Diabetes Type 2 incidence or prevalence is 8.6% in the adult population above the age of 18 years.
Worldwide the month of November dedicated to Diabetes awareness campaign.
In 2015 IDF issued data, which states 415 million adult population (20-79 years) have Diabetes Type 2.
International Diabetic Federation (IDF) forecasted by the year 2040 there will be 642 million Diabetes Types 2 patient in adult (20-79 years) population.
By Mahmood Hussain 09th November 2017 write article and blog are to be published at www.babyfirst.com.pk BABY FIRST PAKISTAN and on Facebook/babyfirstPakistan and other social media such as LinkedIn, Twitter and so on. The writer is from Karachi, Pakistan Currently he is in Philadelphia, USA.
World Diabetes Day is observed on 14th November of each year. Now the Diabetic week has started, we all need to create and play our role in terms of creating awareness.
Diabetes is currently one of the biggest global health problems and this will persist during remaining 21st century. The number of the sufferer from diabetes will increase in coming years.
The people suffering from diabetes need to alter their lifestyle to have Quality of Life (QOL) and increase their lifespan.
People with diabetes are at higher risk of serious health complications and increase the risk of early death. Reported by NHS
Diabetes Type II is a chronic disease/condition which needs lifetime management. The patient needs to be educated and made aware he or she will have to live with it for the entire life. In diabetic condition, the pancreas is unable to produce sufficient insulin (a hormone which regulates blood sugar level in the body) or the body is unable to properly utilize the insulin production in the body.
In Pakistan diabetes Type II prevalence is higher than the global current situation.
In Pakistan currently, Diabetes Type II prevalence is 11.8%. It is higher in urban areas it is 14.81% and in rural area it is recorded as 10.4%
The prevalence of type 2 diabetes mellitus in urban areas is 14.81% and 10.34% in rural areas of Pakistan.
If in diabetes, blood sugar level is not maintained or do not remain within the recommended level, this may affect the vital organs of the body and will lead to further complication in the later years of life.
Considering this scenario, all the stakeholders which mean individual diabetic patient, community, health care system and the Government will have to work to deal with this crisis.
Diabetes is like ticking time bombs which are bursting/exploring from time to time. This needs to be managed on long-term among the individual suffering from diabetes.
Currently, diabetes Type2 is term as a severe crisis and this trend will last for another 80 or more years.
Considering the currently Red Alert situation for diabetes and the same will persist for another three to four decades to come. I thought it is essential to write another article/blog on World Diabetes Day which will be held on 14th November. I have already written earlier few articles on diabetes Type II and how to live healthily with it on www.babyfirst.com.pk or BABYFIRST PAKISTAN. and www/mahmood-hussain.com
How to protect or delay diabetes. Below listed are few of the essentials to be followed:
- Eat healthy and nutritious food.
- Follow regular physical activities
- Watch your weight means not to be overweight and avoid at all cost to be obese.
- Immediately stop smoking if an individual smoke.
- Refrain from taking wine or alcohol
Considering the trend of Diabetes Type 2 (20-79years) from 1980 till to date that is 2017 worldwide, the situation is highly alarming and will persist upto the year 2040 and so on. This is reported by IDF and WHO.
In the year 1980 total recorded adult Diabetic Type 2 patient was 108 million and in the year 2014 it was 422 million adults (20-79 years).
Diabetes Type II has evolved by nearly 400% during past 35 years. It is further forecasted by the year 2040 the figure will be 642 million Diabetic Type 2 patient above the age of 20 to the age 79 years.
Prevalence or occurrence of diabetes is found to be more in the middle and low-income countries in the world. This is observed, the incidence of Diabetes Type 2 is more among underdeveloped countries, such as our country Pakistan is among them and these also includes SARRC region, which is mostly comprised of low income 8 countries
If diabetes is uncontrolled, which means blood sugar level is not within normal recommended range, then it mostly affects the vital organs of the body. These include such as heart failure or cardiac-vascular disease, renal failure, stroke. Secondly, this may also lead towards the blindness & amputation of the lower limb.
In 1980 prevalence of Diabetes Type 2 in adults was 4.7%.
In 2014 its prevalence or incidence recorded 8.5% among the adult population.
Diabetes Type II worldwide situation in the year 2015.
- It is 415 million adult patients reported by IDF in the age group 20-79 years. World population in 2015 estimated is 7.35 billion.
- This above figure translates into 9% adult suffer from Diabetes Type II.
- The second issue is 46.5% adult diabetic patient are undiagnosed.
- 12% of the world health expenses that translate into $675 billion USD are spent in 2015 on treatment and diagnosis of diabetes.
- Many diabetes type II adults worldwide have impaired glucose tolerance (IGT) which are undiagnosed, this translates into 318 million adults, they all are categorized which carry greater risk and will be also listed as diabetes patient.
- 75% of diabetic people live in low and middle-income countries. Pakistan falls into the category of poor countries and same applies for all 8 countries listed in SARRC region.
- 5 million deaths are reported annually who suffer from diabetes.
IDF forecasted by the year 2040 there will be 642 million adult diabetic Type II patients. The overall population for the year 2040 will be 9.25 billion. Once a person is labeled or diagnosed as a diabetic patient. He or she needs to live with it for their entire life, as per current treatment regimen. The expert forecast the occurrence of diabetes Type II will be on the rise in future.
One of the major factors is the mass migration of people from rural to urban areas and finally to megacities. This people migration is in search of better job and facility, but this comes along with job pressure, workload, responsibility to meet all ends and anxiety. This leads to disturbing lifestyle, eating patterns and may also towards sedentary lifestyle
Patient suffering from diabetes type 2 in the adult can be managed and have the quality of life by following the below-mentioned list:
- Eating healthy, balance and recommended the nutritious diet.
- Regularly taking prescribe medicine by the consultant physician or endocrinologist.
- Monitoring of blood sugar level regularly once or twice a week at home by glucometer.
- Continuous screening of the essential parameters in blood,
- Regular physical activities
- If a patient has any secondary or associated symptoms very commonly associated are high blood pressure or arthritis and so on then follow the treatment compliance.
- Keep a vigilant check on body weight.
- The regular visit to your doctors and follow his or her advice
Diabetes is three types such as:
Diabetes Type 2 which is found in the adult population from age 20 to 79 years.
Diabetes Type 1 or refer to juvenile diabetes, this is diagnosed in children and young adults.
Gestational diabetes is developed among females during the pregnancy. It is reported that this may also lead to high blood sugar levels during pregnancy. If properly not managed or taken care may likely to affect both the mother and baby.
Diabetes in women.
It effects in the ratio of 1:10 in women who suffer from diabetes. They are living in the denial stage and ignorance because they are mostly uneducated and have not access to health care services, treatment, and care.
In the ratio of 1:7 pregnancies are likely to have gestational diabetes. It is essential to educate pregnant women, they should have accesses to screening if needed than to be treated to protect the health of the mother and to her right to deliver the healthy baby.
International Diabetic Federation (IDF) announced in the year 2017 World Diabetes Day will focus on: “women and diabetes.”
On International Women Day which was observed on 08th March this year, IDF announced this year theme for World Diabetic Day is “Women and Diabetes – Our right to a healthy future”.
As per report issued by IDF in the year 2017 more than 199 million women are affected by diabetes. They forecasted by the year 2040 approximately 313 million women will be affected by Diabetes Type
Pakistan is a poor country, it is my country of residence and is listed among poor and underdeveloped countries. Male gender dominates the society and communities in these countries. This gender discrimination influences vulnerability to diabetes and access to treatment and health services. Due to this discrimination factors, diabetes in women and will further aggravate diabetic condition among these countries. Diabetes is ranked the ninth leading cause of the death among women worldwide which result in 2.2 million death of women each year from Diabetes Type II.
Due to poverty and prevailing socioeconomic condition in underdeveloped and in few developing countries, as well in the male dominant society, this creates a barrier for women and girls to access the quality healthcare service and appropriate treatment. This inequality of treatment due to socioeconomic and gender discrimination creates barriers. This result in inappropriate and late detection of diabetes, clinical assessment. Secondly, comply/follow the treatment regimen and care especially among women. Beside these factors, which further aggravate diabetes incidence among women are poor diet, non-nutritious food, lack or no physical activity, use of tobacco and alcohol.
Article written by Mahmood Hussain for www.babyfirst.com.pk ,Baby First Pakistan for social media such as website, Facebook, LinkedIn, twitter etc.