Wednesday, October 27, 2010

The Prevalence of Diabetes mellitus in Nigeria updates and challenges

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Diabetes mellitus is a metabolic disorder that affects the way the body handles basic food components like carbohydrates, protein and fats. This is mostly due to lack or abnormaly in action or effect of the hormone insulin.
Diabetes mellitus is old with man. Globally, there are different prevalent levels varying from country to country, race and ethnic groups. The International Diabetes Federation in its recent publication came up with prevalence and incidence values around different regions and countries of the World.
Nigeria with over 250 tribes and different culture and food values, the prevalence values has not been uniform though the International Diabetes Federation recorded 3.9% in its current Diabetes Atlas.
Over the past 30years the prevalence of Diabetes has been increasing steadily. In 1971, a hospital survey by Osuntokun et al in Ibadan estimated a prevalence of 0.4%; In 1989, while screening for Diabetes during a World Diabetes Day(November 14) in Lagos metropolis, Ohwovoriole et al found a prevalence of undiscovered Diabetes of 1.6%; A national survey in 1992 by the Non-communicable Disease Expert Committee of the FMOH recorded a prevalence of 2.2% (National)- Lowest 0.5% in Mangu, Plateau State and highest 7% in Lagos Island; A survey by Puepet 1994, in urban adults in Jos metropolis discovered a prevalence of undiscovered Diabetes to be 3.1%; by 2004, a second survey in Jos recorded a prevalence of 10.3%.
The progressive increase in the prevalence rates of Diabetes is associated with lifestyle changes; overweight and obesity, physical inactivity, alcohol consumption, dietary changes and cigarette smoking- factors that are potentially modifiable.
So much attention is being given even recently to Communicable diseases like HIV, Tuberculosis and Malaria at the detriment of the emerging epidemic of Non-Communicable disease like Diabetes, hypertension and heart disease. Over 30% of our elite population including decision-makers is Diabetic. More painfully so, the majority of the Nigerian Diabetic population cannot afford meaningful treatment; and over 80% of the healthy population are ignorant about Diabetes.
There is a need for more sponsored independent studies on prevalence and incidence rates around the different states of the Federation or geopolitical zones in collaboration with the Federal Ministry of Health, to ensure proper documentation for future references and to provide proper policy framework and guidelines for legislators. This is to help formulate appropriate health policies towards prevention and care for people living with diabetes and also to regularize and standardize the treatment guidelines. This is important and urgent because presently there is no nationally accepted guideline for management of diabetes in Nigeria like we have for malaria or Hiv infection.
These standards will help the patients because presently there are pools of information and misinformation even among health care professionals who have not been in touch with current realities and publications on diabetes management.
In some parts of this great country Nigeria, some health care professionals still advice persons living with diabetes not to eat any carbohydrate but only proteins when current research findings advocates use of complex carbohydrates and other food groups in moderate quantity.
The Federal government of Nigeria through the Federal Ministry of Health needs to quickly act through the Diabetes Association of Nigeria which have chapters in many states of the Federation and other stake holders associations and non governmental organizations to ensure uniformity of standards of care and practice.

10 comments:

  1. We at sunshine bookseller wish to introduce a book to you that will be of great benefits to your numerous members. It is titled "Speaking of Diabetes and Diet" written by Mehta. You can check details and make your order (Bulk order attracts discount) at http://www.sunshinebookseller.com/_item?item_id=195001

    ReplyDelete
    Replies
    1. I'm so exited to share my testimonies about the Good Work of Dr. Emmanuel who cured my Herpes virus with his herbs, I never thought that I will live on earth before the year runs out. I have been suffering from a deadly Herpes virus (HVS) for the past (4)years now; I had spent a lot of money going from one Hospital to another looking for way to get rid of this disease, the hospital have been my home everyday residence. Constant checks up have been my hobby not until this faithful day, I was searching
      through the internet, I saw a testimony on how Dr.Emmanuel helped someone in curing his Herpes virus using his healing
      Herbs, quickly I copied his email just to give him a test I spoke to him, he asked me to a preparation for the herbs items, of which I did exactly what he instructed me to do, he told me that he is going to provide the herbal cure to me, which he
      did, few days after i went back to the same hospital that previously confirmed me as Herpes virus positive and this time the result declared me negative to the deadly virus of Herpes virus....so I decided to share my testimony, that nothing is impossible with God, God use a man to healed me. No matter what you are passing through, no matter how deadly the sickness is and no matter what the situation is God that did mine is still going to do yours, suffering from AIDS, ALS,hiv/aids,copd, asthma.. Cancer,Hpv, any kind of disease, you can rich him now via ? Gmail address: ( nativehealthclinic@gmail.com) or WhatsApp number +2348140073965,doctor Emmanuel IG: @dremmanuel2

      thank you.

      Delete
    2. I have been suffering from (HERPES SIMPLEX VIRUS) disease for the past four years and had constant pain. During the first year, I had faith in God that i would be healed someday.This disease started circulating all over my body and i have been taking treatment from my doctor, few weeks ago i came on search on the internet if i could get any information concerning the prevention of this disease, on my search i saw a testimony of someone who has been healed from Herpes Simplex Virus by this by Dr voodoo and she also gave the email address of this man and advise anyone to contact him for any kind of problem that he would be of help, so i wrote to Dr voodoo telling him about my (Herpes Virus) he told me not to worry that i was going to be cured!! Though i never believed it,, well after all the procedures and remedy given to me by this man few weeks later i started experiencing changes all over me as the Dr voodoo assured me, after some time i went to my doctor for test and it confirmed that i have be finally healed behold it was TRUE, So friends if anyone have such problem and need help contact Dr voodoo on his email: voodoospelltemple66@gmail.com Add Dr voodoo on whatsApp +2348140120719

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  2. Nigerian scientists need to do more works on the epidemiology and control of diabetes with indigineous strategies. Consistent reduction of chemical(drug) misuse and change to junk foods should be emphasized. More research, production and consumption of prophylactic neutraceuticals sholud be encouraged by all in Nigeria - Iwuji, Samuel Chidi (FUTO)

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  3. All thanks to Dr Ederaro for curing my HERPES SIMPLEX VIRUS / HPV with his herbal medicine, i do not have much to say but with all my life i will for ever be grateful to him and God Almighty for using Dr Ederaro to reach me when i thought it was all over, today i am happy with my life again after the medical doctor have confirmed my HERPES SIMPLEX VIRUS / HPV of 5 is gone,i have never in my life believed that HERPES SIMPLEX VIRUS could be cured by herbal medicine. so i want to use this means to reach other persons who have this disease by testifying the power of Dr Ederaro that all hope is not lost yet, try and contact him by any means for any kind of disease with his email: ( drederarohealinghome@gmail.com ) or +2348158178729....

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    1. I was diagnosed of herpes 3 years, and ever since then i have been taking treatment to prevent outbreaks, burning and blisters, but there was no improvement until i came across testimonies of Dr. VOODOO on how he has been curing different people from different diseases all over the world, then i contacted him. After our conversation he sent me the medicine which i took according to his instructions for up to 2 weeks. After completing the medication i went back to my doctor for another test and the virus was all gone and i was completely cured, since then i have not had any signs of outbreak. I'm so filled with joy. With herbal medication Herpes Virus is 100% curable. I refer Dr VOODOO to everyone out there with the virus Email: voodoospelltemple66@gmail.com Add Dr voodoo on whatsApp +2348140120719

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  4. My name is Gwen Stacy Wailker , am here to appreciate Dr isiramen for using his herbal medicine to cure my Herpes virus. Is about 3 years and 6 months now I have been living with this virus and it has been a serious problem to me, I was so confused cause i have been taking several drugs to be cured but all of my effort was in vain,one morning I was browsing through the internet then I saw several testimonies about Dr. isiramen curing people from Herpes virus and immediately i contacted Dr. isiramen on his email: oyimeanelisiramen@gmail.com i told him about my troubles and he told me that i must be cured, he gave me some instructions and which i rightly followed. so he prepared a herbal medicine and sent it to me which i used for 2 weeks and i was cured everything was like a dream to me and my Herpes virus was totally gone, dr .isiramen, God bless you and give you more power and ability for more cure.I don't know if there is any one out there suffering for herpes virus or any of these diseases..DIABETES, CANCER, HIV/AIDS, HERPES HEPATITiS A AND B DISEASES etc. why don't you contact dr.isiramen today and be free from your diseases because he is very good and honest Doctor and he is also called the godfather of herbalism contact him via email; oyimeanelisiramen@gmail.com or whatsApp him on +2348117963221

    ReplyDelete
  5. I'm so exited to share my testimonies about the Good Work of Dr. Emmanuel who cured my Herpes virus with his herbs, I never thought that I will live on earth before the year runs out. I have been suffering from a deadly Herpes virus (HVS) for the past (4)years now; I had spent a lot of money going from one Hospital to another looking for way to get rid of this disease, the hospital have been my home everyday residence. Constant checks up have been my hobby not until this faithful day, I was searching
    through the internet, I saw a testimony on how Dr.Emmanuel helped someone in curing his Herpes virus using his healing
    Herbs, quickly I copied his email just to give him a test I spoke to him, he asked me to a preparation for the herbs items, of which I did exactly what he instructed me to do, he told me that he is going to provide the herbal cure to me, which he
    did, few days after i went back to the same hospital that previously confirmed me as Herpes virus positive and this time the result declared me negative to the deadly virus of Herpes virus....so I decided to share my testimony, that nothing is impossible with God, God use a man to healed me. No matter what you are passing through, no matter how deadly the sickness is and no matter what the situation is God that did mine is still going to do yours, suffering from AIDS, ALS,hiv/aids,copd, asthma.. Cancer,Hpv, any kind of disease, you can rich him now via ? Gmail address: ( nativehealthclinic@gmail.com) or WhatsApp number +2348140073965,doctor Emmanuel IG: @dremmanuel2

    thank you.

    ReplyDelete
  6. Happiness is all i see now I never thought that I will be cured from HERPES virus again. I have been suffering from a deadly disease (HERPES) for the past 3 years now, I had spent a lot of money going from one places to another, from churches to churches, hospitals have been my home every day residence. Constant checks up have been my hobby not until this faithful day, I was searching through the internet, I saw a testimony on how DR agaba helped someone in curing his HERPES disease, quickly I copied his email which is Dragabasolutionhome@gmail.com just to give him a test I spoke to him, he asked me to do some certain things which I did, he told me that he is going to provide the herbal cure to me, which he did, then he asked me to go for medical checkup after some days after using the herbal cure, behold I was free from the deadly disease, he only asked me to post the testimony through the whole world, faithfully am doing it now, please brothers and sisters, he is great, I owe him in return. if you are having a similar problem just email him on : Dragabasolutionhome@gmail.com or WhatApp: +2349074536486

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  7. The article written is really great and informative. will be looking further for these type of posts. Thanks.
    Diabetes mellitus

    ReplyDelete