Sunday , June 20 2021

Diabetes mellitus requires food security and coordinated multi-sectoral intervention

Evidence suggests that the risk of developing chronic diseases in adults is important not only with the genetic and adult lifestyle factors, but also the environment in early life. People living in adverse environments and facing a difficult socioeconomic situation are becoming more vulnerable to life-threatening diabetes and other non-communicable diseases.

In the past ten years, the prevalence of diabetes has increased rapidly in low and middle-income countries than in countries with high incomes. Overall, about three-quarters of diabetes mellitus is found in countries with low and middle income, which also suffer from severe food security, which can lead to type 2 diabetes.

International Diabetes Federation (IDF) By 2030, the number of people with diabetes is expected to reach 552 million people, which is one of the most common cases in Africa. About half of adults with diabetes in Africa come from South Africa (2.3 million), Democratic Republic of Congo (1.8 million), Nigeria (1.6 million) and Ethiopia (1.3 million) in 2015.

In South Africa, $ 33.7 million 5.4% of the adult population is diabetic, and most of the population can not be diagnosed. After all, this is the first time a person is diagnosed with seven years. Unfortunately, people with long-term diabetes mellitus may have poor health and, in the case of primary health care, they need easy access to basic diagnostics for diabetes.

It is important for people to be able to recognize early signs of symptoms, often including symptoms of peacemakingvery thirsty, feeling very hungry, poorly tired, even when you are eating, blurred vision, poor wound healing or cure.

Evidence suggests that the risk of developing chronic diseases in adults is important not only with the genetic and adult lifestyle factors, but also the environment in early life. People living in adverse environments and facing a difficult socioeconomic situation are increasing their vulnerability to diabetes and other non-communicable diseases.

This is a great risk starting with the low nutrition of the mother during pregnancy, which not only affects the nutritional status, but also the nutritional products of the growing fetus, resulting in insignificant birth defects.

In the early years of life, not the mass, but the subsequent vegetative and fatty flow increases the risk of fatty obesity, obesity, insulin resistance, and the development of type 2 diabetes in later life.

Relationships between diabetes mellitus, diarrhea and food security have a major impact on the treatment of Type 2 diabetes. South Africa. Food addiction is not dependent on diabetes, but the risk of diabetes is higher than that of people with Type 2 diabetes mellitus. Because of the disability associated with the disability due to diabetes and pandemic, labor productivity increases the severity of food security.

The cost of diabetes management

Direct and indirect costs associated with controlling the life cycle of diabetes are a major concern for the family unit. Direct costs include general treatment, prescription drugs, and special dietary needs. Further indirect costs arise from failures due to illness and disability. Additionally, treatment of chronic diseases requires long-term care to monitor blood sugar levels and its complications through chronic treatments, diabetes mellitus, diet-rich diet and other essential needs.

Low income households have difficulty managing their illness because of their limited perception of their perceptions and expenditures related to oversight in the field of health care or time to the recommended level of training. High costs related to the treatment of the disease for food security do not comply with medical treatment plans.

Diabetic patients who are deficient in food security often face challenging decisions such as the prevention of diseases and choosing to cover the cost of buying basic household items. Patients often ignore the illness because they can not manage to manage their potential costs.

On the contrary, they decide to feed their families. They constantly worry about the question whether they will always get food. Among those living in rural areas, it can even further complicate access to health, medicines, and other controls. All these factors increase the likelihood of controlling diabetes, which often leads to complications such as amputation, blindness, kidney disease, and even death.

Recommendations for diabetics health

Quality of treatment, lack of medicine, knowledge about restricted diet and diabetes education in acute health problems are the main problems in the treatment of the disease. Great cooperation is needed to support the implementation of educational nutrition related nutrition programs among public health systems, government sectors, non-governmental organizations and public figures.

There is a need for accessible, affordable and best available science-based intervention. They should encourage healthy eating methods along with exercises, using local dishes available. Public health services are essential for access to medicines and medical products, such as sugar cane testing strips at primary health care facilities. It is important for diabetic patients to provide accurate information with their families through continuous diabetes education.

Given the growing problem, it is necessary to engage in multi-sectoral engagement from all stakeholders. Governments, health care providers, diabetes patients, civil society, food producers and manufacturers and suppliers of drugs and technologies can play a major role in reducing the effects of all forms of diabetes. This can be done through:

  • Recognizing the lifelong effects of diabetes, recognizing the possibility of preventing and controlling key factors of life, including preventing pregnancy, infant, child and adolescence, adulthood. .

  • Improving nutrition in childhood.

  • Creating a favorable natural and composite environment to facilitate physical activity.

  • Making interventions that are accessible to individuals, families, and communities.

  • Policy measures to increase the price of high-food products in fat, sugar and salt.

  • Mobilizing sustainable media and educational campaigns aimed at increasing the consumption of nutrition (or reducing health) and physical activity. DM

Dr. Nokutula Wilacasi is a project co-ordinator for the Leadership Fellowship for Early Career Study for Africa at Pretoria University. World Diabetes Day is celebrated on November 14, 2006, after the United Nations Day. Celebrated on the birthday of Sir Frederick Blinging, who together with Charles Best in 1922 found insulin together.


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