Monday, November 13, 2006

14 Novembro: Dia Mundial do DM

The Lancet: "World Diabetes Day is on Nov 14, and the theme chosen by the International Diabetes Federation for 2006 is diabetes in disadvantaged and vulnerable people, and the desperate need for better access to effective care in many communities and countries of the world. Type 2 diabetes is as much a disease of poor and disadvantaged people as it is of fat and unfit people, and the rate of increase of diabetes in developing nations is epidemic—with a situation as bad as, or even worse than, in developed countries.
The personal, social, and financial burden resulting from the chronic complications of type 2 diabetes, which become commonplace after 10–15 years of disease, will be enormous. Articles in today's Lancet highlight many facets of this problem, including the complex factors leading to the increasing prevalence of glucose intolerance in developing nations, the close association between blood glucose and vascular disease, and the evolution of interesting new treatments. Other articles draw attention to the fact that prevention and management should not rely on expensive options, and there should be greater focus—by both politicians and health professionals—on simpler solutions. Thus there is now much evidence that type 2 diabetes can be prevented in many of those at risk by a change in diet and lifestyle, while the health and welfare of many disadvantaged people who have established disease—whether type 1 or 2—could be radically improved by providing access to even the simplest of treatments.
The predictable conclusion is that much of the suffering and exploding costs that will result from global diabetes is preventable. The situation will remain unchanged unless those who care are successful in focusing the attention of those with the necessary political power. And those with power must then act to offset the many factors (including self-interest, misguided health-care planning, inefficiency, corruption, and lack of vision) that frustrate attempts to eliminate the deep disparities that persist in disease management in the world today.
The Lancet
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