Saturday, June 11, 2011

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Tuesday, May 31, 2011

Therapeutic Diabetes Education a necessity to check the trend of Diabetes Epidemic

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Therapeutic Diabetes Education a necessity to check the trend of Diabetes Epidemic
Apollinaire Bouchardat 1883
Appollinaire Bouchardat in his book Le Diabètè sucrè published in 1883, was the first to promote urine self testing for glucose as a basis for management of persons with t ype 2 Diabetes. He recognized the need for involvement of the individual living with diabetes in management.
Jean Philip Assal in the 1970s introduce the essential role of patient education as a therapy for diabetes. He structured diabetes education involving specialist and this brought about the revolution in many diabetes units in many hospitals and eventually to the founding of EASD many years ago.
The management of diabetes today could be hinged on four cardinal principles, these include: Diet, medication, exercise and patient education. These principles are anchored on education. The extent of involvement of education as a therapy in many health institutions managing diabetes vary across the various continents and countries alike.
In the USA, considering the huge budget diabetes has placed on her health care services, patient education has effectively been introduced as a therapy in many health centres managing diabetes the result is better control and understanding of diabetes by the patient. In many countries of Europe, it is gradually being introduced in to their health care systems, especially the Diabetes Conversation Map Tool kit has helped to make this integration easy and effective.
In the middle east, awareness about diabetes is on the increase. This will be climaxed by the International Diabetes Federation (IDF) congress taking place in Dubai later part of year 2011. Many Governments in these region need to make a statement regarding diabetes management and incorporation of diabetes education as a therapy towards better management and control.
In Africa, the story is not the same. North African countries have better diabetes awareness and diabetes education has long been introduced into their diabetes management programmes, though much need to be done in area of training and renumeration for diabetes Educators who are scarce and unrecognized in most cases. In sub-Saharan Africa their seems to be no recognition of diabetes educators, though with some improvement in East Africa, but in west Africa, much needs to be done. Diabetes Education is mostly carried out by persons not fully equipped to deliver the content in line with standard diabetes curricula as outlined by IDF, hence there is no uniformity of standard, the result is wrong teaching based on what the health educator feels or think he knows about diabetes.
Diabetes is a giant that should not be treated with kids glove. It is complex disease, in which research has shown in clear terms that though not curable yet but can be managed and the person living the disease can enjoy a full life.
With the forth coming UN summit on NCDs coming up in New York in September, 2011, the world need to rise to the challenge diabetes is posing with over 285 million persons world over living with this condition and a quarter of this figure are unknown. The awareness programmes currently channeled towards HIV/AIDs, if half of it is focused on diabetes and other non communicable diseases, millions of lives will be saved and money expended on management will be used for other daring needs.
Doctors, Pharmacist, Nurses, Nutritionist and \Dieticians and other members of the health care profession need to understand that management of diabetes is a team work and there is a need to under go some forms of training to effectively deliver diabetes education to patients. It is important to always note that Diabetes Education as a Therapy in management of diabetes, however there need to be standard in the curricula. It must be inline with current practice and guideline by the International Diabetes Federation.

Wednesday, April 20, 2011

Living with Diabetes and participating in Elections

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Diabetes is a chronic disorder in which the body loses its ability to effectively utilize glucose for production of energy due to abnormally with insulin function or action.
Living with diabetes is a daily challenge. It requires an individual understanding the physiology of his or her body. The total glucose level of an individual is a combination of what is eaten and the time the food is consumed.
Diabetes does not stop one participating in any Endeavour of life however, the individual need to adopt special approach towards planning to carry on with daily routine.
The Elections period is here, however, participating in the election to avoid a problem requires some careful planning on the part of anybody living with diabetes.
For a person living with diabetes, before going for elections, the person needs to know what is the state of the blood sugar, take breakfast and drugs or insulin before and go to the polling station with snacks. If the person is on insulin, launch pack must be carried along to avoid complications like hypoglycemia which is an emergency and considering that it is crowd, wrong decisions may be taken during such eventuality.
The authorities conducting elections should have a plan for people with diabetes and other health challenges and get necessary first aid measures readily available at polling centres.
Living with diabetes does not stop an individual participating in election but wrong planning could

Saturday, February 26, 2011

Conversation Map Integration into Health Care Systems-NIGERIA

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The importance of Education towards effective and collective management of a person living with diabetes can not be overemphasized. With recent research publications on the improved glycemic control in patients who encounter educational intervention.

The escalating prevalence of type 2 diabetes is threatening to undermine healthcare systems throughout the world.The latest Internationl Diabetes Federation(IDF) estimates suggest that 380 million people will be affected by 2025, with one person dying every 10 seconds. Diabetes is increasingly a problem in developing regions of the world, where the number of people affected has risen dramatically in recent years. At the beginning of the 20th century, diabetes was rare in Africa, but with the rapid urbanization and change in social life style in the 21st century there has been a rise in the disease and its complications.
One of the most effective weapon to fight this global epidemic is Education. A potent tool to fight ignorance which is further fueling this epidemic of diabetes. The type of education is that which involves the patient discussing his or her experience in a learning atmosphere while learning as well. In other words a participatory learning process.
Healthy Interactions USA INC. came up with Conversation Map TM Tool for engaging patients in useful conversations about there experience and with useful guide of a trained facilitator, wealth of learning takes place and the commitments made by patients are more lasting.
With the introduction of Conversation Map Training Tool into the Nigerian Health Systems, how well can it be sustained? Is a silent question with no tangible answer.
Eli Lilly sponsored some Trained Conversation Map Expert Trainers to conduct a noble scheme. The trained about 72 diabetes Educators from across the six geopolitical zones of Nigeria all converged in Abuja, Nigeria. With this training, the 72 persons comprising doctors, pharmacists, nurses, lab scientists, social workers among others were empowered to train patients. This will definitely have a multiplier effect on their various glucose controls. However, the various diabetes educators need to be encouraged to do more in their various localities. The Ministry of Health should make special allocation towards building capacity from primary health care level to Tertiary level to enable prompt education of patients. The major problem of break down of this scheme is finance, in terms of transport and logistics for the educators and need for re-training.
Conversation Map Tool should be deployed in all our health institutions to help us reduce the statistical predictions of prevalence rate estimates in few years ahead. Currently, the Map is made in English language, French and Arabic. We need them translated to our local languages in various geopolitical zones to enable effective use for optimum benefit. With strong political will, this is possible.

Monday, December 20, 2010

Diabetes aids, articles, financial matters etc: Diabetes Education in Middle-age Schools

Diabetes aids, articles, financial matters etc: Diabetes Education in Middle-age Schools: "New! Diachieve Brand Diabetic Supplies & Health Products EasyHits4U.com - Your Free Traffic Exchange - 1:1 Exchange Ratio, 5-Tier R..."

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Diabetes Education in Middle-age Schools

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Diabetes Education is a recent phenomenon which is an ingredient for Diabetes prevention strategies. The relevance of Diabetes Education cannot be by any means overemphasized. It is relevant to health care professionals, persons living with diabetes, relations of persons with diabetes and those at risk of developing diabetes.
Majority of the damages posed by diabetes is fueled by ignorance which can be effectively cured with education. Schools are environment for learning both moral and academic. It is the environment where peers are much influenced. This is the breeding ground for poor hygiene and eating habits and lifestyle that are on a long run injurious to the body wellbeing. This is the avenue where most smokers where given birth to!
Introducing diabetes education to school curricula is indeed a necessity to help address some of these ills at infancy. Diabetes Education does not involve diabetes matters alone but useful information on how best to enjoy a healthy life style.
Seasoned expert trainers should be sponsored to carry out trainers training to enable reach out to majority of persons living with diabetes presently and to help fight the damage ignorance is posing to those already with diabetes and those at risk of diabetes.
Diabetes education in middle age schools will automatically assist the school in meal planning; there will be appropriate regulation of beverage and fast foods vendors in around school environment and general consciousness on healthy living techniques.
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Saturday, December 11, 2010

DIABETES AND HYPERTENSION THE RELATIONSHIP

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Hypertension is a cardiovascular disease which has been with man for a long time. Most people in the medical palance view hypertension as a twin of diabetes. Hypertension is twice as common in diabetes as in the general population and affects some 10 – 30% of type 1 and 30 – 50% of type 2 diabetic patients. It is also present in about 20 – 40% of people with impaired glucose tolerance.
The World Health organization(WHO) and International Society for Hypertension (ISH) considers lower target range in people with diabetes to be below 130 -140/85mmHg and Lower (<125/80mmHg) in people with nephropathy. There are several ways which insulin resistance or hyperinsulinaemia which is mainly found in type 2 diabetes could lead to hypertension. - Blunting of the vasodilator effect of insulin an action mediated by the release of nitric oxide from endothelium. - Insulin can act in other ways to raise blood pressure and this can be supported by hyperinsulinaemia that accompanies insulin resistance. Insulin stimulates sodium and water absorption at the distal renal tubule, insulin also stimulates the cell membranes Na+ K+ ATPase, which can raise intracellular Na+ and Ca+ in vascular smooth muscles and therefore enhance contractility and peripheral resistance. Several components of the augmented cytokine induced, acute phase inflammatory response associated with type 2 diabetes may cause hypertension including cytokine stimulation of ACTH and glucocorticoid secretion and activation of the sympathetic nervous system. In type 1 diabetes, hypertension is obviously associated with diabetic nephropathy. Blood pressure begins to rise when albumin excretion rate enters the microalbuminuric range (>30mg/24hrs).
Control of hypertension in diabetes is important because hypertension worsens both macrovascular and microvascular complications. The effect of blood pressure on the risk of fatal coronary heart disease is 2 – 5 times greater in diabetic than in non-diabetics.