The single largest silent killer
We are currently in the mix of two closely linked epidemics obesity and diabetes. Diabetes type 2 or adult-onset diabetes accounts for 90% cases of diabetes and is poised to become the next pandemic.
90% people with diabetes type 2 are overweight or obese. The international diabetes federation has reported that the number of diabetics will increase from the present 246 million to 380 million by 2025.
WHO foresees that more man 80% of the new cases will be seen in developing countries which will be bear the impact of his pandemic the most.
India is already claimed as the diabetes capital of the world. Rapid urbanization with faulty food and lifestyle associated with more abdominal fat in Asian population causes diabetes to occur earlier and at lower body weight than in the west. This pandemic is poised to flood the World health care systems unless something is done to control it.
Diabetes is an inexorably program disease loading to damage to multiple organs. It is the most common cause of coronary artery disease and heart attacks, stroke and paralysis, adult blindness, limb amputations and nerve damages and kidney failure.
The cure and the drugs
Research and development in drugs for diabetes have been taking place at a steady rate. The current therapies like insulin, days, diet? Behaviour modification give a reasonable control but rarely gives complete cure. At present diabetes remain incurable by medicines.
Improvement or cure of diabetes after weight loss surgery showed a new ray of hope. Return to normal glucose and insulin levels are observed within days of surgery. Calories restrictions and changes in gut hormones due to international rearrangements work to achieve control of diabetes after operation. The significant and sustain weight loss after surgery further help in controlling the disease for long time.
National Institute of Health have documented that diet exercise and life style modification are not effective in people with body mass index (BMI) of 35 or morbidly obese. Bariatric surgery is indicated in these patients not only to reduce weight but control the more dangerous associated disease like diabetes.
More than 90% of patients who undergo surgery experience a complete and sustained cure of type 2 diabetes especially when done early.
Prevention of the Diabetes Epidemic through effective public health initiatives to charge the faulty diet and lifestyle should be the highest priority for those already suffering from it, effective therapy is the need of the hour.
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