Tag Archives: Diabetes

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

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>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

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.