inspite of modern medicine available why in... - Diabetes India
inspite of modern medicine available why india is becoming capital of world for diabetics,bp,mi?
# Lack of physical work or exercise which causes central obesity.
# Low carbohydrate, high rich fat diet. (Over eating- Fast food).
# Temptation for sugary foods and drinks by diabetic patients. 80% of diabetic patients belong to poor and middle income group. Some advocate for low carb high fat diet for diabetic patients. High fat diet such as milk, eggs, chicken etc., can not be afforded by poor people. They can't undergo periodical medical check-ups as shown below.
A: HbA1c. HbA1c is a lab test that shows the average level of blood sugar (glucose) over the previous 3 months. It shows
how well you are controlling your diabetes.
B: Control your high Blood pressure, if any. Normal blood pressure- <120/80 mmHg.
C: Control your blood Cholesterol: Normal cholesterol < 200 mg/dL. LDL <100 mg/dL HDL > 40 mg/dL Triglyceride < 150 mg/dL.
D: Diabetic education. Dental check-up should be done in every six months.
E: Eye examination for glaucoma, age-related macular degeneration, diabetic retinopathy and cataract.
F: Foot examination (Diabetic neuropathy and diabetic foot ulcers)
G: Glucose monitoring. Fasting or postprandial blood sugar may be checked daily and avoid foods that elevates blood sugar.
H: Health maintenance immunization against influenza and pneumococcal pneumonia.
I: Indications for specialty care. Heart, kidney and liver should be checked periodically by concerned specialists.
* Overall, the risk for death among people with diabetes is about twice that of people of similar age without diabetes.
* Adults with diabetes have heart disease death rates about 2 to 4 times higher than adults without diabetes.
* The risk for stroke is 2 to 4 times higher among people with diabetes.
# Official duties requiring time management and also stress and strains of public and private life.
# Tobacco smoking. Even though tobacco companies are doing their business diversifying their products such as biscuits, soaps, atta, salt, etc., their main income is still coming from tobacco products.
Tobacco smoking is the largest single avoidable cause of premature death and the most important known carcinogen.
* It is associated particularly with lung cancer but also has a causative role in many other cancers, eg. esophageal, head and neck.
* 15% of all cancer cases worldwide and >30% of cases in men from developed countries are attributed to smoking.
* A substantial increase in cancer burden may be expected unless measures to control consumption are strengthened -- a
consequence of the ongoing increase in global cigarette consumption, especially among women and in developing countries.
* Smoking cessation reduces the risk of cancer, but programmes promoting cessation have had only limited success.
* Passive exposure to tobacco smoke also contributes.
* Smoking is responsible for ~90% of cases of lung cancer and the relative risk in lifelong smoker compared to a lifelong
non-smoker is between 10- and 30- fold dependent on intensity and duration of exposure.
# Consumption of alcohol. Kerala state stands in the 1st rank in the consumption of liquor and total prohibition is a distant goal.
A major medical consequence of alcoholism is a person's much greater risk for brain attacks (stroke).
Alcoholism can cause alcoholic cardiomyopathy and heart disease associated with high blood pressure.
* Depression of the central nervous system.
* Degeneration of brain with loss of coordination and emotional stability.
* Addiction to tranquilizers to treat emotional instability.
* Physical damage in motor-vehicle crashes.
* Increased risk of suicide and homicide.
* Increased risk of unplanned pregnancy and STDs.
* Giving birth to a baby with fetal -alcohol syndrome, stunted growth, mental retardation.
* Poor nutrition from irritated liver and GI tract.
* Loss of sex drive.
* Neglect of food intake and physical appearance.
* Sleep loss.
* Severe inflammation of the pancreas with severe abdominal pain and nausea.
* Increased incidence of cancer. (A drinker is six times more likely to get mouth and throat cancer as compared to a nondrinker.)
Please excuse for giving an elaborate reply. Please also note that I am not a medical professional.
Sources:--
en.wikipedia.org/wiki/Fast_...
nlm.nih.gov/medlineplus/smo...
nlm.nih.gov/medlineplus/alc...
Oxford Handbook of Oncology.
High Blood Pressure for Dummies by Alan L.Rubin MD.
