November 14th 2023: World Diabetes Day. What is diabetes? Let’s Talk about it

HAKIZIMANA Maurice

Diabetes: This word comes from the ancient Greek διαβήτης / diabḗtēs, “diabetes”, itself taken from the Greek verb διαβαίνω / diabaínō, “to cross, to cross”. Diabetes is therefore a disorder of the assimilation, use and storage of sugars provided by food. This results in a high level of glucose in the blood (also known as blood glucose): this is called hyperglycemia.

This disease is serious due to its complications, especially on the heart, blood vessels, kidneys and nerves. Its management is based on hygienic and dietary measures (balanced diet and physical activity), as well as on drug treatments.

History tells us that the ancient Greek physicians, Areteus of Cappadocia and Oribase, observed this diabetic syndrome: patients seemed to urinate immediately what they had just drunk, as if they were “crossed by water” without being able to hold it. Then they would lose weight, despite abundant food, and die within a few weeks or months.

This disease is divided into two types: 1 and 2

Type 1 diabetes is caused by an auto immune reaction that destroys the cells that produce insulin in the pancreas. Type 2 diabetes, on the other hand, is mainly caused by insulin resistance and insufficient production of this hormone, often a consequence of poor lifestyle habits.

  • Type 1 diabetes: The body produces little or no insulin.
  • Type 2 diabetes: the body produces insulin, but can’t use it properly
  • There is also the “gestational” type of diabetes

Gestational diabetes: The body does not use insulin properly during pregnancy. This type of diabetes usually goes away after the baby is born.

But what is insulin?

Insulin is a hormone that helps regulate blood sugar (glucose) levels. When this level increases (e.g. after a meal), the pancreas secretes insulin which promotes the storage of sugar in the muscles and liver.

Without this hormone, blood sugar levels would be too high. While sugar is the major food for our cells, a permanent rise in blood levels causes damage, especially to blood vessels.

How many diabetics are there in the world?

According to “Diabetes Atlas IDF 10TH Edition 2021” an estimated 537 million adults between the ages of 20 and 79 are currently living with diabetes. That’s 10.5% of the world’s population in this age group. Contrary to popular belief, diabetes is not unique to developed countries.Its growth is meteoric in developing countries, particularly in Africa. Nearly 90% of people with undiagnosed diabetes live in low- and middle-income countries.

Nicknamed “the disease of the century”, diabetes is increasing in France. The number of diabetics has more than doubled in 20 years, according to health insurance figures, from 1.6 million in 2000 to more than 4 million today.

In the United States, an estimated 30 million Americans are living with this chronic disease. Every year, 1.5 million new cases are diagnosed. In Canada, there are two and a half million.

It is estimated that 25 million Africans are living with diabetes, representing 7.1% of Africa’s overall population. In Rwanda, the number of known diabetics is 297,000 adults.

The total number is expected to reach 643 million (11.3%) by 2030 and more than 1.3 billion patients expected by 2050: according to new models published in “The Lancet”, the burden of this pathology will increase worldwide, aggravated by social and geographical inequalities and discrimination.

How do you know if you have diabetes?

A blood glucose test is carried out in a medical laboratory. Diabetes is confirmed when the fasting blood glucose level is equal to or greater than 1.26 g/l on two occasions or equal to or greater than 2 g/l at any time of the day.

Une patiente atteinte de diabète de type 1 utilise un système d’autosurveillance de glucose par flash, via une application. A Paris, le 21 mars 2020.
A patient with type 1 diabetes uses a flash-based glucose self-monitoring system, via an app. Paris, March 21, 2020. XOSÉ BOUZAS/HANS LUCAS

The symptoms?

Symptoms of complications of type 2 diabetes include difficulty healing, loss of sensation in the feet, vision problems, kidney failure, heart attack or stroke.

As the disease progresses, symptoms may eventually appear:

1. increased thirst and hunger;
2. frequent need to urinate;
3.fatigue;
4.dry, itchy skin;
5.cuts and wounds that heal slowly;
6.frequent infections of the gums, bladder, vagina, vulva, and foreskin;
7.numbness or tingling of the hands and feet;
8.erectile dysfunction;
9.blurred vision.

How can diabetes be prevented?

  1. Maintain a healthy weight
    • Establish a good balance of physical activity and healthy eating
    • Talk to your healthcare provider about your healthy weight
    • Learn how to calculate your body mass index (BMI)
  2. Eat a healthy diet
    • Eat a variety of foods
    • Eat 5 to 10 fruits and vegetables a day
    • Increase Your Fiber Intake
    • Reduce your intake of fat and salt
    • Limit your alcohol intake
    • Select Appropriate Portions
    • Sodas and sweeteners should be avoided
  3. Make sure you are exercising regularly
  4. Don’t smoke
    • If you smoke, it’s never too late to quit
    • Avoid second-hand smoke
  5. Reduce your stress
    • Get enough sleep and rest
    • Be active – physical activity is a great way to reduce stress
    • Manage your blood pressure, cholesterol and glucose levels

“Light” products are not without dangers. llecomte/JCLobo – stock.adobe.com

To live well with diabetes, apply these tips listed above and you will stabilize your disease indefinitely.

This world,

Let’s stay connected with our educational website to learn how to live:

Follow  our Whatsapp channel IYI SI https://whatsapp.com/channel/0029VaCyM5ILdQejDYwQ2b2u

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Join our facebook group  https://www.facebook.com/groups/565816492326178/?ref=share
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Hakizimana Maurice is a professional teacher who teaches at the second level in France. Please Follow our Whatsapp channel , our Facebook,our Twitter and Instagram

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