It is shown that prevalence rate of diabetes in Nigeria is 1.9 percent for adults and 3 out of 100,000 children while around 949, 900 persons are undiagnosed. Among 5 million people that die due to diabetes annually across the world Nigeria accounts for more than 40,000. Relatively, Nigeria leads in the number of incidence of and mortality rate from the disease in Africa.

Meanwhile, the current economic condition, a result of economic recession, in the country is making self management of diabetes unaffordable for the people living with diabetes.

The reliance on importation of all the much needed diabetic supplies,  continuous fall in the exchange rate of Naira to foreign currencies, galloping inflation and dwindling real income have all contributed to unaffordability and inaccessibility of the supplies most especially insulin.

The price of each of the items has skyrocketed to about 150 percent increase within a short period of eight months. Choosing myself as a typical sample of an average  person living with diabetes in the country , my monthly costs of supplies currently within Lagos metropolis could be broken down as follows :

Insulin ( Mixtard of 100 IU)              N5500 per vial

Syringes                                                       N2500 per pack of 100 units

Glucometer (Accu-chek Active)    N8000

Meter test strips                                    N4600 per pack

Diabetic multivitamin                        N3400

All these prices are only obtainable within Lagos which is the major commercial city in the country, but in other cities and towns most of the supplies are either much more costlier or not totally available. Meanwhile , my monthly income stands at around N25000 out of which I spend around N16000 on the supplies (64 percent) . The cost of transportation and other implicit costs are yet to be included.

Despite all the available statistics on diabetes, though actually underestimated because of absence of credible medical data gathering in the country, and the plight of the people living with diabetes in managing the condition there is no any serious political will on the part of policy makers, and in spite of signing up with Global Action on Non-communicable diseases, to help the people with diabetes out of the challenges being faced in the need to lead fulfilled lives, and reduce the level prevalence of the disease.

Nigeria is only chosen in this article as a reflective sample for all the poor and politically unstable countries of the world, which means that the conditions of the people living with diabetes in these countries, especially in Africa, need urgent and serious actions on the part of their politicians on supports for adequate management as well as on the need for measures for prevention to reduce the rate of prevalence.

So, the question still remains as who will fight for the ‘weak and helpless’ people living with diabetes in the poor countries?

Olafimihan Nasiru Titilope is living with diabetes can be reached on nasoola77@yahoo.com

 

The article posted is strictly the responsibility of the author. NGdoc  will not be liable for any errors, omissions, or any losses, injuries, or damages arising from its display or use. This article is featured on an as-is basis.

IDF POSTERS NOW IN OUR LOCAL LANGUAGES

We are excited to have the International Diabetes Federation Posters in our local languages. We believe these posters will go a long way to educate Nigerians most especially those in rural areas.

These posters are good for popular locations in the community like Churches, Mosques, Town Halls, Market squares, recreation centers and cultural centres.

If you are interested in making these posters available in your community, kindly send us an email thengdoc@gmail.com.

Below are the snapshots and thanks to our translators who made this possible.

WDD Hausa 1

WDD Hausa 2

WDD Hausa 3

WDD Hausa 4

WDD Yoruba 4

WDD Ibo 1

WDD Ibo 2

WDD Ibo 3

WDD Ibo 4

WDD Yoruba 1

WDD Yoruba 2

WDD Yoruba 3

Thanks to the International Diabetes Federation and our Awesome Translators: Oyewusi Oluwafemi, Chukuma Arinze and Zainab Mahmoud.

NOW LETS GET THE MESSAGE ACROSS NIGERIA!

More about The IDF can be seen here

SPARE A ROSE AND SAVE A CHILD

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Image credit @ConnectInMotion

Valentine is a season of love but for children around the world with type 1 diabetes, lack of access to insulin is
the most common cause of death.

And in some areas of the world, most children with diabetes can expect to live less than a year past their diagnosis date – if they’re diagnosed at all.

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This Valentine’s day, our community can help change that.

Under the Spare a Rose, Save a Child campaign, (a Diabetes Hand Foundation Campaign) we will help create awareness and gain donations and awareness for Life for a Child, an International Diabetes Federation program aiming to fund the continuous medical care, access to supplies and medication, and diabetes education that children in developing nations need to stay alive.

Spare a Rose, Save a Child
is simple:

You buy one less rose this Valentine’s Day and share the value of that flower
with a child with diabetes in the developing world.

Your loved one at home still receives flowers and you both give help to a child with diabetes who desperately
needs it.

A rose is about 5 bucks, for that one rose, IDF can give a child one month of life.

A dozen roses, a year of life for a child with diabetes. You can watch the video of how Lives have been saved by the International Diabetes Federation here

Click here to donate

Please note that all funds goes directly to the International Diabetes Federation Life For A Child Program.
Thank you.

For more information contact us on thengdoc@gmail.com

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STRATEGIES FOR IMPROVING DIABETES CARE IN NIGERIA (SIDCAIN) call for abstracts

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STRATEGIES FOR IMPROVING DIABETES CARE IN NIGERIA (SIDCAIN) call for abstracts for its 2014 Annual Scientific Conference and distinguished personality lecture holding in Ile-Ife from March 5th – 7th, 2014.

SIDCAIN was construed about 7 years ago with major objective of curbing the rising diabetes pandemic in the country through translational research. The core team comprises researchers in the field of diabetes and hypertension spread across the major tertiary institutions in the South Western States of Nigeria.

The team holds its annual non-communicable disease conference and distinguished personality lecture.

Previous events held in Ibadan, Osogbo and Sagamu whilst personalities such as Are Afe Babalola, Prof. John Idoko (NACA), former president, Chief Olusegun Obasanjo and Mr Dele Momodu (Ovation) have given the lectures.

The 2014 event will hold at the main Auditorium of Obafemi Awolowo University Teaching Hospital, Ile-Ife.
The event, as with the previous one will attract participants from all over the country and overseas.

THEME: Diabetes: Towards better Diabetes Prevention and Control

Sub-theme: DREAMS come true!

Distinguished Personality Lecturer: Dr Olusegun Mimilko, Executive Governor, Ondo State.
Keynote Speaker: Prof. Segun Fatusi, Provost, College of Health Sciences, OAU, Ile-Ife.
International Guest Speakers: Dr Dokun Ayotunde and Dr R Balogun (University of Virginia, VA, USA).

ABSTRACT SUBMISSION INSTRUCTIONS:
1. Abstracts should be in English language, typed double spaced, in Times New Roman font 12 and not exceeding 250 words.
2. Abstract should be structured into the following subheadings:

Statement of the research problem:::Objectives:::Methods:::Conclusions.
3. All abstracts must be received by Sunday February 9, 2014.
4. Submission is strictly by email to jokotade2012@yahoo.com or sidcainprojectteam@gmail.com

REGISTRATION

A. Doctors
Early registration before February 15th, 2014 – N15,000
After February 15th, 2014 or on site – N20,000

B. All other healthcare professionals:
Early registration before February 15th, 2014 – N12,000
After February 15th, 2014 or on site – N15,000

3. All Students
Early registration before February 15th, 2014 – N5,000
After February 15th, 2014 or on site – N8,000

NOTE: 10 CPD credits obtainable.

Registration payments to:
ACCOUNT NAME: SIDCAIN PROJECT ACCOUNT
BANK: GUARANTY TRUST BANK
ACCOUNT NO: 0050055367

For futher enquiries, contact:
1. SIDCAIN via sidcainprojectteam@gmail.com www.sidcain.org
2. Dr Jokotade via jokotade2012@yahoo.com
3. NGDOC via thengdoc@gmail.com

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DIABETES AND PREGNANCY

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Pregnant women who have never had diabetes before but have high blood glucose (sugar) level during pregnancy are said to have Gestational Diabetes.

It is a condition in which women without previously diagnosed diabetes exhibit high blood glucose levels during pregnancy (especially 3rd trimester).

Gestational diabetes (GDM) affects about 3-10% of pregnancies. After delivery about 50-60% of women with GDM are found to develop Type 2 diabetes within 10-20 years.

Gestational diabetes is caused when insulin receptors do not function properly.
This is likely due to pregnancy related factors such as Human Placenta Lactogen (HPL) that interferes with susceptible insulin receptors(insulin resistance) ,thereby increasing blood sugar.

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Pregnancy itself is stressful and diabetogenic due to increased production of pregnancy hormones that are insulin antagonists e.g cortisol, placenta insulinase, estrogen, progesterone, etc.

Some identified risk factors for Gestational Diabetes includes:

Previous Gestational diabetes, impaired glucose tolerance, Impaired fasting glucose.
Family history revealing a first degree relative with type 2.
Maternal age >35yrs
Overweight, obese or being severely obese increases risk.
Previous pregnancy resulting in a child with macrosomia.
Previous poor obstetric history.

Symptoms:

Typically, women with GDM exhibit little or NO symptoms (another good reason for universal screening) but some can demonstrate the well known diabetes symptoms such as:

increased thirst (polydipsia), increased urination (polyuria) , polyphagia, fatigue , nausea, vomiting etc.
Some also have urinary tract infections, history of repeated abortions, stillbirth(s), or delivery of oversized babies.

How Gestational Diabetes Affects You And Your Baby.

GDM poses a significant risk to mother and child. This risk is largely related to uncontrolled high blood glucose levels and its consequences.

Prompt recognition and care results in better control of these sugar levels and will reduce some of the risks considerably.

Fetal Risks:

Abortions, polyhydramnios-due to large placenta, fetal size and its sequelae.

Macrosomia (fetal weight>4kg), which in turn increase risk of instrumental deliveries (forceps,ventouse) or problems during vagina delivery(shoulder dystocia).
Preterm labour.

Intrauterine fetal death in the last 4wks due to ketosis, hypoglycemia, placenta insufficiency.

Neonatal morbidity and mortality due to respiratory distress syndrome, jaundice, hypoglycaemia,hyperviscosity,hypocalcemia.

Maternal Risks:

Pregnancy induced hypertension,Urinary tract infections and puerperal sepsis,obstructed labour,deficient lactation.

How can Gestational Diabetes be managed?

SIMPLY CONTROL YOUR BLOOD SUGAR

This can be achieved by using special meal plans (diabetic diet), scheduled physical activities (Exercise).

Dietary modifications are extremely important as a total of 1800calories/day and restriction of carbohydrate to 200g/day with less fat, more proteins and vitamins is advised.

Carbohydrate intake should be limited in the morning because of high blood glucose levels between 3-9am resulting from diurnal variant in plasma cortisol and glucagon levels.
Though,there are individual variations, endeavor to discuss your meal plan with your dietician and endocrinologist who will prescribe the appropriate insulin regimen.

The goal of treatment is to reduce blood sugar within normal limits thereby improving perinatal outcomes.

Frequent antenatal visits and foetal monitoring is strongly advised.


You don’t have to lose that pregnancy or suffer morbidities, though it might be true that after child birth you are free of gestational diabetes but while you still carry that baby———CONTROL YOUR DIABETES !!!

Ojo Oluwatosin

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It is generally advisable that all pregnant women be screened for gestational diabetes at health facilities.
For more information kindly send us an email thengdoc(at)gmail.com.

The World Diabetes Congress (Melbourne 2013)

The World Diabetes congress of the International Diabetes Federation took place at the Melbourne convention and exhibition centre, Melbourne, Australia from the 2nd to 6th of December, 2013.

The Mebourne Convention and Exhibition Center
 THE MELBOURNE EXHIBITION AND CONVENTION CENTRE

The world diabetes congress is a unique opportunity that brings together health care professionals, researchers, policy makers, people with diabetes, their families and carers.

Over 10,000 delegates were there to raise awareness on diabetes and its impact by convening at the global diabetes community to exchange research and best practices on diabetes prevention, treatment and management.

Registration Stand
PRE-REGISTRATION STAND

The international Diabetes Federation (I.D.F) is an umbrella body organization of over 200 national diabetes associations in over 160 countries. It represents the interests and the growing numbers of people with diabetes and those at risk. The Federation has been leading the global diabetes community since 1950. IDF’s mission is to promote diabetes care, prevention and a cure worldwide.

Diabetes
DIABETES 

The Sessions were inspiring with a lot of focus on mobile health and the use of social media as an important tool for diabetes awareness, prevention, peer support and care.

A lot of interactions, partnerships and social networking on adequate awareness, proper preventive measures and care aimed at improving the quality of lives of people living with diabetes was the centre piece of every session, symposium, presentation and even social activities .

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The Global Diabetes Online Communities (DOC) showcased at the World Diabetes Congress

We wish to appreciate CHEVRON NIGERIA for sponsoring 3 Final year Medical Students of the Olabisi Onabanjo University who were presenters at the World Diabetes Congress in Melbourne and volunteers  and the co-founder of The Nigeria Diabetes Online Community

CHEVRON NIGERIA
CHEVRON NIGERIA

In a system where most corporate organizations would rather support or endorse celebrities and established personalities and elites, it is noteworthy that by Chevron Nigeria extending its corporate and social responsibilities to student researchers it has reinforced its commitments to a brighter and greater future for Nigerians most especially for People living with Diabetes in Nigeria who were fully advocated for at the world diabetes congress.

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One of the Recipients of Chevron Nigeria’s Sponsorship for the International Diabetes Federation World Diabetes Congress

PHOTO SPEAKS

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The Great Britain DOC, Australia DOC And Nigeria DOC

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Elizabeth Rowley of T1 International, the Ugandan diabetes association President and Adejumo Olamide (Medical Student OOUTH)

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Just before the MHealth symposium”WORKING TOGETHER TO DELIVER DIABETES CARE THROUGH MOBILE HEALTH”

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IDF President Sir Micheal Hirst Giving the Presidential Address

DIABETES CONVERSATION MAPS

DiabetesConversation Maps

If you are a healthcare provider with interest in utilizing the IDF Diabetes Conversation Maps for educative purposes at your center kindly mail us at thengdoc@gmail.com

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Listening to words of wisdom from IDF Ambassador, Rights and Responsibilities of People living with diabetes with IDF Youth Leaders – Cajsa Lindberg

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From Left to Right: Ms Arubuolawe Tosin (Medical Student OOUTH), Mrs Talabi (Talabi Diabetes Center), Dr Adeshina (Consultant diabetologist, Federal Medical Center Abeokuta), Dr. Chinenye (President, Diabetes Association of Nigeria), Chief Olumuyiwa Talabi (Founder and Patron of Talabi Diabetes Center), Ms Titilope AKinlabi (Medical Student OOUTH)

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Diabetes Association of Nigeria President Dr Chinenye delivering his presentation at the world diabetes congress

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The Melbourne Declaration with Madam Bongi Ngema-Zuma the 1st Lady of South Africa and  Patron & Chairman of the Bongi Ngema-Zuma Foundation an organization dedicated to see a South Africa where diabetes ceases to be a killer due to lack of awareness. For more information about the activities of Her Excellency’s organization visit here

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Cross section of delegates from Nigeria at the world diabetes congress.

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The 8 roles of the International Diabetes Federation (IDF) for more information, visit the IDF website here

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Social Media has been agreed to be an important social support system for people living with diabetes and it is important for healthcare providers to join in the paradigm to provide technical support for the growing social media platforms used by people living with diabetes for regular communication.

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Cross Section of Participants and Presenters at the Internet, Social Media and community presentation (The Ozdoc and Dedoc)

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People trying to get into the Social Media Presentation reflecting the desire of people to get involved in the communities that provide social support for people living with diabetes. For more information on the Global Diabetes online communities visit here

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With Sir and Mrs Hirst

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THE IDF YOUTH LEADERS. More about the IDF Youth Leaders can be found here

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The IDF Youth Leader President Keegan and Ashley Ng (Watch Ashley’s speech at the Diabetes Vic Corroboree here)

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At the Australia Diabetes Online #dmeetup (from social media to real life meeting)

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At the Australia Diabetes Online and IDF youth leaders #dmeetup (from social media to real life meeting)

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At the Australia Diabetes Online #dmeetup (from social media to real life meeting)

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I was about moving in for a social media symposium when Catherine Forbes asked me: “are you with @theNGdoc” i turned surprised, said yes and we hugged almost immediately. We were joined almost immediately by @Ashiekitty  and @diabetescounsel (From Social Media to Real life Meeting) the power of social media is awesome and its borderless nature brings out a global community of wonderful people united by #Diabetes.

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SucreBlue, Renza, GBdoc and @hadejumo

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With Carrie Hetherington the winner of the best international contribution in the NGDoc world diabetes day essay. Her Essay write up can be found here

At the World Diabetes Foundation Stand

At the World Diabetes Foundation Stand

100 NIGERIAN FEMALE ADVOCATES IN 100 DAYS

100 NIGERIAN FEMALE ADVOCATES IN 100 DAYS

 blackspeakers

>In 2009, the International Diabetes Federation (IDF) launched the Women and Diabetes Programme, to build global support for women living with diabetes.
There were an estimated 151 million women with diabetes in 2011 and this number is expected to rise to 275 million by 2030.
As a federation of over 200 MAs in over 160 countries, IDF is in a unique position to promote the women and diabetes agenda.

The Women and Diabetes Programme aims to:

Build the evidence base Raise global awareness and commitments Strengthen gender responsive health systems Empower women as key agents in the fight against diabetes.
The aims of the Women and Diabetes Programme are framed within the commitment IDF made to the UN Every Women Every Child initiative, which was launched by the UN Secretary General to put into action the Global Strategy for Women’s and Children’s Health:

“The International Diabetes Federation commits to increase recognition of the linkages between diabetes and related non-communicable diseases (NCDs) and women and children’s health, support the integration of diabetes into existing health systems and maternal and newborn child health initiatives, and empower girls and women to prevent diabetes in current and future generations”.

IDF WOMEN AND DIABETES PROGRAMME ACTIVITIES

Activities of the Women and Diabetes Programme fit within four broad categories:

Global awareness & advocacy: At the national and global levels, advocate for women and diabetes as a priority global health and development issue.

Building the evidence base: Epidemiological, qualitative and health systems research of the direct and indirect burden of diabetes on girls and women.

Best practice projects: Combine research and in-the-field interventions to establish models of diagnosis and care for women with diabetes and to improve their health outcomes.

Knowledge sharing: Organise and participate in side-events, meetings and conferences with other experts and stakeholders in the field of diabetes”.

Ife Barracks(1)Living with Diabetes is hard on women and its burden on women is unique because the disease can affect both mothers and their unborn children.
Diabetes can cause difficulties during pregnancy and delivery such as large sized babies, miscarriage or a baby born with birth defects. Women with diabetes are also more likely to have a heart attack, and at a younger age, than women without diabetes.

For women who do not currently have diabetes, pregnancy brings the risk of gestational diabetes. Based on recently announced diagnostic criteria for gestational diabetes, it is estimated that gestational diabetes develops in 18 percent of all pregnancies but disappears when a pregnancy is over.

Women who have had gestational diabetes or have given birth to a baby weighting more than 9 pounds are at an increased risk for developing type 2 diabetes later in life.

We at the Nigeria Diabetes Online Community believe in Female education and empowerment towards adequate Diabetes care and quality health delivery.
Hence, we plan to motivate 100 females who are ready to raise awareness about Diabetes in their communities.

So if you are a female or a female youth leader passionate about Diabetes Care and Prevention in Nigeria, enthusiastic about change in your community and you wish to create awareness about diabetes in Nigeria via social media thereby reducing its prevalence and the stigma associated with it.

Please feel free to contact us on thengdoc@gmail.com

References
International Diabetes Federation American Diabetes Association

Uncontrolled Diabetes and its Complications

Uncontrolled Diabetes and its Complications

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 Uncontrolled Diabetes and its complications

If blood sugar is consistently high, over time it can affect the heart, eyes, kidneys, nerves, and other parts of the body. Most people living with uncontrolled diabetes don’t realize that they have a higher chance to suffer from certain conditions until the symptoms begin to manifest.

These other conditions that manifest along side diabetes are often referred to as Complications of diabetes.
Factors that increase the risk of developing complications include: Excessive alcohol intake, Smoking, Obesity, Lack of regular exercise.   Uncontrolled diabetes affects many major organs, including the heart, blood vessels, nerves, eyes and kidneys and when this occurs, it can lead to certain conditions such as: Heart diseases and Stroke; Retinopathy and Eye complications; Kidney Diseases; Foot ulcers and Infections.

Other diabetes related conditions are: skin infections, sores and itching; dental diseases e.g. Gingivitis, periodontitis; Dementia and depression, hearing loss etc.

Uncontrolled Diabetes and the respiratory system:
The effects of protective proteins on the surface of the lungs are neutralized leading to a higher risk of influenza, pneumonia, tuberculosis.

Uncontrolled Diabetes and the Genitourinary system:
Women with Uncontrolled diabetes are said to face a higher risk of urinary tract infections and these are relatively more difficult to treat.
Relationship between Uncontrolled Diabetes and certain heart conditions:

The term “Diabetic Heart Disease” (DHD) refers to heart disease that develops in people who have Uncontrolled diabetes. Examples of heart conditions involved in DHD include: Diabetic Cardiomyopathy (enlargement of the heart muscles) , Heart failure (a condition in which the heart fails to function as a pump), Coronary Heart disease (narrowing of the blood vessels that supply oxygen rich blood to the heart) etc.

Effect on blood vessels and nerves:
Damage to blood vessels that nourish nerves causes tingling, numbness, burning or pain that usually begins at the tips of the toes or fingers.

Effect on the kidneys:
Uncontrolled diabetes can damage the delicate filtering system of the kidneys and can lead to kidney failure or irreversible end-stage kidney disease.

Effect on the eyes:
Diabetic retinopathy potentially leads to blindness and increases the risk of other serious vision conditions such as cataracts and glaucoma.

Effect on the skin, gums, feet and other organs:
Uncontrolled Diabetes may leave one more susceptible to skin problems, including bacterial and fungal infections. Nerve damage in the feet or poor blood flow to the feet increases the risk of various foot complications e.g. blisters and serious infections.

Gum infections also may be a concern, especially if you have a history of poor dental hygiene. Uncontrolled diabetes may also lead to lower than normal bone mineral density, increasing the risk of osteoporosis.

The complications of diabetes are far less common or severe in people who have well controlled blood sugar levels and blood pressure. The good news is that the risk of developing complications is greatly reduced by healthy eating, regular physical activity, well controlled Blood Pressure, reduced stress etc.

It is also very important to follow your treatment plan for diabetes and see your doctor for ongoing care. For those who already suffer from Diabetes related conditions, follow the treatment plan as is advised by your healthcare providers.
This may help avoid or delay further serious problems.

This Article is written by Ella Awele Nwaokolo a student of medicine and surgery of the Olabisi Onabanjo University Teaching Hospital, Ogun State, Nigeria.

To be a guest blogger on the Nigeria diabetes online community blog kindly send your articles to us on thengdoc@gmail.com , follow us on @theNGdoc and like our Facebook page

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