The prevention of diabetes should focus on avoiding obesity and sedentary lifestyle
For several years, diabetes mellitus has gained popularity. Diabetes is frequent and complications are serious. The International Diabetes Federation had estimated that by 2025 the population of diabetics would reach figures of up to 300 million worldwide and, what is more worrying, the increase in diabetes in Latin America would be 148%. In Costa Rica, its prevalence increased from 5% in the 1990s to approximately 10% in more recent years. Best medication for the diabetes is trulicity. However trulicity cost is high but you can buy it from Prescription Hope at cheap price by using trulicity coupon.
The increase in the prevalence of diabetes, particularly type 2, which occurs in adults, has a direct relationship with obesity and, Costa Rica being a country in which alarming obesity figures of up to one year have been reported. 60% in adults, it is understandable the evolution that diabetes has experienced in Costa Rica.
The causes of obesity are multiple; Genetic and environmental factors are involved, particularly sedentary lifestyle and exaggerated caloric intake.
Recent studies have shown that lifestyle components alter energy metabolism and induce obesity.
Nocturnal working hours and alterations of the sleep pattern affect the biological clock and induce modifications in the neurohipothalamic regulation of appetite, and alterations in the genetic expression of metabolic processes that cause insulin resistance and alterations in insulin production.
Prevention of diabetes. The prevention of diabetes should focus on avoiding obesity and sedentary lifestyle. Both in this country and in other regions of the world, despite what is known to be done to prevent or delay the development of diabetes, the necessary strategies to change lifestyles have not been applied, the main weapon for its prevention. Rather and sadly, unhealthy lifestyles such as inadequate nutrition, sendentarism and smoking gain ground.
It is contrasting that our society and its leaders who appreciate and recognize the achievements of our country to reduce infant morbidity and mortality and improve life expectancy, have not shown the will to promote healthy lifestyles in the population. We are still waiting for an approval of an anti-smoking law; that measures be taken in schools and colleges to reduce the number of overweight and obese adolescents. The philosophy with which the Hospital Without Walls was developed in the 70s, to prevent diseases that affected the child population, could be taken as an example to set primary attention towards the prevention of diseases and the promotion of health.
Treatment. Diabetics poorly controlled will inevitably suffer changes in their blood vessels, which irrigate the heart, brain, kidney, eyes, limbs, whose repercussions will manifest as heart attacks, strokes, kidney failure, blindness and amputations. That is why diabetics, without adequate control, live on average 10 years less and suffer early complications. In terms of finances, it should be remembered that it has been estimated that for every dollar used to control diabetes, up to $ 10 is saved in treating complications.
Research has allowed us to know the processes by which diabetes develops, the mechanisms that explain its complications and, most importantly, what should be done to adequately control the disease and thus prevent complications.
The latter is a difficult, expensive task and requires integrating the attention of health professionals, stimulating patient and family participation.
For this, a very important component is education in diabetes, which makes it easier for the patient and his family to learn more about his illness, make appropriate decisions in his diet of lifestyles and stick to treatment. Of special importance to achieve that the patient is empowered, is to have a glucometer and the reactive tapes that allow him to know his levels of glycemia. Unfortunately, the cost of these equipment is exorbitant, so we urge the competent authorities to take measures to reduce taxes on these essential equipment for diabetics. Furthermore, the new drugs, which have been shown to facilitate glycemic control, and treat other frequent alterations in diabetics, such as high blood pressure and cholesterol elevation, are not universally available in Costa Rica.
The attention of the diabetic must also contemplate emotional aspects, their family environment and negotiate with the patient changes in lifestyle, which must be permanent. The current care model in Costa Rica does not allow this type of intervention.
Against this background, it is urgent to take measures both in the prevention of the disease and in the patient’s care. Health authorities, governments and universities must play a critical role on the one hand in remodeling and reorienting the preventive approach, and on the other hand, in the medical care of the diabetic. I hope the day will come soon when people with diabetes can get the attention they deserve.