Globally, the number of diabetes patients is increasing, short- and long-term complications and deaths due to diabetes are increasing. Diabetic patients are increasing at an alarming rate in South Asian countries. In this regard, the picture of Bangladesh is more dire.
Experts say that one in ten adults in the world is suffering from diabetes. 90 percent of whom have diabetes-2. Half of these patients are again undiagnosed. Early detection of diabetes and type-2 diabetes, complications are further compounded by late treatment. Experts believe that it is important to change the right diet and lifestyle after the diagnosis of the disease to control it.
On the occasion of World Diabetes Day-2023, experts said these things in the round table meeting titled ‘Diabetes: Know your risk and what to do’ held at Jugantar office on the initiative of Bangladesh Endocrine Society on Saturday.
In the meeting chaired by former president of National Press Club and Yugantar editor Saiful Alam, chief sponsor of Bangladesh Endocrine Society and Director (Education) of Bardem, Professor Dr. Farooq Pathan. In addition, the president of the society (elect) and senior consultant of the endocrinology department of the United Hospital, Dr. Mohammad Hafizur Rahman, General Secretary and Associate Professor of Endocrinology Department of Bangabandhu Sheikh Mujib Medical University (BSMMAU). Shahzada Salim, Vice President and Associate Professor of Bardem Endocrinology Department. Faria Afsana, scientific and research editor and associate professor of endocrinology department of Dhaka Medical College Hospital. M. Saifuddin, Office Secretary and Assistant Professor of Endocrinology Department of BSMMU. Marufa Mostari, vice president and head of the Department of Endocrinology at Bardem, Dr. Md. Feroze Amin, member of the executive committee and assistant professor of endocrinology department of Nitore (Pangu Hospital). Afsar Ahmad Meraj, Assistant Professor of Endocrinology Department of Sir Salimullah Medical College and Mitford Hospital. Dr. SM Mohiuddin, Medical Officer of Endocrinology Department of Mugda Medical College Hospital. Ahmed Ifrad bin Raunak, Assistant Professor of Endocrinology Department of Executive Dhaka Medical College and Hospital. Mirza Sharifuzzaman, Associate Professor of Endocrinology Department of Ibn Sina Medical College and Hospital. Sultana Marufa Shefin, Incepta Pharmaceuticals Limited Executive Director Ashraf Uddin Ahmed, Yugantar Chief Correspondent Masood Karim and Senior General Manager Abul Khair Chowdhury.
Departmental editor of Yugantar health page Dr. was in charge of conducting the meeting. Fahim Ahmed Rupam. The event was sponsored by Incepta Pharmaceuticals Company Limited.
Professor Dr. Farooq Pathan said that World Diabetes Day is going to be celebrated on November 14. This year’s theme of International Diabetes Federation (IDF) Day is ‘Know Your Risk, Know Your Response’ i.e. ‘Know your diabetes risk and take preventive measures.’ Some diabetes risks are modifiable and some are not, he said. The disease is present all over the world. Prevalence is slightly higher in this subcontinent. If someone’s family, relatives and relatives have diabetes, others are at risk if they do not exercise, gain weight and fat. In addition, heart patients, suffering from high blood pressure, high cholesterol, smokers, low efficiency of insulin in the body; They are more at risk. If this risk can be reduced, the disease can be prevented. Diabetic societies are also working in different ways in Bangladesh. So if someone suspects diabetes, they can go to the nearest hospital or center to diagnose the disease and take preventive measures. It is possible to prevent and avoid the risk of diabetes by following the doctor’s advice and changing the right diet and lifestyle.
Professor Dr. Mohammad Hafizur Rahman said, according to the latest information of the IDF, one in ten adults in the world is suffering from diabetes. One in six people has pre-diabetes. One in seven adults in Bangladesh has diabetes and one in four has pre-diabetes. Urbanization, environmental pollution and increase in average life expectancy are the major reasons behind the rapid increase in diabetes in the country.
Associate Professor Dr. Shahzada Salim said, it is recommended that people with diabetes have symptoms; But not everyone’s style is the same. For example: Type-1 diabetic patients experience various problems including frequent urination, thirst, increased appetite, weight loss and weakness. On the other hand, people with type-2 diabetes may not show symptoms. Three out of every four people with type-2 diabetes have been diagnosed with diabetes for some reason without symptoms. A recent study shows that 61.5 percent of patients in Bangladesh think they are not infected with the disease. They are coming to the doctor after a long time after seeing any complications. In this case, heart disease, diabetic retinopathy, kidney complications, stroke and other problems of the body after stroke are occurring. That is why it is important to diagnose and treat those who are at high risk.
Associate Professor Dr. Faria Afsana said the first thing to do for diabetic patients is to control their diet. Next comes physical exercise. Exercise activates the human body. Increases the effectiveness of insulin in the body and lowers blood glucose levels in a very short period of time.
As a result, every patient with diabetes treatment is encouraged to exercise on a daily basis. In this way I ask to exercise at least 150 minutes a week or 30 minutes a day. Even if seven days a week is not possible, I ask to do five days.
Associate Professor Dr. M. Saifuddin said, 50 to 55 percent of carbohydrates, 20 to 25 percent protein, 30 to 35 percent of what a diabetic patient eats throughout the day should be. It should have vitamins and minerals. Ask the diabetic patient to have a light breakfast between 8 AM and 8:30 AM, light fruit around 11 AM, lunch around 2 PM, light snacks between 5 PM and 5:30 PM, dinner between 8 PM and 8:30 PM and some light food between 11 PM.
Assistant Professor Dr. Marufa Mostari said that diabetes is a silent killer because there are no symptoms. So a patient first of all needs to know about the risks of the disease and what to do. Blood sugar should be measured to see if the disease is under control. Likewise, check blood levels of bad cholesterol or fat two to three times a year. Check for urine albumin, kidney creatinine level. Liver function tests are important to check for fatty liver accumulation in the liver.
Member of the executive committee of the Endocrine Society and Assistant Professor of Endocrinology Department of Nitore (Pangu Hospital). Afsar Ahmad Meraj said that a diabetic patient should follow three things: diet, food and medicine.
Yugantar Editor Saiful Alam thanked everyone on behalf of Jamuna Group and Yugantar. He said, your profession is related to people’s lives. The important discussion that you have done here today will benefit the readers of the newspaper and the online audience. Diabetes is a lifelong disease, so doctors have to play a role in counseling as well as treating the disease.
Professor Dr. Md. Feroze Amin said there are three parts to diabetes management. One of them is diet, exercise and other treatment is through medicine. One of the drugs is insulin. There are two types of diabetes. When type-1 diabetes occurs in the body, the body does not produce insulin at all. Complications increase if those patients are not given insulin. Type-2 patients do not produce insulin despite being given medication. In that case, it can be seen that those who cannot control diabetes even after taking medication, those patients who cannot control glucose even after increasing the dose of medication, need to start insulin. The later insulin is started, the more complications develop.
Assistant Professor Dr. SM Mohiuddin said that the herbal medicines used in the treatment of diabetes do not follow the scientific guidelines. These drugs have no scientific basis. Diabetes is increasing by taking these medicines without taking scientific treatment.
Dr. Ahmed Ifrad bin Raunak said, people should be made aware that we are at risk of diabetes. Highlighting the severity of the diabetes situation in Bangladesh, he said that about 1 crore 31 lakh people are currently suffering from diabetes in the country. Among adults, the proportion of this disease is 12.5 percent. Where the prevalence of the disease in South Asia is 8.7 percent.
Assistant Professor Dr. Mirza Sharifuzzaman said that both diabetes and high blood pressure are long-term diseases. It can cause kidney failure and blindness. 50 percent of patients with diabetes are at increased risk of hypertension. If you have diabetes, you should consult a doctor regularly.
Associate Professor Dr. Sultana Marufa Shefin pregnancy How women can control diabetes says that when a mother wants to conceive with diabetes, it is necessary to prepare. When this mother gives birth to a child, that child continues to grow in the mother’s stomach, diabetes must be prevented from that time. Gestational diabetes is one of the four types of diabetes. Only women suffer from it. If a mother with diabetes wants to have a child, the disease must be controlled beforehand. If there are other diseases along with it, it should be controlled through treatment. Besides, women who are at risk of developing diabetes should also be tested before pregnancy.
Yugantar Chief Correspondent Masood Karim said that discussions about keto diet and gestational diabetes and other preparations and controls are very important. Jugantar publishes health news seriously.
Ashraf Uddin Ahmed, executive director of Incepta Pharmaceuticals, said that diabetes has taken a terrible shape in Bangladesh. Diabetes is increasing due to exercise, lack of physical activity, consumption of junk food, smoking. It is also spreading in rural areas. Diabetic patients can lead a healthy life if prevented in time.
Abul Khair Chowdhury, senior general manager of Yugantar, said that experts here say that it is possible to keep diabetes under control by following these three things: diet, medicine and discipline. Yugantar has always prioritized the health sector.