Public health issue diabetes mellitus

Diabetes a national public health priority

Awareness in this regard is crucial as it is reported that patients generally have poor knowledge of DM. Other risk factors for the increased incidence of DM include obesity along with high-caloric intake, which played a major role in the recent explosion of this chronic illness. Attempts to provide individual-level prevention interventions to large groups of people at moderately elevated risk are not likely to be cost-effective [ 8 ]. Diabetes is the fourth leading cause of death in most developed nations. Based on this, new public health approaches are emerging that may deserve monitoring at the national level. WHO estimates that diabetes was the seventh leading cause of death in Thus, as a complement to individualized approaches to prevention, there needs to be a considerable scaling up of research into the societal determinants of diabetes, and evaluation of solutions that tackle the root causes of the problem, which are fundamental shifts in population-level dietary and physical activity behavior. In , an estimated 1. In the short term, integrated screening programs will increase costs as patients with newly diagnosed diabetes are identified alongside people with prediabetes who require monitoring and follow-up. The major driving force behind the contemporary rise in prevalence is a rising incidence of disease driven by major secular changes in dietary and physical activity behavior. Interventions that are both cost-saving and feasible in developing countries include: blood glucose control, particularly in type 1 diabetes. There is a significant rise in the prevalence of this illness over the past two decades is cause for alarm. At present, the evidence base for public health approaches to diabetes prevention is dominated by research from developed countries.

Somewhat less attention has been paid to the potential for the rising global diabetes problem to widen health inequalities, and for the solutions that are put in place to tackle the problem to worsen or improve those inequalities. Abbreviations: T2D, type 2 diabetes Provenance: Commissioned; not externally peer-reviewed The well-documented rise in the prevalence of type 2 diabetes T2D is a major global clinical and public health challenge, as described by Juliana Chan and Andrea Luk in their accompanying Perspective article [ 1 ].

Public health issue diabetes mellitus

Diabetes is a major cause of blindness, kidney failure, heart attacks, stroke and lower limb amputation. The impact of diabetes on emerging countries will be particularly severe as the disease is chronic, expensive to treat, and tends to affect economically active people.

Gestational diabetes Gestational diabetes is hyperglycaemia with blood glucose values above normal but below those diagnostic of diabetes, occurring during pregnancy. However, some studies suggest that the high environmental pollution, unhealthy dietary habits, consumption of high-caloric traditional food, and high fat diets which are common in Pakistan, likely contribute to the incidence of DM.

This places Pakistan at number 7 in the list of countries with a prevalence of DM, and, if the present situation continues, is expected to move to 4 th Place.

diabetes health promotion

Lifestyle change has been proven effective in preventing or delaying the onset of type 2 diabetes in high-risk individuals. References 1.

Type 2 diabetes

How can the burden of diabetes be reduced? Almost half of all deaths attributable to high blood glucose occur before the age of 70 years. In such settings, calls to screen for hyperglycemia run the risk of swamping health care systems that are already struggling to provide care. Insulin is a hormone that regulates blood sugar. In the longer term, this type of integrated program may be cost-effective, but this still remains to be demonstrated. Adults with diabetes have a two- to three-fold increased risk of heart attacks and strokes 1. Translational studies of this work have also shown that delivery of the lifestyle intervention in group settings at the community level are also effective at reducing type 2 diabetes risk. This evidence base is beginning to emergeā€”as an example, the research article from Lindsey Smith Taillie and colleagues in this special issue presents an analysis of the effects of a tax on nonessential energy-dense foods enacted in Mexico [ 11 ]. The WHO "Global strategy on diet, physical activity and health" complements WHO's diabetes work by focusing on population-wide approaches to promote healthy diet and regular physical activity, thereby reducing the growing global problem of overweight people and obesity.
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Diabetes mellitus in Pakistan: A major public health concern Hussain A, Ali I