Diabetes and its global trend.

Diabetes is recognize a global health problem.

November 12, 2016: Diabetes mainly type2 is becoming great challenge now as well as in coming decade. This is a serious health crisis. It has become an economic burden in the society and around the world.  

By Mahmood Hussain, dated 13th November, 2016, the article is written for www.babyfirst.com.pk   BABY FIRST PAKISTAN and on Facebook.babyfirstPakistan and other social media such as LinkedIn, Twitter and so on. Writer Mahmood Hussain is from Karachi Pakistan

This spreading with rapid pace especially in under develop and developing countries.

A report published by International Diabetic Federation (IDF) from Brussels in year 2010 which states, if we look, it states: 

Four out of every five diabetic patients are living in developing countries. 

It is mainly affecting people of working age group which means further economic burden in society as well as loss of productivity.

It is depressing and sad news but fact is 285 million people living with diabetes around the world in the year 2010.    

This effects the entire family net. This means loosing breadwinner in the family. Children are suffering because either father or mother are diabetic or diagnosed of it. It is mainly effecting young age people this means parents are losing children and they are also disturb.

This tragic live can be prevented if we modify the life style. This will lead to healthy living and Quality of Life (QOL).   

“Global Burden of Diabetes from year 1995 to 2025”.

Study published in September 1998 with this headline

This published data states the prevalence rate (in 1995) in adult population and  worldwide forecast of diabetes prevalence by 2025 for adult population.

In 1995 worldwide diabetes prevalence in adults was estimated @ 4% which means 130 million people suffering from diabetes. This will likely to increase to 5.4% in adult population by year 2025. Worldwide population forecast by 2025 is 8.1 Billion people and adult population who will suffer from it, translate into 300 million diabetic patient worldwide by that time. 

Majority of people suffering from diabetes are age range from 45-65 years.

There majority is of women are sufferer from it as compare to male adult population in developing countries. Secondly in coming years the majority of diabetic patient will be living in urban cities.

The most of the diabetic patient will reside in developing countries. It further states in reference to the target year 2025 that is 75% of adult diabetic population of the world will be living in developing countries as compare to 62% in ye the year 1995. 

Three most populous countries that is China, India and US will be having largest number of diabetic population. Pakistan and Indonesia who are after USA in terms of population, will not be far away from this problem.

Factors contributing to diabetes are: 

Obesity, overweight and distribution of fat within the body.

The obesity and overweight are leading cause of diabetes which is spreading globally. It is affecting the majority of adult residing in highly developed countries as well as   increasing with tremendous pace in developing countries worldwide.

Projection is overweight people having BMI>25kg/m2 will likely to increase from 1.3 billion in 2005 to  approximately 2.0 billion in  year 2030.

Food Intake or Diet,

If we look at factors such as increase in obese population, which is leading us towards type 2 diabetes. It is spreading with tremendous pace among population. This is because of eating excessive calories per day. Secondly quality of diet has also its effect on human life health. Especially in reference to the quality of fat and carbohydrate consume daily by people. These two diet ingredients play an important role in developing diabetes despite BMI and other risk factors.  With regular consumption of cereal and polyunsaturated fat is found to lower the incidence of diabetes type 2.  This has been observe in a study whole grain regular intake reduces lower risk of diabetes

Regular exercise and physical Activity play positive role:

It has been evidenced via various studies which says that by increased physical and regular exercise this reduces risk of diabetes. If having inactive / sedentary life style this will increase the risk of diabetes type 2. Mainly this has been observe, spending more than 2 hours per day sitting for  watching TV or on internet, using laptop/tablet or desk top. Busy with your android mobile phone in chatting, engage in digital media and doing SMS.

To devote one hour per day for five days a week for physical activities such as brisk walk, swimming, slow running it is associated with 34% reduction risk of diabetes type 2. (NHS).

These results, both in term of daily Physical activities or inactive / sedentary lifestyle has direct relationship for having or not having diabetes in adult population. 

Smoking and Use of Alcohol

Smoking it is either cigarette, Sheesha or Hooka is also one of the risk factors of type 2 diabetes. In one of the publish studies it is observe those who are smokers, they have 45% more chances to be effected by diabetes than nonsmokers. 

Smoking has also been associated with the risk of obesity and increase of mass at abdominal fat. 

If we look at smoking data in our region in Asia Pacific and Indo-Pakistan it is estimated 50 to 60% of adult population are smoke and its trend is on rise.

China is the major producer and consumer of cigarette in the world. One of three cigarette produce worldwide is consume by Chinese. Whereas India is rated as second largest country which produces and consume cigarette. Smoking tobacco that is Biri is also largely consume by Indian mainly by poor population. Another form of tobacco which is smokeless, are freely available in India & Pakistan. People are consuming these smokeless tobacco which is equally or more harmful than cigarette such as betal, Ghutka and supari with tobacco leaf. 

To effectively control spread of diabetes in our region, Government have to chalk out effective programs and promotional campaign to discourage smoking and use of oral form of tobacco.     

Simultaneous use of alcohol and tobacco is commonly observe, which increase the risk of diabetes. Whereas heavy consumption of alcohol have many harmful or toxic effects on vital organs, which is due to excessive caloric intake which lead to obesity, disrupt pancreatic function as well liver function impairment.

Article Written by Mahmood Hussain for Baby First Pakistan website, facebook, linkedin, twitter and other digital and social media.

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