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 Most health care professionals were trained with textbooks whose information is obsolete as year’s progresses.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.

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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.

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