Dismiss Notice
You are browsing this site as a guest. It takes 2 minutes to CREATE AN ACCOUNT and less than 1 minute to LOGIN

Preferences of diabetes in tanzania worrisome say experts

Discussion in 'JF Doctor' started by Kilbark, Nov 15, 2010.

  1. Kilbark

    Kilbark JF-Expert Member

    Nov 15, 2010
    Joined: Feb 25, 2008
    Messages: 557
    Likes Received: 6
    Trophy Points: 35
    Monday, 15 November 2010 11:00

    By Bernard Lugongo
    As countries worldwide join hands to mark ‘Diabetes Day’ on November 14, the trend of the disease in Tanzania is still worrisome.

    Currently, the rate of prevalence of the disease has doubled as compared to the situation in the last ten years.
    People living in urban areas have been most at risk of the deadly disease as opposed to those living in rural areas.
    According to Mr Ramadhan Mongi, executive director of Tanzania Diabetic Association (TDA), the rate of prevalence of the ailment has shot to more than 6 per cent on adult population living in towns.
    He said in the last 10 years the rate of prevalence was at 3 per cent, calling for additional efforts in combat the problem.
    “We need to increase efforts in fighting the diabetes as it is among four most leading killer diseases,” he stressed.
    But, he acknowledged that awareness over the ailment among the people was still a major challenge.
    Education about diabetes has reached those already affected after being diagnosed.

    There was a need to spread the education to all members of the society was still very low.
    “In the last ten years, many people believed that the ailment was only for well-off individuals, but now people have started to understand,” he insisted.
    In the 1980s, the prevalence of type 2 diabetes was among the lowest in the world: 0.8 per cent in cities and abiut 0.9 per cent in rural areas, deabetes in Tanzania is placed in an increased economic burden on the population and on the national budget for health care.

    A study in the Kilimanjaro Region showed that the total direct costs relating to the treatment of diabetes accounted for a quarter of the minimum wage, resulting in about 46 per cent of the patients having permanent financial difficulties.
    Research in Dar es Salaam reported that only 1 in 5 of residents with diabetes was receiving government-funded treatment.

    On Tanzania Mainland, diabetes clinics have been established in each of the 19 regional hospitals, four referral hospitals, and three district hospitals.

    Additionally, in Dar es Salaam City, diabetes clinics have been established in each of the three district hospitals. Diabetes clinics have also been established in Zanzibar and in Pemba.

    Until the regional network was established early in 2005, diabetes services were provided at regional hospitals only as part of routine outpatient care by staff with no specialist diabetes training.

    In his article, Dr Ramaiya explained that specialised diabetes care was available at just five referral hospitals in Tanzania.

    The hospitals were run by a handful of consultants, diabetes physicians and diabetes educators. Access to diagnosis and treatment, particularly for people in Tanzania's rural areas, was extremely limited.

    A survey in early 2004 showed that before training only about a third of health care staff at the regional hospitals were sufficiently aware of key aspects of diagnosis, treatment, education, and complications in diabetes.

    Evaluation in January 2005, a year after the training showed that the necessary awareness of diabetes had risen to 65 per cent among the trained healthcare workers.

    Similarly, more than two thirds of patients with diabetes surveyed at hospitals in 2004, were unaware that their problems were related to high or low concentrations of glucose in their blood and did not know that they could or should monitor those concentrations.

    In the past years, Muhimbili National Hospital in Dar es Salaam, has become the national centre of excellence for diabetes care, incorporating a medical laboratory, foot clinic and a diabetes information centre to train doctors, nurses, and people with diabetes from around the country.
    The hospital also sees patients referred from the regional hospitals. There is still much to do: referrals may be hampered by cost and the limited transport network in the country.

    The regional clinics needed the ongoing guidance from diabetes educators to ensure that the guidelines were followed.

    Communicable diseases, such as HIV/Aids, tuberculosis and malaria, make up the big burden of diseass facing sub-Saharan Africa.

    Within the next two decades, however, non-communicable diseases such as hypertension and diabetes are expected to contribute to more deaths than communicable diseases.

    Dr Ramaiya called for an urgent need to develop awareness, education, and accessibility of care in line with the World Health Organisation's aims of sustainable intervention by helping countries develop their own infrastructure and professional expertise in health care.

    “Tanzania's approach to managing diabetes in a sustainable way could be a model for other developing countries,” he said.

    World Diabetes Day is a global event. It brings together millions of people in over 160 countries to raise awareness of diabetes, including children and adults affected. The disease, healthcare decision-makers and the media.

    Numerous local and national events are organised by the member associations of the International Diabetes Federation and by other associations and organisations, healthcare professionals, healthcare authorities, and individuals with an interest in diabetes.
    World Diabetes Day unites the global diabetes community to produce a powerful voice for diabetes awareness.
    This year’s message is “Let’s take control of diabetes Now.”

    Led by the International Diabetes Federation (IDF) and its member associations, the slogan is in line with the campaign’s five-year focus (2009-2013) on Diabetes Education and Prevention.
    For this year, the campaign would build on the achievements of last year by strengthening global awareness of diabetes and empowering people to get active and take control of their health to prevent the disease and its complications.
    “World Diabetes Day is about mobilising the global diabetes community to produce a powerful voice for diabetes suffers,” said IDF president Jean Claude in his message to mark the day.
    He added: “We want all concerned to take the necessary action to control an epidemic that affects the lives of over 300 million people in the World today.”

    For the general public and people at high risk of the disease, the campaign aims at raising awareness and disseminate tools for prevention.

    For people with diabetes, the focus will be on disseminating tools to improve knowledge of the disease in order to better understand it and to prevent complications.
    For governments and policy-makers, efforts will placed on communicating the cost-effective implications of diabetes, prevention strategies and promoting diabetes education as a core component of management of the disease and treatment.
  2. Gaijin

    Gaijin JF-Expert Member

    Nov 15, 2010
    Joined: Aug 21, 2007
    Messages: 11,850
    Likes Received: 15
    Trophy Points: 0
    mbona hawajatuambia sababu za kisukari?

    Maradhi yanaongezeka kwa watu wanaoishi mijini, nini chanzo?
  3. M

    Misterdennis JF-Expert Member

    Nov 15, 2010
    Joined: Jun 4, 2007
    Messages: 1,435
    Likes Received: 59
    Trophy Points: 145
    Mkuu badilisha hilo neno kwenye heading, lisomeke kama hapo kwenye red.
  4. genekai

    genekai JF-Expert Member

    Nov 15, 2010
    Joined: Feb 9, 2010
    Messages: 10,803
    Likes Received: 258
    Trophy Points: 180
    Topic ni nzuri but its at the wrong forum, you would have posted it in jf doctor au habari na hoja mchangabyiko. Siasa tena na magonjwa? au sijaisoma viruri!
  5. Q

    Qadhi JF-Expert Member

    Nov 15, 2010
    Joined: Oct 27, 2009
    Messages: 235
    Likes Received: 1
    Trophy Points: 0

    Causes of Diabetes

    Diabetes mellitus occurs when the pancreas doesn't make enough or any of the hormone insulin, or when the insulin produced doesn't work effectively. In diabetes, this causes the level of glucose in the blood to be too high.

    In Type 1 diabetes the cells in the pancreas that make insulin are destroyed, causing a severe lack of insulin. This is thought to be the result of the body attacking and destroying its own cells in the pancreas - known as an autoimmune reaction.

    Type 2 diabetes is believed to develop when:

    the receptors on cells in the body that normally respond to the action of insulin fail to be stimulated by it - this is known as insulin resistance. In response to this more insulin may be produced, and this over-production exhausts the insulin-manufacturing cells in the pancreas;
    there is simply insufficient insulin available; and
    the insulin that is available may be abnormal and therefore doesn't work properly.
  6. Q

    Qadhi JF-Expert Member

    Nov 15, 2010
    Joined: Oct 27, 2009
    Messages: 235
    Likes Received: 1
    Trophy Points: 0
    1. Sedentary Lifestyle
    The Surgeon General's Report on Physical Activity and Health (USA, 1996) states that "a sedentary lifestyle is damaging to health and bears responsibility for the growing obesity problems." Inactivity and being overweight go hand in hand towards a diagnosis of type 2. Muscle cells have more insulin receptors than fat cells, so a person can decrease insulin resistance by exercising. Being more active also lowers blood sugar levels by helping insulin to be more effective. It's a win-win.

    2. Obesity
    The number one risk factor for type 2 diabetes is obesity. The National Center for Health Statistics states that 30% of adults are obese. That's 60 million people. Greater weight means a higher risk of insulin resistance, because fat interferes with the body's ability to use insulin. According to the same study, the number of overweight kids has tripled since 1980. The number of children being diagnosed with type 2 diabetes has also risen.

    3. Unhealthy Eating Habits
    Ninety% of people who have been diagnosed with type 2 diabetes are overweight. Unhealthy eating contributes largely to obesity. Too much fat, not enough fiber, and too many simple carbohydrates all contribute to a diagnosis of diabetes. Eating right is can turn the diagnosis around and reverse or prevent Type 2.

    4. High Blood Pressure and High Cholesterol
    These two bad boys are the hallmark risk factors for many diseases and conditions, including type 2 diabetes. Not only do they damage your heart vessels but they are two key components in metabolic syndrome, a cluster of symptoms including obesity, a high fat diet, and lack of exercise. Having metabolic syndrome increases your risk of heart disease, stroke, and diabetes.

    Watu wa vijijini pamoja na kwamba hawapangalii mlo ila automatically wanakula healthy diet i.e wenye mchanganyiko wa elements za mlo kamili.

    Watu wa vijijini wanafanya kazi za nguvu,na almost the whole day wapo katika manual activities.Usafiri wao wa miguu ama baiskeli,occasionally pikipiki,gari.

    Msosi green and organic.

    Minimal life stresses,life lao halitegemei mipango miji na michongo ya kifisadi kama jamaa wa mjini,hivyo kupunguza anxiety.
  7. Q

    Qadhi JF-Expert Member

    Nov 15, 2010
    Joined: Oct 27, 2009
    Messages: 235
    Likes Received: 1
    Trophy Points: 0
    Muhimu tuishi healthy,vitambi na unene ni ishara mbaya when it comes to the risk factors of big diseases(big means leading killers).Mazoezi muhimu sana.
  8. Gaijin

    Gaijin JF-Expert Member

    Nov 15, 2010
    Joined: Aug 21, 2007
    Messages: 11,850
    Likes Received: 15
    Trophy Points: 0
    Lazima hii izidi mijini, vijana hawajafika hata miaka 30 unaweza jiuliza kama keshazaa watoto 3 wakubwa kwa huo mwili!

    na wenyewe wanasema ndio 'wanaopendwa' hawajui kama ndo kukaribisha maradhi

    mazowezi muhimu