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PREVENTION OF TYPE 2 DIABETES THE PRACTICAL WAY OUT

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The WHO states that 80% of type 2 diabetes can be prevented by simple cost effective interventions. Major policy changes are needed to sustain healthy weight and physical activity levels. These could be exemplified in terms of well designed towns and cities with efficient public transport and food systems that encourage healthy eating. This can reduce risk factors for diabetes and other NCDs. The Global Diabetes Plan places strong emphasis on interventions to transform the social, economic and physical environments that are driving the increasing obesity and type 2 Diabetes.

The key modifiable risk factors for type 2 Diabetes are physical inactivity, inappropriate nutrition and obesity. Numerous people face almost insurmountable environmental, social and financial barriers to healthy lifestyle choices on a daily basis.

One of the key areas of need is routine screening programs. It can be observed that most persons living with diabetes get to know, following a public medical screening program. Most persons in Africa will hardly work into the hospital for a medical check-up, especially when there is nothing wrong physically. This tends to hide a chronic disorder like diabetes until it gets to a critical stage. With the knowledge of Impaired Glucose Tolerance (IGT), Persons identified at this stage could be assisted. A stitch in time saves nine.

The picture above is a Diabetes awareness campaign in a motor park in Abuja, Federal capital of Nigeria. Drivers and passengers are being educated on what it means to eat healthy and live healthy life style to prevent  non-communicable disease like Diabetes. Many persons were discovered to be living with Diabetes for the first time without their knowledge. Thank God for this screening program and special thanks to members of Diabetes Association of Nigeria, Abuja Chapter for this project to mark World Diaabetes Day 2011, that was yet to be celebrated before now.

Diabetes Conversation Map Training at Wuse Hosp.Abuja, Nigeria.

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                         Diabetes Conversation Map Training Session 

The International Diabetes Federation introduction of the Diabetes Conversation Map Education Kit with the technical assistance by Healthy Interactions USA INC is a noble idea in Diabetes Education. Patients learn from one another. The atmosphere is full of Fun. In the Pic above Isaac Akogu an Conversation Map Expert Trainer on volunteer basis facilitates a Map session.
 Its Fun, we need all health institutions to key into this project to get persons living with Diabetes Empowered.
  Yours in Diabetes Care
 Isaac-Abuja, Nigeria.
08037002025

THE INFLUENCE OF PPOVERTY IN ATTAINING GOOD HbA1c IN PEOPLE LIVING WITH DIABETES

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 On diagnosis with type 2  diabetes, studies has shown that some form of microvascular dysfunction must have commenced earlier considering the natural history of type 2 diabetes. The concern of physician and patients is to bring the HbA1c (Haemoglobin A1c) to normal of below 6.5% as approved by ADA and IDF.
 persons living with diabetes especially in sub-saharan Africa, poverty is a force to contend with. Irrespective of the zeal and enthusiasm of the doctor and patient to maintain good A1c value which is a determinant to prevent complications, the availabilIty of equipment, modern diabetes management approach, insulin pump, modern insulin analogs, drugs, lack or inadequate diabetes Education facilities, contribute towards frustrating these effort.
  It is a difficult situation for many persons living with diabetes, they cannot afford the treatment and most diabetes drugs and equipment imported in most of these Countries are heavily taxed and are excluded from insurance coverage.
  As we proceed in these decade, the entire World having realize that diabetes is a challenge, needs to evolve strategies to curb it.
 PROCRASTINATION IS DANGEROUS AND NOT ALLOWED IN DIABETES. 

FINANCING DIABETES EDUCATION PROGRAMME IN HEALTHCARE INSTITUTIONS IN NIGERIA

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With the current prevalence at 366 million persons living with diabetes, the importance of Education cannot be overemphasized for persons living with diabetes and normal individuals. This figure will continue to rise as a quarter of this number may have diabetes without knowing.

Education is one of the cardinal principles of management of diabetes, especially prevention strategies. This is important because, the knowledge about diabetes is dynamic. Most health care professionals were trained with textbooks whose information is obsolete as year’s progresses.

Diabetes Education as currently outlined in International Diabetes Federation (IDF) curricula as simplified into Diabetes Conversation Map Education tool is very handy for not only persons living with diabetes but healthcare professionals manning the health institutions.

IDF recently commenced a pilot project training facilitators to incorporate this education tool into existing or non existing education programme in health care institutions. This noble project needs to be expanded to cover both public and private hospitals in cities and rural areas.. IDF alone cannot foot the bills of these training hence the need for Government and public spirited individuals and organizations to sponsor this project to rapidly integrate Diabetes Conversation Map Education tool into healthcare systems especially in sub-saharan Africa and Nigeria in particular.

There are currently three IDF trained Expert trainers on Diabetes Conversation Map Education tool in Nigeria. They have been involved in training healthcare professionals from selected institutions to integrate this tool into the healthcare system. The Ministry of health needs to support this effort of IDF by collaborating with these trainers to get these trainings to as many states as possible.

This is important and urgent as we don’t have a current statistics on the prevalence of Diabetes in Nigeria. It is common knowledge and observation that many persons especially the working population are coming down with diabetes, if nothing is done about this, the transformation agenda of the present Administration in Nigeria will loose the manpower to drive the change.

Isaac Akogu

Conversation Map Expert Trainer

Nigeria.

iakogu@yahoo.com,08037002025

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

Diabetes aids, articles, financial matters etc: BREAST FEEDING AND TYPE 1 DIABETES MELLITUS: "New! Diachieve Brand Diabetic Supplies & Health Products EasyHits4U.com - Your Free Traffic Exchange - 1:1 Exchange Ratio, 5-Tier Ref..."

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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.