As one of the main reasons of disease and death in the world, diabetes is imposing a great economic load on health systems. Therefore, in order to prevent diabetes, an increase in immediate diagnoses, change in the lifestyle and medicinal intervention to prevent or delay the advance of the conditions caused by the disease are of great importance.
So important is this issue that one of the objectives of the UN’s 2011 session was to stop the progress of diabetes contagion globally until the year 2025. In order to achieve this goal, there must be accurate and valid estimates of the disease’s contagion in a specified time period, an evaluation of the conducted interferences and a comparison of the contagion rates in different countries.
Dr. Farzadfar, chairman of the Non-Communicable Diseases Research Center, Endocrinology and Metabolism Research Institute, Tehran University of Medical Sciences, along with a team of researchers, have studied the contagion rate of diabetes in two hundred countries and in 21 regions during a time period between 1980 and 2014 based on fasting blood sugar (7 millimoles per liter or higher), a history of diabetes and the use of insulin or other drugs that decrease blood sugar. In this study, data from 751 studies including 4,372,000 individuals was used to estimate the contagion rate of diabetes.
The results of this study indicated that the contagion of diabetes among men has increased from 3.4% in 1980 to 9% in 2014 and this figure among women has increased from 5 to 7.9 percent. Furthermore, the number of diabetic adults globally has increased from 108 million in the year 1980 to 422 million in the year 2014 (28.5% due to an increase in the contagion of diabetes, 39.7% due to population growth and aging and 31.8% due to an interaction between these two factors).
These results demonstrate that the contagion of diabetes among adults in the time period between 1980 and 2014 has had a fourfold increase along with population growth and aging. Also, the burden of diabetes (regarding the contagion and the number of affected people both) has been higher in countries with lower and medium income.
As diabetes and its long-term consequences such as heart disease and brain stroke cause 2 million deaths annually and are the seventh cause of inability around the globe, this disease imposes a great economic load on low and medium-income countries. A systematic study estimated the global diabetes expenses to be 825 billion dollars with China (170 billion dollars), the United States (105 billion dollars), India (73 billion dollars) and Japan (37 billion dollars) having the highest expenses.
Therefore, regarding the rapid growth rate of diabetes contagion in numerous countries and since it imposes high economic expenses on the health systems, education on its controllable risk factors and ways to prevent the disease seem crucial endeavors. Some educational schemes could be named as change in improper lifestyles, a healthy diet and suitable activities.
Danesh-e-Naft_ sat. Sep. 25th, 2016 (Mehr 3rd, 1395) _ p.16
Aftab-e-Yazd_ Oct. 5th, 2016 (Mehr 13th, 1395)
Mardomsalari_ Sep. 7th, 2016 (Shrv. 16th, 1395) _ Issue 4129