Tuesday, August 2, 2011

Diabetes aids, articles, financial matters etc: BREAST FEEDING AND TYPE 1 DIABETES MELLITUS

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BREAST FEEDING AND TYPE 1 DIABETES MELLITUS

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Breast feeding is the act of feeding the young with milk produced from the udder of the mother. This is a natural process in mammals.
The breast milk in the first few days following birth contains colostrums which is made up of rich protein and antibodies required by the young to withstand infection.
In humans, this is advocated for with slogan “Baby Friendly” Exclusive Breastfeeding. The usual practice among young ladies is to switch to cow milk shortly after birth. Some complain that their breast could go flat if the continue on breast feeding for a long time, others do this as a show of affluence.
The health implication is this; the young baby does not differentiate protein at the early age before the age of six months hence introduction of cow milk makes the child to develop antibodies and considers other proteins that the child produces later in life as foreign especially those hormones produced from the pancreas like insulin. This is the basis of auto-immune disease. Such a child is at high risk of developing type 1 diabetes mellitus which is an auto-immune disease. Majority of children with type 1 diabetes is as a result of this phenomenon. Though other conditions like viral infection example miscles, rubella and cocksakie virus could predispose to type 1 diabetes.
It is therefore advisable for nursing mothers to breast feed their young ones for at least six months before gradual introduction of substitutes. Except in cases of HIV infected mothers.

Wednesday, July 27, 2011

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Monday, July 18, 2011

SIXTY-SEVEN MINUTES ‘67’ MINUTES OF SELFLESS SERVICE FOR A CAUSE- DIABETES AWARENESS

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The United Nations declare today as Nelson Mandela day and the World is encourage to dedicate sixty seven minutes of their time towards a cause.
The exemplary life of his Excellency the ‘Mandiba’ Dr Nelson Mandela who spent sixty seven years of his 93 years in life fighting for social justice has provided a challenge to every human being today on earth.
How are you spending your own sixty seven minutes today? I am dedicating mine to creating Diabetes Awareness in public places, market stores because Diabetes is a time bomb that is plunging a lot of families into poverty and loss of loved ones.
I will urge Dr Nelson Mandela to add his voice to the forth coming UN summit on Diabetes and other non communicable diseases (NCDs) for a need for the governments and donor groups to set up global fund to address the present challenge Diabetes and other NCDs are posing to the entire human race, this is a worthy social health Justice.

Friday, July 15, 2011

Challenges of Free Diabetes Education program.

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Diabetes Education program comes in different forms today. The media and health institutions conduct different education program or the other to ensure patients living with diabetes live well. However, the challenges abound regarding standardization of the education curricula.
It is unfortunate that while delivering diabetes education in a state hospital, I once witnessed a nurse instructing the patients not to eat any food containing carbohydrate. I asked why, the simple answer was that; somebody with diabetes should not eat any carbohydrate because of sugar. I went further to ask, are you aware that the so-called proteinous foods like beans also contain carbohydrate? she was surprised. I then disclosed my identity as a diabetes educator and a conversation Map Expert Trainer. The important thing to remind patients is that, we advocate use of complex carbohydrate which is a mixture of roughages and fibers to delay the glucose absorption and make insulin work gradually and well.
The challenge of offering diabetes Education is enormous. The person delivering the education will always say that it is a volunteer job he or she is doing. Since there is no remuneration, it is not considered a serious business. But it has always been said that any thing worth doing is worth doing well. Conducting free diabetes education program is faced with a lot of challenges. The diabetes Educator will have to source for writing materials, and sometimes refreshment for the participants to encourage them to attend. When a monetary fee is attached to such education, most people cry out that treatment of diabetes is already expensive, but the cardinal management principle of diabetes rest on education.
The question then arises, should diabetes Education be free or priced and if it should? Who should foot the payment? Is it the patient, or the government? This is a rhetorical question that requires an answer.
The Government through the Ministry of Health should liaise with stake holders like Diabetes Association and other NGOS to organize workshops and trainings for health care providers and patients. An appropriate framework can be agreed on and uniformly carried out across the country simultaneously in health care institutions. Such pragmatic action on Diabetes Education will help reduce the prevalence rate of diabetes currently on the increase. Such scheme can only be sustained with good financial support from government and donor groups.
It is hoped that the forth coming UN summit on Non communicable diseases in September, 2011 will get heads of governments’ commitment and support from donor groups towards formation of a common fund globally to fight diabetes and other non communicable diseases.

ISAAC AKOGU BPHARM,CDE

Monday, July 11, 2011

Diabetes a Burning Issue on the Global Agenda, Not limited to Global health Agenda.

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Incidence of diabetes is increasing Worldwide at a rate that eclipses most other diseases. The WHO estimates that by the year 2030, more than 366 million people will be living with diabetes, this is ten times the number affected by Hiv/Aids. It is even more devastating in that of this figure, more than 298 million people will be living in developing Countries, where the World is currently battling poverty and hunger amongst other challenges.
The major point is this, who will take up this diabetes challenge, why do we all seem not concerned about this epidemic yet we all are either directly or indirectly being affected by diabetes? This is a question I want to pose to every human living currently on planet earth.
As we prepare to celebrate this years’ World Diabetes Day come November 14th , with a theme ‘Diabetes Education and Prevention’, let us strife to know more about diabetes. Research has shown that with Education, Glycaemic control is improved and frank diabetes preventable.
As world leaders meet to discuss diabetes and other non communicable diseases come September, 2011, emphasis should be focused on Diabetes Education.

Thursday, July 7, 2011

DIABETES EDUCATION USING SIGN LANGUAGE

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Diabetes is a metabolic disorder which is chronic in nature. It requires education to be able to cope with the challenges it presents.
Diabetes education already is being recognized within the medical community to be a therapy hence different tools need to be employed to drive home knowledge.
For persons living with hearing impairment as a disability, they must not suffer or lack information because of these challenge. The introduction of sign language has made it easy for educating those with hearing impairment.
Conducting diabetes education using Sign Language is a technique that should be developed specifically for persons living with diabetes and hearing impaired as well.
Currently, existing Sign language symbols are not developed to meet these challenge but with concerted effort and research and effective collaboration, this is achievable. The present revolution in global diabetes awareness must not leave behind these set of persons.
The International Diabetes Federation through collaboration with stakeholders have been able to develop educational materials in many languages of the World, they need for Sign Language for persons living with Diabetes and challenge of hearing.
In sub Saharan Africa, there are a teeming population of persons with this condition and illiterate as well.