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Currently in Nigeria, the emphasis of most policies and interventions is on screening and early treatment. Though diabetes education forms a part of most strategies, screening of people at risk is the main focus. The current strategies that exist in Nigeria are mainly health-care facility based and as such do not provide adequate information to the teeming population. According to the IDF Diabetes Atlas (2013), about 3.9million out of the 78 million adult population in Nigeria (20-79years) is diabetic. DIABEDUCATION is aimed at imbibing healthy living lifestyle, good physical activities among young individuals as well as make them diabetes advocates in their schools and communities through adequate diabetes education in a “catch them young approach”. The training manual was developed to teach basic symptomalogy of the disease in easy to understand plain language for children and adults as well as utilizing community focused advocacy methods and via the use of social media- the latest social trend as a veritable tool for diabetes advocacy. With Nigeria’s mobile subscriber base estimated to grow by a significant 14 percent this year to 120 million, utilization of social media in youth health advocacy will help educate, motivate, encourage, and act as a viable propagation medium for adequate diabetes information and education among Nigerians.
With this project we will be directly training over a hundred secondary school students across Ogun State who will then create awareness and educate their peers and community hence indirectly affecting over a hundred thousand individuals across the state.
Our profound gratitude goes to The Ogun State Government, The Ogun State Ministry of Health and the Department of Public health and School health board for the tremendous support.
We also say a big thank you to the Honorable Commissioner for Health for Ogun State, Dr Olaokun Soyinka, Mr Talabi Olumuyiwa – Patron of The Talabi Diabetes Center, the Directors, Facilitators, Volunteers, Sponsors and finally our contributing authors. Few decades ago, I moulded sand castles as kid, rolled abandoned car tyres around street corners, woke up each morning to the crowing of the cock – life was serene and unperturbed. As the world has evolved and technology has improved, computer games have fast replaced outdoor games; kids now learn even their basic nursery rhymes on ‘iPads’. Loud zooms of fast-moving cars, blaring of horns, footsteps of workers hurrying out before dawn to beat traffic to work has taken over the function of my alarm clock.
The “fast and furious” demands of the 21st century are not without their tolls on our health; recourse to a sedentary lifestyle, increased stress level, on-the-go meals to say the least. One of the most devastating effects of our new way of life in this century is the increase in the number of people being diagnosed with diabetes. It is a major health concern of the world we live in today, affecting about 400 million people worldwide and accounting for about 5 million deaths annually from its complications which include problems with but not limited to the kidneys (Diabetic nephropathy), eyes (Diabetic retinopathy), nerves (Diabetic neuropathy), poor wound healing, and the heart.
The world’s population has grown from 6.2 billion to about 7 billion in the last decade putting an untold pressure on food production. Obesity being one of the biggest risk factors of diabetes, hence, healthy diet is of paramount importance. Corporate organisations now carry out much of their work in virtual offices,many staffers of such organisations do a lot of their tasks on the computer than around the office space. Peanut butter instead of chocolate or jam spread on bread, nuts and freshly-made fruit juice or sugar-free yoghurt for snacks instead of hamburger and ‘coke’. More importantly, monitor your weight and blood sugar level from time to time as early diagnosis and prompt management is central to good prognosis.
Someone once told me our children are dying, our future is dying and Type 1 diabetes mellitus is the killer!
Type 1 diabetes is most likely a polygenic condition with a number of potential environmental risk factors being implicated to include dietary factors, initiation of bovine milk in babies, infectious agents (for example viruses like enterovirus, rotavirus, rubella), chemicals and toxins, —but results have however been inconclusive. Type 1 diabetes is usually caused by an auto-immune reaction where the body’s defense system attacks the pancreatic cells that produce insulin.
Most children with diabetes may end up developing debilitating complications such as blindness, kidney failure, heart disease, diabetes ketoacidosis – a common presentation at the emergency centers in hospitals. Besides physical problems, children with Type 1 diabetes can experience anxiety and depression from living a restricted lifestyle.
Even though diabetes is a serious problem, it is manageable and requires appropriate and timely intervention. The management of children living with Type 1 diabetes poses a huge financial burden on their families especially in the developing world.
In view of these challenges, Diablink was created as a platform for advocating for the welfare of Type1 diabetes children and is embedded in and developed from The Nigeria Diabetes Online Community (NGDoc) as a response to the realization of the problems children living with diabetes face or will face upon diagnosis. Diablink is aimed at the management of emergency cases of Type 1 diabetes where parents can’t afford treatment and subsequently linking Nigerian children living with Type 1 diabetes with others globally, creating pen pal relationships among them, thus creating social peer empowerment for them. Until recently funds for the availability of insulin as well as building supportive communities for children with Type 1 diabetes have been generated internally by NGdoc volunteers but we look forward to partnering with interested individuals, corporate organizations and NGOs to help us make this life changing endeavor. Partner with us today and together let’s touch lives of those living with diabetes in Nigeria. Under the Spare a Rose, Save a Child campaign, (a Diabetes Hand Foundation Campaign) we will help create awareness and gain donations and awareness for Life for a Child, an International Diabetes Federation program aiming to fund the continuous medical care, access to supplies and medication, and diabetes education that children in developing nations need to stay alive. Please note that all funds goes directly to the International Diabetes Federation Life For A Child Program. STRATEGIES FOR IMPROVING DIABETES CARE IN NIGERIA (SIDCAIN) call for abstracts for its 2014 Annual Scientific Conference and distinguished personality lecture holding in Ile-Ife from March 5th – 7th, 2014. SIDCAIN was construed about 7 years ago with major objective of curbing the rising diabetes pandemic in the country through translational research. The team holds its annual non-communicable disease conference and distinguished personality lecture.
Previous events held in Ibadan, Osogbo and Sagamu whilst personalities such as Are Afe Babalola, Prof. The 2014 event will hold at the main Auditorium of Obafemi Awolowo University Teaching Hospital, Ile-Ife. The event, as with the previous one will attract participants from all over the country and overseas. International Guest Speakers: Dr Dokun Ayotunde and Dr R Balogun (University of Virginia, VA, USA). Pregnant women who have never had diabetes before but have high blood glucose (sugar) level during pregnancy are said to have Gestational Diabetes. It is a condition in which women without previously diagnosed diabetes exhibit high blood glucose levels during pregnancy (especially 3rd trimester). This is likely due to pregnancy related factors such as Human Placenta Lactogen (HPL) that interferes with susceptible insulin receptors(insulin resistance) ,thereby increasing blood sugar. Pregnancy itself is stressful and diabetogenic due to increased production of pregnancy hormones that are insulin antagonists e.g cortisol, placenta insulinase, estrogen, progesterone, etc. Some also have urinary tract infections, history of repeated abortions, stillbirth(s), or delivery of oversized babies. Prompt recognition and care results in better control of these sugar levels and will reduce some of the risks considerably. Macrosomia (fetal weight>4kg), which in turn increase risk of instrumental deliveries (forceps,ventouse) or problems during vagina delivery(shoulder dystocia). Intrauterine fetal death in the last 4wks due to ketosis, hypoglycemia, placenta insufficiency.
Neonatal morbidity and mortality due to respiratory distress syndrome, jaundice, hypoglycaemia,hyperviscosity,hypocalcemia. Pregnancy induced hypertension,Urinary tract infections and puerperal sepsis,obstructed labour,deficient lactation.
This can be achieved by using special meal plans (diabetic diet), scheduled physical activities (Exercise). Carbohydrate intake should be limited in the morning because of high blood glucose levels between 3-9am resulting from diurnal variant in plasma cortisol and glucagon levels. Though,there are individual variations, endeavor to discuss your meal plan with your dietician and endocrinologist who will prescribe the appropriate insulin regimen.
The goal of treatment is to reduce blood sugar within normal limits thereby improving perinatal outcomes. It is generally advisable that all pregnant women be screened for gestational diabetes at health facilities. The World Diabetes congress of the International Diabetes Federation took place at the Melbourne convention and exhibition centre, Melbourne, Australia from the 2nd to 6th of December, 2013.

The world diabetes congress is a unique opportunity that brings together health care professionals, researchers, policy makers, people with diabetes, their families and carers. Over 10,000 delegates were there to raise awareness on diabetes and its impact by convening at the global diabetes community to exchange research and best practices on diabetes prevention, treatment and management.
The Sessions were inspiring with a lot of focus on mobile health and the use of social media as an important tool for diabetes awareness, prevention, peer support and care. A lot of interactions, partnerships and social networking on adequate awareness, proper preventive measures and care aimed at improving the quality of lives of people living with diabetes was the centre piece of every session, symposium, presentation and even social activities .
In a system where most corporate organizations would rather support or endorse celebrities and established personalities and elites, it is noteworthy that by Chevron Nigeria extending its corporate and social responsibilities to student researchers it has reinforced its commitments to a brighter and greater future for Nigerians most especially for People living with Diabetes in Nigeria who were fully advocated for at the world diabetes congress. From Left to Right: Ms Arubuolawe Tosin (Medical Student OOUTH), Mrs Talabi (Talabi Diabetes Center), Dr Adeshina (Consultant diabetologist, Federal Medical Center Abeokuta), Dr. The Melbourne Declaration with Madam Bongi Ngema-Zuma the 1st Lady of South Africa and  Patron & Chairman of the Bongi Ngema-Zuma Foundation an organization dedicated to see a South Africa where diabetes ceases to be a killer due to lack of awareness.
Social Media has been agreed to be an important social support system for people living with diabetes and it is important for healthcare providers to join in the paradigm to provide technical support for the growing social media platforms used by people living with diabetes for regular communication. People trying to get into the Social Media Presentation reflecting the desire of people to get involved in the communities that provide social support for people living with diabetes. With Carrie Hetherington the winner of the best international contribution in the NGDoc world diabetes day essay. There were an estimated 151 million women with diabetes in 2011 and this number is expected to rise to 275 million by 2030. As a federation of over 200 MAs in over 160 countries, IDF is in a unique position to promote the women and diabetes agenda. Build the evidence base Raise global awareness and commitments Strengthen gender responsive health systems Empower women as key agents in the fight against diabetes. Building the evidence base: Epidemiological, qualitative and health systems research of the direct and indirect burden of diabetes on girls and women. Best practice projects: Combine research and in-the-field interventions to establish models of diagnosis and care for women with diabetes and to improve their health outcomes. Living with Diabetes is hard on women and its burden on women is unique because the disease can affect both mothers and their unborn children. Diabetes can cause difficulties during pregnancy and delivery such as large sized babies, miscarriage or a baby born with birth defects. For women who do not currently have diabetes, pregnancy brings the risk of gestational diabetes. Women who have had gestational diabetes or have given birth to a baby weighting more than 9 pounds are at an increased risk for developing type 2 diabetes later in life.
We at the Nigeria Diabetes Online Community believe in Female education and empowerment towards adequate Diabetes care and quality health delivery. Hence, we plan to motivate 100 females who are ready to raise awareness about Diabetes in their communities.
So if you are a female or a female youth leader passionate about Diabetes Care and Prevention in Nigeria, enthusiastic about change in your community and you wish to create awareness about diabetes in Nigeria via social media thereby reducing its prevalence and the stigma associated with it. If blood sugar is consistently high, over time it can affect the heart, eyes, kidneys, nerves, and other parts of the body. These other conditions that manifest along side diabetes are often referred to as Complications of diabetes. Factors that increase the risk of developing complications include: Excessive alcohol intake, Smoking, Obesity, Lack of regular exercise.
The effects of protective proteins on the surface of the lungs are neutralized leading to a higher risk of influenza, pneumonia, tuberculosis. Women with Uncontrolled diabetes are said to face a higher risk of urinary tract infections and these are relatively more difficult to treat.
Damage to blood vessels that nourish nerves causes tingling, numbness, burning or pain that usually begins at the tips of the toes or fingers.
Uncontrolled diabetes can damage the delicate filtering system of the kidneys and can lead to kidney failure or irreversible end-stage kidney disease. Diabetic retinopathy potentially leads to blindness and increases the risk of other serious vision conditions such as cataracts and glaucoma. Uncontrolled Diabetes may leave one more susceptible to skin problems, including bacterial and fungal infections.
Gum infections also may be a concern, especially if you have a history of poor dental hygiene. The complications of diabetes are far less common or severe in people who have well controlled blood sugar levels and blood pressure. It is also very important to follow your treatment plan for diabetes and see your doctor for ongoing care. This Article is written by Ella Awele Nwaokolo a student of medicine and surgery of the Olabisi Onabanjo University Teaching Hospital, Ogun State, Nigeria. The classical symptoms of DM include: excessive thirst (polydipsia), excessive urination (polyuria), excessive eating (polyphagia) and weight loss.
According to the International Diabetes Federation (IDF) diabetes atlas, sixth edition published in 2013, 382 million people have diabetes globally and about 175 million others are undiagnosed.
There is clearly growing evidence that earlier detection of people with Impaired Glucose Tolerance and others at high risk, followed by interventions to delay or prevent Type 2 diabetes and improve glucose control, can result in clinically important reductions in the incidence of diabetes, its complications and co-morbidities. A second option is to use one of the several questionnaires available e.g Finnish Diabetes risk score. Physical activity levels have decreased over recent decades in many populations, and this has been a major contributor to the current global rise of obesity.
Brisk walking for about 30 minutes daily is the minimum activity expected of an individual. Much uncertainty still surrounds the dietary factors involved in developing diabetes, partly because of the difficulty in collecting accurate dietary data. As a Catholic couple, open and generous to new life, pregnancy is a condition which it would do well to become informed about. Diabetes is caused by the inability of the body to either make insulin or to use it effectively. In a normal pregnancy, an increase in anti-insulin factors is counter balanced by an increase in insulin production to maintain normal blood glucose levels. Indications for screening for gestational diabetes include obesity, excessive weight gain, excessive hunger or thirst, polyuria (frequent urination), sugar in the urine, repeated yeast infections, previous delivery of a large baby (over 9lb), high blood pressure and a family history of diabetes.
Uncontrolled diabetes during pregnancy can cause still-birth, fetal anomalies, premature delivery,and birth of an infant who is small or large for gestational age.
Regular pre-natal visits are all that is required to detect gestational diabetes, since doctors test for diabetes at least three times during a woman's pregnancy to prevent the complications that would pose a risk to the baby and themselves.
Overall, the woman who develops gestational diabetes has no greater risk for complications than does a woman with a normal pregnancy if it is well controlled.
Below is a link to an exhaustively complete site with answers for every question you could possibly ask about gestational diabetes. As you ready for your bundle of joy’s arrival, there are a million things to decide: his or her name, your birth plan, disposable vs. It’s also important to understand the uncountable benefits of breastfeeding for both you and baby. Breastfeeding also provides your little one with just the right amount of nutrition he needs as he grows; it operates on a supply and demand system. What’s more, breast milk is chock full of antibodies that help protect your baby from infections and illness. Breastfeeding has health benefits for you as well, such as a lower likelihood of developing type 2 diabetes, breast cancer and ovarian cancer. Please note that we are unable to respond back directly to your questions or provide medical advice.
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Potassium reserves on DKA are actually depleted, hyper K is due to extracell shift due to lack of insulin.
Diabetes is a disease of the body’s ability to appropriately utilize sugar, the primary metabolic fuel.
The resultant effect is production of more processed and synthetic food, making healthy diet more expensive on the average. Leafy vegetables, fresh fruits, whole grains cereals, lean meat, fish and nuts should be incorporated. Whether diabetic or pre-diabetic, living healthy in the 21st century,even with its demands on our health is possible, though a difficult battle, its also winnable. The most devastating part of type 1 diabetes is that it’s neither preventable nor curable and it affects children more. All these complications from Type 1 diabetes are devastating for these children, their family, and the health system. They may lose productivity due to school absences because of the development of complications.
Diabetes can be managed as insulin replacement through lifelong insulin injections everyday, following a healthy diet and eating plan, taking regular exercises and monitoring of blood glucose levels regularly.
Most families can not afford a continuous availability of insulin for these children resulting in most complications and death. The core team comprises researchers in the field of diabetes and hypertension spread across the major tertiary institutions in the South Western States of Nigeria.
John Idoko (NACA), former president, Chief Olusegun Obasanjo and Mr Dele Momodu (Ovation) have given the lectures.
Abstracts should be in English language, typed double spaced, in Times New Roman font 12 and not exceeding 250 words.
After delivery about 50-60% of women with GDM are found to develop Type 2 diabetes within 10-20 years.
This risk is largely related to uncontrolled high blood glucose levels and its consequences. It represents the interests and the growing numbers of people with diabetes and those at risk. Women with diabetes are also more likely to have a heart attack, and at a younger age, than women without diabetes. Based on recently announced diagnostic criteria for gestational diabetes, it is estimated that gestational diabetes develops in 18 percent of all pregnancies but disappears when a pregnancy is over.
Most people living with uncontrolled diabetes don’t realize that they have a higher chance to suffer from certain conditions until the symptoms begin to manifest. Examples of heart conditions involved in DHD include: Diabetic Cardiomyopathy (enlargement of the heart muscles) , Heart failure (a condition in which the heart fails to function as a pump), Coronary Heart disease (narrowing of the blood vessels that supply oxygen rich blood to the heart) etc.
Nerve damage in the feet or poor blood flow to the feet increases the risk of various foot complications e.g.
Uncontrolled diabetes may also lead to lower than normal bone mineral density, increasing the risk of osteoporosis. The good news is that the risk of developing complications is greatly reduced by healthy eating, regular physical activity, well controlled Blood Pressure, reduced stress etc. For those who already suffer from Diabetes related conditions, follow the treatment plan as is advised by your healthcare providers. However, majority of cases of DM could be asymptomatic and clinical features may be manifestation of complications like diabetic ketoacidosis (DKA), retinopathy, nephropathy, neuropathy, leg ulcer, stroke among others.
A simple and available option is to take advantage of the several screening programs organised by different advocacy groups.
Physical inactivity has been found, in both cross-sectional and longitudinal studies, to be an independent predictor of Type 2 diabetes. Nevertheless, some of the more consistent messages indicate that a high total calorie and low dietary fibre intake, a high glucose load and a low polyunsaturated to saturated fat ratio (junks, fries etc.) and may predispose to the disease. In this issue, I will discuss a few of the more normal conditions, complications and issues surrounding pregnancy, and give links for further research.
However, women who are pre-diabetic or diabetic are unable to produce sufficient insulin to overcome the insulin antagonist mechanisms of pregnancy, or their tissues are insulin-resistant.
Such infants are at risk for severe episodes of hypoglycemia shortly after birth, and are prone to other metabolic imbalances.
Maintaining the optimum blood sugar levels is much easier today than it was in the past because with home glucose testing it is much simpler to keep the sugar levels in the proper range.
While it is a natural way to feed your baby, it doesn’t always come easily; it can be uncomfortable at first and frustrating.
This ensures your baby will get colostrum, an antibody-concentrated fluid that protects against disease and nourishes your baby until your milk comes in (which may take a few days). First, breast milk offers your baby all the nutrition he needs, at just the right temperature, in an easy-to-digest formulation and perfect package (in a soft, warm embrace). The more your baby demands, the more your body supplies (and vice-versa), which takes a lot of the guesswork out of feeding.
Some short-term health benefits of breastfeeding include fewer ear infections, diarrhea, bronchitis or pneumonia and eczema. The American Academy of Pediatrics (AAP) recommends exclusive breastfeeding for the first 6 months of life, and then continuing up to your baby’s first birthday while he starts to eat solid food.
Both of which will support, guide, and inspire you toward the best possible health outcomes for you and your family. Choose whole grain bread over white bread, brown rice to replace white rice, whole grain pasta instead of processed ones. Consequently lack of access to insulin will result in complications and might eventually lead to death. Surprisingly, almost all of them knew someone who is diabetic; parent(s), relatives, neighbours etc.
For equivalent degrees of obesity, more physically active subjects have a lower incidence of diabetes. As insulin requirements rise toward term, the patient who is pre-diabetic may develop gestational diabetes, necessitating dietary management and possibly insulin injections to achieve optimum blood glucose levels.
After birth, the need for insulin will return to normal and the woman will no longer be diabetic.
2-4% of pregnant women will develop gestational diabetes so it is important for all to be tested throughout the 9 months of pregnancy.
Knowing what to expect and where to find help can ease the process and help you stick with it, which is beneficial to you and your baby. The process also allows for close bonding between you and your baby, helping you stay in sync with his appetite.
Fast forward a few years, and breastfed babies tend to be at lower risk of asthma, obesity, type 1 and 2 diabetes, childhood leukemia and the occurrence of sudden infant death syndrome (SIDS). Why don’t you try walking down the road for ten minutes before calling a cab,when you go to work tomorrow and subsequently. The physical, social, economic and emotional burden of Type 1 diabetes can’t be underestimated. She will need to be tested on a yearly basis as some women go on to develop diabetes later in life. I used AFP guidelies and wrote this algorithm in 2009 where it was the latest recommendation.
On a similar note; have you used the services from " Vidadsmedia What is Type 2 Diabetes " (do a search on google)?
I'm a nursing student and I am aware of fluid resuscitation being the first matter you treat.

Info re diabetes
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