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NCDs - Diabetes (part 1)

Published on 24. September 2024

In this post, we're focusing on diabetes, the second non-communicable disease (NCD) in our series. Like cardiovascular diseases, diabetes is a leading cause of death and health complications. Currently, 537 million adults (20-79 years) live with diabetes—about 1 in 10 people. By 2030, this number is projected to reach 643 million and 783 million by 2045. In 2021, diabetes caused 6.7 million deaths (1 every 5 seconds) and resulted in USD 966 billion in health costs—a 316% increase over 15 years. These statistics are alarming, and it's time to act now!

What is Diabetes?

Diabetes occurs when blood glucose (sugar) levels are too high. There are several types of diabetes, each caused by different factors, and each requiring unique treatments. A common risk factor across all types is body weight/obesity, and one of the most important interventions is maintaining a healthy diet.

Common Symptoms (Type 1 & Type 2)

  • Increased thirst and frequent urination

  • Increased hunger

  • Fatigue

  • Blurred vision

  • Numbness or tingling in hands or feet

  • Slow-healing sores

  • Unexplained weight loss

Type 2 diabetes symptoms can develop gradually over years and might be so mild you don't notice them. Many people only discover they have diabetes after developing related health issues like blurry vision or heart problems.

In this and the next post, we’ll focus on the three most common types of diabetes. We’ll explain how and why they occur, their risk factors, and how to lower the risk or manage symptoms.

We'll start with type 2 diabetes (the most common type). In the next post, we’ll cover type 1 diabetes and gestational diabetes. If you're planning to become pregnant or have children, be sure to check it out.

What is Type 2 Diabetes?

Type 2 diabetes happens when blood glucose levels are high. Glucose is the body’s main energy source, and insulin (a hormone from the pancreas) helps cells absorb glucose from the blood. In type 2 diabetes, either your body doesn’t produce enough insulin, or your cells become resistant to insulin, meaning they no longer absorb glucose properly. As a result, glucose stays in the blood instead of entering the cells.

Risk Factors:

  • Age 45 or older (Type 2 diabetes can develop at any age, but it's most common in middle-aged and older adults.)

  • Family history of diabetes

  • Overweight or obesity

  • Physical inactivity

  • Certain health conditions, like high blood pressure

  • Pre-diabetes (when blood glucose is higher than normal but not high enough for diabetes)

  • History of gestational diabetes

*The bolded risk factors are things you can control to lower your risk.

How to Manage Type 2 Diabetes:

Lifestyle improvements are the best way to manage diabetes, including:

  • Reducing calorie intake if overweight/obese

  • A healthy, balanced diet:

    • High in fiber

    • Adequate protein

    • Healthy fats

    • Fewer simple carbs

    • Less saturated fat

    • Less salt

    • Regular meals (no skipping)

  • Physical activity

  • Quitting smoking

  • Managing blood pressure and cholesterol

Treatment:

Besides following your care plan, you may need medications like pills or insulin injections. Over time, more than one medicine might be necessary to manage blood sugar. Even if you don't typically need insulin, it may be required during pregnancy or hospital stays. You might also need medication for high blood pressure, cholesterol, or other conditions.

Why is Managing Diabetes Important?

Good diabetes management can prevent complications, such as:

  • Heart disease and stroke

  • Nerve damage

  • Kidney disease

  • Foot problems

  • Eye disease

  • Gum disease

  • Sexual and bladder problems

  • Non-alcoholic fatty liver disease

  • Sleep apnea

  • Dementia

  • Some types of cancer

  • Depression

Preventing diabetes by tackling manageable risk factors is far easier than managing diabetes itself. If you can address any of the mentioned risk factors, start now, step by step, and you'll see a positive impact on your health.

Sources:

https://www.who.int/health-topics/diabetes#tab=tab_1

https://diabetesatlas.org/#:~:text=Diabetes around the world in 2021:,risk of type 2 diabetes..

https://www.nhs.uk/conditions/diabetes/#:~:text=Diabetes is a condition that,not react to insulin properly

https://www.nhs.uk/conditions/type-2-diabetes/food-and-keeping-active/

https://www.niddk.nih.gov/health-information/diabetes/overview/what-is-diabetes/type-2-diabeteshttps://www.niddk.nih.gov/health-information/diabetes/overview/what-is-diabetes/type-2-diabetes

https://www.nhs.uk/conditions/diabetes/#:~:text=There are 2 main types,not react to insulin properly

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