Awareness

English

Preparing for global urbanization

Editorial of the President

Family-centred education for migrants with diabetes in Scotland

A culturally sensitive, intensive diabetes education service is being delivered in the community to people of ethnic-minority origin living with type 2 diabetes in Lothian, Scotland. Designed by a pharmacist, the initiative began as a research project, but the effectiveness and popularity of the programme resulted in its development and implementation as part of the local diabetes care package.

Redesigning the urban environment to promote physical activity in Southern India

Type 2 diabetes has become the most common metabolic disorder. Its prevalence is growing most rapidly among people in the developing world, primarily due to the rapid demographic and epidemiological changes in these regions. According to IDF, India currently leads the world with an estimated 41 million people with diabetes; this figure is predicted to increase to 66 million by 2025. The diabetes epidemic is more pronounced in urban areas in India, where rates of diabetes are roughly double those in rural areas.

The changing face of coeliac disease: links with other autoimmune disorders

The onset of coeliac disease, together with type 1 diabetes, influences glycaemic control, and more precisely the development of hypoglycaemia. These conditions share a similar genotype. The main problem of coeliac disease is intolerance to gliadin, a gluten protein found in cereals such as wheat, rye and barley; the only treatment is a gluten-free diet. Spomenka Ljubic and Zeljko Metelko report on the growing body of evidence linking coeliac disease and other autoimmune disorders, including type 1 diabetes, and describe recommended procedures for its diagnosis and treatment.

Breastfeeding and diabetes - benefits and special needs

Breastfeeding has numerous advantages for mothers with diabetes and their babies. Nursing mothers have lower insulin requirements and better control of their blood glucose; breastfed babies may have a lower risk of developing diabetes themselves. Alison Stuebe describes these potential benefits and highlights the special needs of breastfeeding mothers with diabetes.

Translating science into practice: the US National Diabetes Education Program

The USA ranks third in the global prevalence of diabetes, preceded only by India and China. About 7% of the population has diabetes. A third of the total number of people with the condition is believed to be undiagnosed and therefore not receiving treatment to reduce the risk of disabling and life-threatening diabetes complications. The economic costs of diabetes are enormous – estimated at 132 billion USD in 2002. The mission of the US National Diabetes Education Program (NDEP) is to reduce diabetes-related illness and death.

Growing up safe and sound

Editor-in-Chief's editorial

Lifestyles hold the key to global health

President's editorial

Addressing inequalities in access through long-term collaboration

Diabetes is a life-long chronic condition. Herein lies one of the major challenges to addressing global inequalities in diabetes care. The costs of insulin and monitoring are often beyond the resources of people with diabetes or their country’s healthcare system. While it is easier to secure temporary price reductions or short-term financial support in the form of donations or grants than it is to find long-term ongoing support, diabetes needs in most countries are not temporary.

Protecting our children worldwide: the first UN-observed World Diabetes Day

Diabetes is finally emerging from the shadows thanks largely to the recent adoption by the UN General Assembly of a landmark Resolution on diabetes. This Resolution, which recognizes the severity of diabetes and encourages Member States to develop national policies for the prevention, treatment and care of diabetes, is closely linked to the UN Millennium Development Goals. One of the UN’s targets for 2015, Millennium Goal number 4, is to reduce child mortality worldwide.

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