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| *Women health>>>Diabetes |
What are the statisticsavailable on diet,complications,foot care of diabetes mellitus? |
I want Indian and World statistics That question is so broad, sounds more like the title of a textbook! The short answer is to keep the diabetic control tight enough to have the hemoglobin A1C in the low 5's or under 5%. If there is already compromise of the arterial circulation of the legs to address that systematically & regionally. If there are already ulcers need aggressive regional care. If there is already bone infection, it's more a matter of chronic management, but not impossible to cure. And get professional toenail care, wash feet & keep well lubricated daily, and never ever ever go barefoot or in stocking feet. Always wear shoes that are protective. Inspect feet daily for any breaks in the skin; even a small crack can lead to loss of limb. If there is any tinea pedis ('athlete's feet') must treat, as eventually leads to microbreaks in the skin which give the bacteria a port of entry. Lastly, Indians genetically have a high penetrance of dyslipidemia (cholesterol problems) & need treat that very aggressively (in order to prevent hardening of the arteries of the legs); the most aggressive doctors treat it to get the "non-HDL" at about 100, and the "LDL" at about 70. (the non-HDL is the total cholesterol minus the HDL, & is a proxy marker for the agressive sub-fractions of the LDL). There was a study a few years ago in Lancet on Indians & had statistically smaller coronary arteries; can debate the why of that, but to me it means the most aggressive standards of care need be applied to any diabetic Indian. And no smoking, ever!! Good luck!! Forgive my ignorance, I am assuming you mean the American Indian population. That is the information I have pulled here. Also, visit: www.diabetes.org and the World Health Organization might have stats as well. (I did a google search to find this information). I would assume that the treatment and maintenance of the disease for ANY person irregardless of race or ethnicity would be the same. Healthy diet with the right kinds of foods, maintaining a stable glucose level, exercise and consulations with specialists would be the best route to go--and keep a watch on your feet. Wear the right footwear, cut toenails straight across to avoid hangnails and infections etc. Good Luck! Found on: Wikipedia: Epidemiology and statistics In 2006, according to the World Health Organization, at least 171 million people worldwide suffer from diabetes. Its incidence is increasing rapidly, and it is estimated that by the year 2030, this number will double. Diabetes mellitus occurs throughout the world, but is more common (especially type 2) in the more developed countries. The greatest increase in prevalence is, however, expected to occur in Asia and Africa, where most patients will likely be found by 2030. The increase in incidence of diabetes in developing countries follows the trend of urbanization and lifestyle changes, perhaps most importantly a "Western-style" diet. Diabetes is in the top 10, and perhaps the top 5, of the most significant diseases in the developed world, and is gaining in significance there and elsewhere (see big killers). For at least 20 years, diabetes rates in North America have been increasing substantially. In 2005 there are about 20.8 million people with diabetes in the United States alone. According to the American Diabetes Association, there are about 6.2 million people undiagnosed and about 41 million people that would be considered prediabetic.[20] However, the criteria for diagnosing diabetes in the USA means that it is more readily diagnosed than in other countries. The Centers for Disease Control has termed the change an epidemic. The National Diabetes Information Clearinghouse estimates that diabetes costs $132 billion in the United States alone every year. About 5%鈥?0% of diabetes cases in North America are type 1, with the rest being type 2. The fraction of type 1 in other parts of the world differs; this is likely due to both differences in the rate of type 1 and differences in the rate of other types, most prominently type 2. Most of this difference is not currently understood. Found on: www.diabetes.niddk.nih.gov American Indians and Alaska Natives who receive care from the Indian Health Service (IHS): 99,500; 12.8 percent of American Indians and Alaska Natives aged 20 years or older who received care from the Indian Health Service (IHS) in 2003 had diagnosed diabetes. Applying the rate of undiagnosed diabetes in the total U.S. population to the American Indians and Alaska Natives who receive care from IHS gives an estimate of 118,000 (15.1 percent) American Indians and Alaska Natives aged 20 years or older with diabetes (both diagnosed and undiagnosed diabetes). After adjusting for population age differences, the total prevalence of diabetes in this group is lowest among Alaska Natives (8.1 percent) and highest among American Indians in the southern United States (26.7 percent) and in southern Arizona (27.6 percent). Taking into account population age differences, American Indians and Alaska Natives are 2.2 times as likely to have diabetes as non-Hispanic whites. |
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