If we were playing “I Spy” and I described to you an object by the adjectives blue, round, and has a whole in the middle, what would you think? Well if you guessed the world, then you are wrong. Actually it is a symbol that represents a major disease that is affecting the world that we live in. This is a universal symbol for diabetes. Many would not consider diabetes as a serious illness. Often times you will hear people say “it’s just a little sugar,” but this disease accounts for almost four million deaths alone in 2010. In the article Management of diabetes and associated cardiovascular risk factors in seven countries: a comparison of data from national health examination surveys a study is given to see if this disease is destroying millions of lives because of the relationship between socioeconomic factors and inequalities in the health care system.
Diabetes does not just have an effect on one part of the world. Every continent has seen major increases of the disease in their populations. Being that this is the case,the study was researched worldwide in seven different countries. These countries included Columbia, England, Islamic Republican of Iran, Mexico, Scotland, Thailand, and the United States. As they began their research, they broke the studies into four major categories which would determine how health systems were reacting to diabetes.These categories were undiagnosed, diagnosed but untreated, treated but not controlled which means that they were not meeting treatment targets, and last treated and controlled so they were making the targets for blood glucose, blood pressure and serum cholesterol. The results were that only a small percentage of individuals with diabetes actually reached the target for all three conditions. Wealth was not proven as a major significance in being diagnosed with diabetes.The study also broke down environmental factors that would impact the data.The following determinants were age and sex of the respondent, where they lived ( urban or rural), income, highest level of education, and insurance status. When it came to age, Mexico stood out with its high diagnosis of diabetes. In those over the age of 35, 24% were males, and 21% were females.In Columbia more women were actually willing to get tested and more were diagnosed than men.Another result was that coverage of treatment with medication was higher in more developed countries.Sadly though, overall in younger people diabetes was not diagnosed.
The article gives five approaches to help lower the pressure of diabetes. Case preventions through lowering factors that can be changed such as obesity through change of lifestyle. Screenings and lifestyle interventions with patients that have pre-diabetes. Quicker diagnosis and treatment plans, better management of complications such as renal disease and diabetic foot. Last but not least, improved organization on associated heart risk.
Diabetes is definitely a silent killer. Even though millions are affected by the disease, people do not think of it as something that is detrimental to their health.Diabetes does not just affect one group of people.Age, sex, socioeconomic status, religion are not factors that determine whether a person will have disease. No one has a pass.It is important for us to gain knowledge on this crippling disease.P.S. A few movies that I love that had a character affected by diabetes were Panic Room, Soul Food, and Mad Money.
Gakiodu,Mallinger,Abbott-Klafter,Guerrero,Villalpando,Ridaura,Aekplakorn,Naghavi,Lim, Lozano,JL Murray(2010).Management of diabetes and associated cardiovascular risk factors in seven countries: a comparison of data from national health examination surveys, Bull World Health Organ 2011:89:172-183, doi:10.2471/BLT10.080820








