Wednesday, September 26, 2012

LESSONS FROM THE FIRST AFRICAN DIABETES CONGRESS FIRST SCIENTIFIC SESSION ARUSHA- TANZANIA

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The first African Diabetes Congress that was much expected has eventually come and gone. There is however, a message that was conveyed to everyone who came, that Africa needs to move forward in area of health needs and policy formulation to cater for those living with chronic complications like Diabetes and other NCDs.

 Area of advocacy, foot disease management, Education, accessories amongst other needs are lacking in Africa. Though there are efforts from the East/South African block which must be commended, other zones needs to integrate health systems to deliver on managing these conditions.

At the Congress, the International Diabetes Federation (IDF) presented the noble work it does with other partners to project Diabetes Education which is a rudiment of Diabetes Self management practice. The IDF use of Diabetes Conversation Map Education tool in most African Countries has brought revolution in Diabetes Education and they must be commended and supported especially by Ministries of Health of different Countries of Africa.

One of the main issue that was left unaddressed or will I say left aside but important is the issue of FUNDING. Why did everyone shy away from this issue? Though at the sidelines of different committee work and presentation, we all know Funding is an important ingredient to drive the change in Diabetes management and care for people living with Diabetes.

The most emotional part of the Congress was when Children with Type 1 Diabetes from across Africa and beyond presented a song “WE ARE THE WORLD”. The Whole Crowd including the vice President of the Republic of Tanzania Dr M. Bilal, saw clearly the damage Diabetes has caused  and it is still on the move as you read this article, with 4.6 million persons loosing their lives yearly.

With all these challenges, what should be done must be collective for synergy is a requirement in managing a chronic disorder. The Government of Countries in Africa must look inward to see how their health Ministries can use the power of synergy to collaborate with NGO’s working in area of Diabetes to help build capacity within the health system. Standardization of care with use of treatment guidelines and support of research and outreach programs integrated into primary care centers.

The plight of children living with type1Diabetes is a matter of urgent attention by everybody. Those who can sponsor with their resources or donate time to help control the menace diabetes is causing the little children, who must be on daily insulin usage for the rest of their lives. The procurement of these products is better imagine, costly, non availability, the list is long. The obstacles to manage type1 diabetes are enormous.

This is to introduce a forth coming programme: “DIABETES YOUTH CAMP FOR CHILDREN LIVING WITH DIABETES”. It will be a 3 day camp where children will be exposed to professionals from across the globe. They will help the children to plan their management of Diabetes. Self empowerment schemes will be taught as income generation is important because the parents of these children cannot withstand all it takes to control Diabetes. Hence if you are a young person living with Diabetes between ages 2 to 20 years, you can send your nomination to iakogu@yahoo.com or nkiruoradiegwu@yahoo.com, (Nigeria) to participate in this program.
 The DIABETES YOUTH CAMP program has been shown from research to impact a life time impression and encouragement to any child. There is a feeling and state of readiness to take control of Diabetes after the camp that most children leave with every day of their lives, in the difficult challenges of making choices of healthy eating to control the glucose level.

I am happy for the exposure most professionals who attended the First scientific session of the African Diabetes Congress had to network with one another. It is my desire and hope that the commitments to bring about the change in Diabetes Care in Africa will be sustained with results when we meet in Cameroon. The Election of new officers to manage the affairs of IDF Africa region from 2013 was the height of it all. The new leadership is committed to move the gains recorded forward.

The African Diabetes Congress is a wake up call on Professionals and other organizations working around Diabetes to come together and harmonize their effort and research. The Federal Ministries of health in Nigeria needs to collaborate with NGO’s like Diabetes Association of Nigeria and others working in similar area to roll out DIABETES CONVERSATION MAP PROJECT to all parts of the Country and training of health care Professionals on current dynamics in management of Diabetes in Children and Adults.



Isaac Akogu
Pharmacist/Diabetes Educator
Conversation Map Expert Trainer
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Wednesday, July 4, 2012

The Prevalence of Diabetes in Nigeria updates 2012

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The Prevalence of Diabetes in Nigeria updates 2012

The global prevalence of Diabetes is on the increase. As at the end of 2011, the Interntional Diabetes Federation IDF published that 366 million persons are living with this disorder. if nothing is done, this figure could rise to 540 million in the near future.
It dawn on me that we in sub saharan Africa wher there are no reliable statistics will have an epidemic on our hands that we cannot ascertain the exert number of persons involve.
This is a huge responsibility on the part of Government and individuals involve in Diabetes work to double effort.
In September of 2011, there was an extra ordinary meeting of the United Nations General Assembly wre Diabetes was considered along with other non communicable diseases as a global challenge. The president of Nigeria ws in attendance, since then, we have not noticed any action being coordinated by the Government to address the challenges of diabetes in Nigeria.
People living with diabetes are still faced with problems of high cost of their medications, non availability or high cost of glucose monitoring machines, no tax waiver on Diabetes consumables. Pharmaceutical companies marketing anti diabetic products have a field day of changing their prices as the like. The pain of all these rest on persons with diabetes or their relations.
The way forward is for the government through the Ministry of Health, department of NCDs to immediately collaborate with Diabetes Association of Nigeria (the umbrella body of all groups handling Diabetes) to implement some modern techniques introduced by International Diabetes Federation like
- Diabetes Conversation Map Education Program which is currently in use in over 160 countries of the World who are members of IDF.
- Introduce Guidelines for Diabetes management to public and private hospitals in Nigeria in other to have uniform standards of practice  and care. It is also important that all non governmental organizations working in the area of Diabetes need to for a a synergy so as to hve documented evidence for statistical records, as well as bringing about effective networking among healthcare providers and persons living with Diabetes in Nigeria.
The work ahead for everyone involve in Diabetes care and advocacy in Nigeria is enormous. Other Countries have gone far, we seem not to have started, but it is possible to still create an impact before the year 2020, to reduce our estimated prevalence rate.http://www.dataentryjobs.us/134951.html

Thursday, June 14, 2012

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Friday, May 18, 2012

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.

Saturday, April 14, 2012

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


Wednesday, February 22, 2012

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. 

Wednesday, October 19, 2011

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