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World Diabetes Day 2017

Women’s education is an important
component of Diabetes Management
and prevention - Dr. Samad Shera

Diabetes is a chronic, debilitating and
Sinister
disease- Dr. Zaman Sheikh

Diabetes has tripled during last twenty years - Prof. Abdul Basit

KARACHI: Diabetes is a leading cause of deaths in females and  Gestational Diabetes is a major problem. Women’s education is an important component of Diabetes Management and prevention. If we educate a woman, we educate a family. This was stated by Dr. A. Samad Shera, Secretary General Diabetic Association of Pakistan and Director WHO Collaborating Centre for Diabetes while speaking at World Diabetes Day function organized by Sir Syed Institute of Diabetes and Endocrinology (SSIDE) in collaboration with Express Media Group held at a local hotel here on 4th November 2017.

Dr. Samad Shera further stated that about 80% of our Physicians do not educate the patients regarding proper use of insulin and site of injections. Pakistan has also seen a sharp rise in the diabetes prevalence. Type 1 diabetes, Dr. Samad Shera stated, cannot be prevented but with Healthy Lifestyle almost 70% of Type 2 diabetes can be prevented. Policy makers, Physicians, Public and press should work in collaboration to take measure for control of diabetes, Dr. Samad Shera added.

Prof. M. Zaman Shaikh, Director of SSIDE, speaking at the occasion said that Diabetes is a chronic, debilitating and costly disease. He emphasized that patients with diabetes should take good care of their blood sugar level in order to live a healthy life. Talking on the significance of lifestyle changes, he stressed the need of doing daily physical exercise in the form of daily brisk morning walk for at least 30 minutes for average diabetes patient, adapt sensible dieting, lose excessive body weight and avoid smoking. Healthy breakfast must be taken to stabilize the metabolism of body and fruits must be taken in raw form and not as juices or shakes. Fish is the best source of protein and better be taken twice a week. Chicken is also healthy protein and white meat, but it must not be taken as broast chicken. Dry fruits, especially almonds contain mono-unsaturated fat and is good for health. Quantity, quality and timing of food is very important for diabetics. Exercise is the best gift a person can give him or herself. Life style changes can prevent or delay progression of diabetes, Dr. Zaman Sheikh added. 

 

Prof. M. Zaman Shaikh, presenting shield to Dr. Samad Shera during World Diabetes Day function
organized by Sir Syed Institute of Diabetes and Endocrinology (SSIDE) at a local hotel here
on 4th November 2017. Prof. Abdul Basit, Prof. Ghulam Mehboob and members of
Express Media
Group are also seen in the picture.

Prof. Abdul Basit Director Baqai Institute of Diabetes and Endocrinology speaking at the occasion said that diabetes has tippled during the last twenty years if we compare the results with first survey conducted in 1999. Pakistan Diabetes Survey 2016-2017 has been conducted by Baqai Institute of Diabetes and Endocrinology, Baqai Medical University in collaboration with Ministry of National Health Services, Regulation and Coordination, Pakistan Health Research Council and DAP, WHO Collaborating Centre Karachi.

Giving details of the Diabetes survey Prof. Abdul Basit stated that Pakistan has an estimated 6.9 million people with diabetes and this number is predicted to increase to 14.4 million by the year 2040 according to International Diabetes Federation (IDF). A community-based Pakistan Diabetes Survey (PDS) 2016-17 was conducted over a period of one year from September 2016 to August 2017 in all provinces of Pakistan. This survey estimated prevalence of diabetes in Pakistan as high as 26.19% in people aged ≥ 20 years. Around 19.05% are known diabetics while 7.14% have been newly diagnosed as diabetics in this survey. Similarly, prevalence of Pre-diabetes as high as 14.47% was observed in Pakistan. More than half (52.2%) of the population were hypertensive, 27.5% individuals were known hypertensive and 24.7% were newly diagnosed with hypertension. Three forth of the participants were overweight. The figures are alarming and there is dire need for national programs to prevent diabetes, to manage the illness and prevention of complications.

Continuing Prof. Abdul Basit said that International bodies now recommend Hba1c as diagnostic criteria but Regional and national studies are required. A risk score to predict people at high risk of developing type 2 diabetes in Pakistan has been developed. Metformin should not be stopped, it will be a criminal act to stop metformin without a valid reason. Obesity is the biggest risk factor of diabetes, he added. Type1 diabetes guidelines will also be developed after the initiation of type1 registry by Diabetes Registry of Pakistan (DROP). The first step has already been taken in the shape of  DROP 1 which has commenced in around fifty centers all over Pakistan.

Prof. Ghulam Mehboob, Professor of orthopedics at Sir Syed College of Medical Sciences Hospital talking about Diabetic foot management said that it can be prevented in 85% cases. if infected it is very difficult to treat and very expensive. Diabetic foot management requires multidisciplinary team which consists of diabetologists, vascular and orthopaedic surgeons, rehabilitation specialists, nurses, Prothetist, and chiropodist.

Prof. Mashoor Alam Shah expressed his views in a poem:-

Kam khana warzish rozana,

Tobacco munh say na lagana

Youn sehat apni bachana,

Warna parrhay ga pashtana,

Or hospsital rahay ga ana jana

Kaha agar mera na mana

To buhat jald ho ga opar ko Jana

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