Thursday , June 24 2021

Diabetes is associated with food insecurity and requires coordinated interventions.



Evidence suggests that the risk of developing chronic disease in adulthood not only affects genetic and adult lifestyles, but also the early life environment. People who live in adverse circumstances and face difficult socioeconomic conditions can begin life with increased vulnerability to diabetes and many other infectious diseases.

The prevalence of diabetes increased more rapidly in low-income and middle-income countries over the past decade than in high-income countries. Three-quarters of the globally reported cases of diabetes occur in low- and middle-income countries and are mild to severe food insecurity, contributing to an increased incidence of type 2 diabetes.

The International Diabetes Federation (IDF) estimates that by 2030, the number of diabetic patients worldwide will reach 552 million, with the most cases being reported in Africa. Nearly half of adults with diabetes in Africa in 2015 are from South Africa (2.3 million), the Democratic Republic of the Congo (1.8 million), Nigeria (1.6 million) and Ethiopia (1.3 million).

In South Africa, 5.4% of the 33.7 million adults in the total adult population are diabetic, and most of the population is not diagnosed. This is because it takes up to seven years for a person to recognize the existence of a disease before it is first diagnosed. Unfortunately, untreated untreated diabetic patients can become elderly as their health condition deteriorates, so basic diagnoses of diabetes should be readily available in the primary care setting.

Therefore, people should be able to recognize early warning signals. For example, frequent urine swallowing, fI was hungry when I was very thirsty, eating, extremely tired, blurry vision and scars were bruises..

Evidence suggests that the risk of developing chronic disease in adulthood not only affects genetic and adult lifestyles, but also the early life environment. People in adverse circumstances and in difficult socio-economic situations can begin life with increased vulnerability to diabetes and many other infectious diseases.

This risk is due to low nutritional status during pregnancy, which affects not only nutritional status but also overall nutrition for the growing fetus, resulting in a baby with a small gestational age.

Catch-up and catch-up fats during the first year of life are at increased risk for abdominal obesity, obesity, insulin resistance and type 2 diabetes.

The association between the occurrence of diabetes and its treatment and food security has a major impact on the management of type 2 diabetes Republic of South Africa. Food security alone does not cause diabetes, but the likelihood of undernourishment is higher than in people without type 2 diabetes. This is due to the increased severity of food insecurity due to reduced productivity due to absence due to complications related to diabetes and disease-related disorders.

Diabetes care costs

The direct and indirect costs associated with the lifetime management of diabetes can put enormous strain on family units. Direct costs include total treatments, prescription drugs and special diets. Indirect costs arise from the inability to work as a result of absenteeism and illness-related disabilities. In addition, chronic medications, diabetic monitoring supplies, diabetic-friendly foods, and other basic needs require long-term treatment to control blood glucose levels and complications.

Food insecurity in low-income households finds that disease management is difficult because of a lack of awareness of food intake, costs associated with health care follow-up, or finding a recommended workout time. For people with food insecurity, the high costs associated with disease management can reduce the level of compliance with health care plans.

Food insecure diabetics often face a difficult choice, such as choosing to pay for disease management costs and purchase basic family needs. Patients often ignore this disease because they can not cope with the potential costs associated with managing the disease.

Instead, they choose to feed their families. They are constantly worried that they will have enough food for their next paycheck. This can aggravate patients living in rural areas, making access to healthcare, medicines and other monitoring products more difficult. All of these factors increase the likelihood of poor diabetes management and often lead to complications such as amputation, blindness, kidney disease and even death.

Recommendations for Diabetes Management

In the overburdened public health sector, quality of care, lack of drugs, limited nutrition knowledge and diabetes education are important challenges in managing this disease. Close cooperation between public health systems, other government sectors, non-governmental organizations and community workers is urgently needed to support the implementation of relevant nutrition education interventions.

It requires cheap, cost-effective, and best science-based interventions. These should encourage healthy food preparation methods by using cheap fat foods along with exercise. Public health care services should provide provisions for better access to medicines and supplies, such as blood glucose strips, at primary health care facilities. It is important that people with diabetes get clear information through continuous diabetes education with their families.

Given the ever-increasing challenges, inter-sectoral involvement of all stakeholders is required. Governments, health care providers, diabetics, civil society, food producers, and drug and technology providers can play an important role in reducing the impact of all forms of diabetes. This can be done through:

  • It takes a lifelong approach to diabetes by recognizing the lifelong impact of diabetes outbreaks from prejudice, to pregnancy, early childhood, early adolescence, adolescence and adulthood, and recognizing opportunities to prevent and control diabetes at key stages of life. .

  • Early infant nutrition improvement.

  • Creating a supporting natural and architectural environment to support physical activity.

  • Create interventions to help individuals, families, and communities.

  • Policy actions to raise the price of food from fats, sugars and salt.

  • Promote sustained media and educational campaigns to increase the intake of healthy foods, reduce the intake of unhealthy foods, and increase physical activity. DM

Dr. Nokuthula Vilakazi is a project coordinator for the Early Career Research Leadership Fellowship for Future Africa at the University of Pretoria. World Diabetes Day will be celebrated on November 14 after the official UN day in 2006. This day marks the birthday of Lord Frederick Banting, who discovered insulin together with Charles Best in 1922.

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