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Diabetes ravages emerging nations in Asia, Africa


Hondacub777
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I recently bought a glucose meter.

Did a 10 hr fasting check, even while taking metformin, It read 10.8 mmol/L, no changes.

Then I had a tooth extraction. Can't eat for almost 20 hrs. Checked the reading before meal was 8.5 mmol/L.

That seemed like a tremendous drop.

 

So I guess fasting close to a day will definitely lower your blood sugar.

But it may be hard to do for many.

2nd @tianmo 's recommendation. Come over the the IF thread, consult the IF pioneers there and people there how they do it. Many have made it as as lifestyle liao. Lifestly is a choice whether you want to do it or not, the only barrier is your will.

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I recently bought a glucose meter.

Did a 10 hr fasting check, even while taking metformin, It read 10.8 mmol/L, no changes.

Then I had a tooth extraction. Can't eat for almost 20 hrs. Checked the reading before meal was 8.5 mmol/L.

That seemed like a tremendous drop.

 

So I guess fasting close to a day will definitely lower your blood sugar.

But it may be hard to do for many.

last month was 7.9 ... last week was 7.5 ...

 

I am taking sitagliptin .. DR insist me to take additional metformin ... although I told him I had neg reaction to it previously.

 

so taking it again this week ... Friday then go see DR  again ...

. Lifestly is a choice whether you want to do it or not, the only barrier is your will.

 

ooohh ... I have got  a very weak will when it comes to my food intake...

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From the rare photos that @kb27 posted about what he eats at home. Actually very healthy. Haha more than me at least

 

I may have a genetic problem. It was detected during NS time, like 40 yrs ago. 

Went through a GTT test and they conclude nothing wrong.

 

I was younger and much healtier then. Didn't pay much attention to it, until recently.

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I may have a genetic problem. It was detected during NS time, like 40 yrs ago.

Went through a GTT test and they conclude nothing wrong.

 

I was younger and much healtier then. Didn't pay much attention to it, until recently.

Hmm you had impaired fasting glucose even then. Nowadays that would have been considered pre diabetes
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ooohh ... I have got  a very weak will when it comes to my food intake...

Me too.. You see the durian thread, I no contorl one. But mentally I tell myself to compensate via exercising more. But still I still think more damage were done then saved.. But season will end soon, then back to normal. [laugh]

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last month was 7.9 ... last week was 7.5 ...

 

I am taking sitagliptin .. DR insist me to take additional metformin ... although I told him I had neg reaction to it previously.

 

so taking it again this week ... Friday then go see DR again ...

 

 

ooohh ... I have got a very weak will when it comes to my food intake...

I also have difficulty controlling diet. It's normal lah. Especially in Sg, we go out and eat all the time.
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Nothing much I can do, except try to eat less carb and exercise more.

Durian season is not helping too. Yolo!!!!

I also have difficulty controlling diet. It's normal lah. Especially in Sg, we go out and eat all the time.

I can loooon anything.

 

 

 

 

Except durian.

Edited by Hamburger
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hi, My Dad is suffering from Diabetes.Yes they can lead  a normal life if proper care is taken.Diabetes is a common disease, yet every individual needs unique care. There are four important things you need to do every day to lower high blood sugar:

 

Eat healthy food

Get regular exercise

Take your diabetes medicine

Test your blood sugar

 

The foods on your diabetes eating plan are the same ones that are good for everyone. Try to stick to things that are low in fat, salt, and sugar and high in fiber, like beans, fruits, vegetables, and grains.Eating right will help you.Don't skip meals, especially if you’ve already given yourself an insulin shot. Your blood sugar may go too low.Being active each day is good for everyone. Good ways to do it include:

Walking,Swimming, Dancing, Biking, Playing sports,Cleaning your house or working in your garden count, too.Diabetes medications are safe and easy to take. Be sure to tell your doctor if yours make you feel bad or if you have any other problems.
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Check out the latest govt campaign featuring ShiggaShay! Super colourful message -

 

#LetsBeatDiabetes #WorldDiabetesDay #dropthesugar #drinkwater #waterisbetter #choosewater

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My brother forwarded this video to me. 

Disclaimer : pls exercise own discretion and verification on its content. Cos i no believe 1 type of medication or "cure" works for all as everyone's level of fitness or sickness may just render it less effective or totally ineffective ya.

But i will be most happy if this can work well for anyone hence i shared. Me not related to anyone or company of this too.

😅😅

Edited by PSP415
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25 minutes ago, PSP415 said:

My brother forwarded this video to me. 

Disclaimer : pls exercise own discretion and verification on its content. Cos i no believe 1 type of medication or "cure" works for all as everyone's level of fitness or sickness may just render it less effective or totally ineffective ya.

But i will be most happy if this can work well for anyone hence i shared. Me not related to anyone or company of this too.

😅😅

LOL. Brought a smile to my face. 

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Came across this forum and Hi!

What do you know about diabetes? And do you want to learn more? We are a team of researchers from Lee Kong Chian School of Medicine, Centre for Population Health Sciences. Your response here can help us understand how knowledge, attitudes, and stress can affect diabetes management. Click on the link below to find out.

This survey will take 10 to 30 minutes to complete, and you will know how good your knowledge is. 
Take the diabetes quiz here: http://bit.ly/lkcdiabetesquiz
It is for those 21 years or older.

If you have any questions, you can reply to this thread or contact us via [email protected]..
Thank you for your participation, and stay safe amidst this unprecedented period!

Once again, this study is conducted by the Centre for Population Health Sciences from Lee Kong Chian, School of Medicine, Nanyang Technological University, Singapore (NTU-IRB reference no.: IRB-2020-04-011). Do join this initiative and tackle diabetes together! 🤠

Social Media Survey poster_online v8.0_compressed_Part3-page-001.jpg

Social Media Survey poster_online v8.0_compressed_Part4-page-001.jpg

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https://asia.nikkei.com/Spotlight/Datawatch/Diabetes-ravages-emerging-nations-in-Asia-Africa?utm_campaign=GL_asia_daily&utm_medium=email&utm_source=NA_newsletter&utm_content=article_link&del_type=1&pub_date=20230213123000&seq_num=12&si=44594

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Diabetes patients in Asia and Africa are projected to total 560 million by 2045 as affluence and urbanization lead to changes in 

Diabetes ravages emerging nations in Asia, Africa
Number of patients projected to jump 50% by 2045 as dietary habits change


RYOSUKE HANADA and KOSUKE INOUE, Nikkei staff writersFebruary 11, 2023 16:10 JST

MUMBAI/BANGKOK -- The number of diabetes patients is surging in Asia and Africa as more people become obese due to COVID-related curbs on outdoor activities and their dietary habits change amid economic growth.

In Pakistan, there were 5.2 times more diabetes patients in 2021 than a decade earlier. Of the population from ages 20 to 79, 30% have developed diabetes. "Earlier in Pakistan, diabetes would affect people of 40 years of age, but gradually [came to affect those] in 30s, then 20s, and now we can find in teenagers type two of diabetes," said Matiullah Khan, an endocrinologist at the Shifa International Hospital in Islamabad.

If left untreated, diabetes can lead to serious complications, such as heart disease, strokes and blindness.

"There is widespread lack of education and awareness among general masses in Pakistan about diabetes. People [tend] to take it less serious as compared to heart ailments," said an official at the nonprofit Diabetes Center in Islamabad. "At government level, there is no education and awareness policy to tackle soaring number of diabetic patients in Pakistan."

Diabetes is a chronic disease that occurs when the pancreas does not produce enough insulin, or the body cannot use the hormone well. Type 1 diabetes occurs when the insulin-producing cells fail to work, while Type 2 diabetes results when the body cannot keep blood sugar at normal levels due to obesity or a lack of physical activity. Type 2 accounts for 90% of the world's diabetes patients.

Diabetes by itself is the ninth-leading cause of death globally, according to the World Health Organization. But if sugar in the bloodstream remains high, it can damage blood vessels, increasing the risk of developing such complications as ischemic heart disease, the leading cause of death. Treating diabetes is expensive because it requires regular medications, and some patients also find it difficult to make the lifestyle changes needed for treatment.

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People in emerging nations are particularly vulnerable to diabetes. The total number of diabetes patients in Asia and Africa is forecast to reach 560 million by 2045, up 50% from 2021, according to the International Diabetes Federation. The number is projected to rise 70% to 220 million in South Asia, while sub-Saharan Africa is expected to see a 2.3-fold jump to 55 million. In contrast, increases in Europe and North America are expected to be slight at 1.1 to 1.2 times.

The number of patients suffering from Type 2 diabetes is growing in emerging countries as their diets improve with economic development. Daily calorie intake per capita rose 43% in Vietnam and 39% in Ethiopia over the 20 years through 2018, compared to a global average of 8%. The number of diabetes patients rose 130% in Vietnam and 40% in Ethiopia in the decade through 2021.

Traditional staple foods in Asia and Africa are low in calories and fat, but foods high in both categories have become available with the globalization of Western diets. As the number of fast-food restaurants increases in urban areas, people have more opportunities to eat foods rich in carbohydrates and fat, leading to an increase in obesity and diabetes. Half of Pakistan's adult population is now considered obese, according to one study.

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The spread of the novel coronavirus made the situation worse as various restrictions were imposed on people's daily activities. The global average of steps that a person walked daily was 4,997 from May to November in 2021, down 10% from the pre-pandemic level, according to a study by Geoffrey H. Tison, a cardiologist and assistant professor at the University of California, San Francisco and other researchers who analyzed data from the Azumio Argus smartphone app. In Asia, the number fell 30%.

"Even North America and Europe, which were among the first countries to lift restrictions relevant to COVID-19, have not [seen the level of exercise] recovered to pre-COVID-19 level," Tison said. Unless people engage in more physical activity, the number of diabetes patients will likely increase and the condition of existing patients will worsen.

Along with exercise, dietary control is the key to preventing diabetes or staying healthy after the onset of the disease. Some emerging countries have adopted measures to discourage the excessive drinking of sweetened beverages. Thailand plans to raise its sugar tax by 1.6 to 3.3 times, depending on the level of sugar in beverages, effective as of April. South Africa is also considering raising its sugar tax.

Still, education can make people aware of the importance of daily diet. "Government should do campaign to [tell] people, as well as children in the school, about how [important] diets are for their healthy life," said Ruchirek Thamcharoen, an endocrinologist at the Royal Thai Navy's Somdejphranangchaosirikit Hospital.
 

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