Factors Affecting Prevalence and Treatment Outcomes of Patients with Type 2 Diabetes Mellitus in Rwanda
Introduction Diabetes mellitus is a chronic metabolic condition in which the pancreas no longer produces enough
Insulin (impaired insulin secretion) or cells stop responding to the insulin that is produced (insulin resistance) resulting in increased blood glucose (“Endocrine System.” Internal Medicine Clinical
Treatment Guidelines. Republic of Rwanda Ministry of Health, 2012 ). Symptoms include frequent urination, lethargy, excessive thirst and hunger (Mukeshimana et al., 2013).
There are four main etiological and clinical classes of diabetes mellitus ;
- Type 1 diabetes which result from beta cell destruction, usually leads
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Mortality attributable to diabetes in sub-Saharan Africa is estimated in 2010, at 6% of total mortality, an increase from 2.2-2.5% in 2000. In addition to the present challenges of resources depletion, low-income countries now face the double burden of communicable diseases (e.g. HIV / AIDS) and non-communicable diseases (e.g. diabetes) (Mbanya et al., 2010).
Objectives
1. To determine the prevalence of T2DM in Rwanda
2. To assess available treatment options and their reach
3. To determine the factors affecting treatment outcomes of T2DM in Rwanda
Problem Statement Diabetes affects people worldwide and poses major public health and socioeconomic challenges. The disorder was previously thought to be rare or undocumented in rural Africa, but over the past decades it has emerged as an important non-communicable disease in sub-Saharan Africa.
Literature Review In 2013, the prevalence of T2DM which accounts for 90-95% of all diabetes was relatively low at 4.9% in the Africa region. Diabetes figures in the Africa region are projected to increase with the number of individuals with the condition rising from 19.8 million in 2013 to 41.5 million in 2035, representing
Diabetes mellitus is characterized by the hyposecretion or hypoactivity of insulin within the body, preventing the glucose from
Diabetes has recently become a focal point of health care systems around the world due to its high prevalence and the severity of secondary complications caused by the disease. Over the course of my project on diabetes, I have had the opportunity to speak with a group of diabetics to understand from a patient’s perspective how diabetes is managed in a rural community. While I found that while some patients ignored treatment and refused to make any dietary changes, the majority of the patients I interviewed were well-informed and actively managing diabetes in their everyday life.
Matthews, David. Diabetes. Oxford: Oxford University Press, 2008. eBook Collection (EBSCOhost). Web. 24 Oct. 2013.
Diabetes, Diabetes Mellitus, is a chronic illness this means that it has no cure and the symptoms persist over a long period of time. This illness is a result of an imbalance of hormones, insulin, produced in the pancreas. Insulin plays an important role in how the body uses food. Insulin enables the cells in the bloodstream to absorb and use glucose for fuel. If the pancreas produces too little or no insulin or if the insulin doesn’t work properly the person may become diabetic. Therefore, diabetics are not able to properly convert food into fuels needed by the body to function, which can seriously lead to physical consequences.
Uncontrolled diabetes can affect nearly every organ of the body; of which, heart disease and kidney failure are most commonly impacted. Known as diabetes mellitus, a collective term for various blood abnormalities, the term diabetes refers to either a scarcity of insulin in the body or the body’s inability to accept insulin. Though the symptoms of diabetes are manageable, many are unaware as to having it. According to the CDC report “2011 Diabetes Fact Sheet,” approximately 6 million people in the United States have undiagnosed diabetes. Undetected, diabetes can become deadly. In a recent World Health Organization report “Diabetes Action Now: An Initiative of the World Health Organization and the International Diabetes Federation,” it
There are nearly 30 million people living with diabetes in the U.S. African Americans are disproportionately affected by diabetes, with 13.2% having been diagnosed with diabetes, compared to 7.6% of non-Hispanic whites. They are also at an increased risk for serious complications of diabetes, which include blindness, kidney disease and amputations. Although the risk for complications can’t be eliminated, good control of diabetes has been shown to reduce those risks.
According to Zimmet (2001), about 150 million people in the world have been suffering with diabetes and it would be 300 million by 2025. Another interesting study by AusDiab in 2000 revelead that 7.4% of the population aged 25 or over had diabetes (type 2 in 90%) Since 1981, the prevalence of type 2 diabetes has increased to twice in and the total number of cases has increased threefold in Australia (Dunstain 2002).Although type 2 diabetes is effecting all races,it was identified highly in south Asians and also worlds one-third diabetic population is from indian continent ( Jean 2008). According to the report from Centre for Disease Control and Prevention in United states of America, nearly 25.8 million people have been affected by diabetes in 2010 with 90- 95% of them being type 2 DM (CDC 2011). However, type 2 diabetes mellitus which is characterized by the deficiency and resistance of the
Type II Diabetes in African Americans is a major health disparity that is growing every day and needs to be understood more. According to the American Diabetes Association, African Americans are 1.7 times more likely to have diabetes than non-Hispanic whites (American Diabetes Association). Why is that? Scientist have been extensively trying to answer this question with various studies and experiments. Though it is not yet fully understood, small achievements have been made and answers are constantly being searched for. Testing and early diagnosis, primary prevention, access to care for everyone and improving that quality of care will make a difference in the number of casualties and people being affected in the African American community.
Over the past 30 years, the rate of diabetes in African American populations has tripled. Prevalence of diabetes in adults is 1.4 times as frequent in African Americans as in Caucasians. The increased prevalence is not dependent on gender.2 Additionally, nearly half of adults who meet the criteria for
We can and must prevent the preventable. The human and financial cost of not intervening will be far greater than the cost of intervening” (International Diabetes Federation, 2016). Basically, diabetes is preventable, it is one’s own will to have courage to fight and with the help of supporters there is no excuse in overcoming this disease. Diabetics are not alone, the American Diabetes Association provides planning meals, awareness programs, food recipes, the understanding of carbohydrates and many more supportive plans. In order to obtain a healthy lifestyle with no complications of any type of disease, it is important to dedicate at least an hour a day to physical activity. The famous writer Lieberman once said, “There’s no medicine that’s more important than exercise. Analyzes have shown, exercising is one of the most important medicines for the diabetic soul, keeping sugar and blood levels at a normal rate. In addition, carefully selecting portions of food that are consume daily. The disease itself is killing many different individuals despite economic statuses. Those who have the education and means usually take it for granted, when people in lower income countries inquire the access to reliable resources. Type II Diabetes impacts negatively on many facets of global development and economic sustainability. So it is crucial that this disease is be put in the forefront so that the global burden of Type II Diabetes be
He said, diabetes mellitus is a chronic disease that occurs when the body doesn 't make enough of insulin, or the body doesn 't use insulin properly. Insulin is a key to regulation of blood glucose in our body. In types II diabetes a condition of when insulin insensitivity as a result of insulin resistance that decreases insulin production and eventual pancreatic beta-cell failure enough insulin to meet body needs. Impairment of beta- cell also can lead to problems with insulin production and resistance that can interfere with the process of glucose uptake in by cells and muscle. This condition leads to a decrease in glucose transport into the liver, muscle cells, and fat cells which can lead to a condition called hyperglycemia. Hyperglycemia occurs when there is a high level of blood glucose levels in our blood (Concepts Advisory Panel (2015) p.742).
Diabetes mellitus has a worldwide prevalence of 8.3 percent of the population with the amount of new cases diagnosed per year
Epidemiologic evidence that is related to the prevention of diabetes in for adults can be found in many places in the literature. Some issues that come up are how according to Patel, Misra, and Balasubramanyam (2017) the increase in diagnosis of type 2 diabetes in developing countries has escalated rapidly due to an increase in populations, overall aging of the population, urbanization, and increase prevalence of obesity. Patel, Misra, and Balasubramanyam (2017) also projects that the number of individual that are diagnosed with diabetes in 2040 will have increased to 642 million adults globally compared to the 415 million adults globally who are currently diagnosed with diabetes and in the US, there was 86 million adults who are
Diabetes is a problem that is expanding across the nation due to various factors that may be avoided such as bad eating habits, lack of exercise and education. These components can all be reversed, which will result to a diabetic free life. According to Diabetes Research Institute, “the most common form of diabetes is called type 2, or non-insulin dependent diabetes”. People with type 2 are able to produce some of their own insulin, yet often, it’s not enough (Diabetes Research Institute, 2016). Diabetes is the 7th leading cause of death in the United States and effects over 23.6 million people (Healthy People, 2014).
There are a number of diseases that have increasingly become prevalent in contemporary society. For a variety of different reasons, chronic diseases like obesity, cardiovascular diseases, HIV/Aids, and diabetes have shown alarming growth trends. The World Health Organization reports that there are approximately 422 million adults worldwide that are diagnosed with diabetes (World Health Organization 2003). In fact, diabetes type 2 has begun to grow at an alarming rate among developing countries who have incorporated a more western diet and whose lives have increasingly become more sedentary (World Health Organization 2003).