Diabetes in Society

English

Preventing non-communicable diseases: an integrated community approach

The drastic rise in childhood obesity worldwide reflects the impact of unhealthy modern lifestyles. Over the last decade and a half, the increase of high-sugar, high-fat processed foods in our diets has combined with sedentary behaviour to radically and negatively affect the health of our societies. Initiatives are urgently required which can reduce the resulting individual and societal burden to physical and psychological health and economic development.

Diabetes, deprivation and outcomes in the wealthy world

In a significant number of people, both type 1 diabetes and type 2 diabetes progress to the development of vascular complications and ultimately

Health insurance for all: the key to improved diabetes management?

Meeting the costs of diabetes represents a major challenge. Proper diabetes care requires complex life-long management, making the condition one of the costlier chronic diseases. In 2006, the awareness-raising efforts of the global diabetes community will highlight the health status of people who are vulnerable or underserved. Not limited to populations in the developing world, this group includes people with diabetes in even the wealthiest countries. In the USA, where financial health cover is widely linked to employment, there are huge and increasing

Appropriate footwear: sandals or shoes?

From the moment they are diagnosed with the condition, people with diabetes receive all kinds of advice – or at least they should – ideally from others with the condition or family members who are ‘experts’ in living with diabetes, and professional health-care providers. Of all of these recommendations, one that is often misinterpreted is that relating to ‘appropriate footwear’. The key to this lies in the word ‘appropriate’.

Fighting discrimination with fire in South Africa

Despite his 13 years of experience as a voluntary fire fighter, Stuart Murdoch’s application to become a professional member of the fire brigade in his home town of Fish Hoek, South Africa was rejected – because he had type 1 diabetes. Upon hearing of his employers’ decision to discriminate against him on the grounds of his condition, Stuart felt indignant and deflated; but he was not defeated. This is his account of how his successful struggle against ignorance and discrimination changed the law for people with diabetes in South Africa.

Political support groups can advance our cause

One day in 1997, when he and his family should have been celebrating his wife’s birthday, Guy Barnett’s life changed abruptly: having been diagnosed with type 1

The price of 'progress'? Diabetes in Indigenous Australians

Indigenous Australians have poorer health than the rest of the Australian population; for Aboriginal people, life expectancy is about 20 years less than for the general population. Significantly though, the low expectation of life in Indigenous Australians is less associated with high child mortality, as occurs in many groups in developing countries; the big differences are among young to middle-aged adults.

Religion, politics and the diabetic foot in Senegal

Sixty seven-year-old Venerable Karamogo is the spiritual and community leader of a village in the South of Senegal. About nine years after Karamogo was diagnosed with diabetes, a chronic infection developed in his left leg. The surgeons recommended amputation; but this advice was firmly rejected by Karamogo and his family.

The psycho-social impact of diabetes foot damage

Over half of all lower-extremity amputations are related to diabetes. Indeed, foot ulceration is an increasing problem worldwide and there is little evidence of a reduction in the numbers of foot ulcers and amputations in people with diabetes.

Counting the costs of the diabetic foot

Diabetes is a chronic condition that requires a life-long commitment of resources to the prevention and treatment of complications. The condition affects an increasing number of people all around the world, putting them at risk for foot ulcers and amputations. In addition to causing acute suffering, foot lesions in people with diabetes have substantial economic consequences: up to 20% of total expenditure on diabetes might be attributable to the diabetic foot. Jan Apelqvist and Gunnel Ragnarson Tennvall report on the economic impact of diabetes foot damage

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