WHO calls for global action. September 29, 2016

6 April 2016 | Geneva - The number of people living with diabetes has almost quadrupled since 1980 to 422 million adults, with most living in developing countries. Factors driving this dramatic rise include overweight and obesity, WHO announced ahead of World Health Day.

These are the numbers, and numbers must be interpreted. One can see numbers in one waym others can see them differently. This is how WHO presented the numbers:

• The number of people living with diabetes and its prevalence are growing in all regions of the world. In 2014, 422 million adults (or 8.5% of the population) had diabetes, compared with 108 million (4.7%) in 1980.
• The epidemic of diabetes has major health and socioeconomic impacts, especially in developing countries.
• In 2014, more than 1 in 3 adults aged over 18 years were overweight and more than one in 10 were obese.
• The complications of diabetes can lead to heart attack, stroke, blindness, kidney failure and lower limb amputation. For example, rates of lower limb amputation are 10 to 20 times higher for people with diabetes.
• Diabetes caused 1.5 million deaths in 2012. Higher-than-optimal blood glucose caused an additional 2.2 million deaths by increasing the risks of cardiovascular and other diseases.
• Many of these deaths (43%) occur prematurely, before the age of 70 years, and are largely preventable through adoption of policies to create supportive environments for healthy lifestyles and better detection and treatment of the disease.
• Good management includes use of a small set of generic medicines; interventions to promote healthy lifestyles; patient education to facilitate self-care; and regular screening for early detection and treatment of complications.

Most important point is that WHO present, diabetes type 2 can be prevented with right life style. Now the question is, why diabetes is so prevalent in low developed countries? Do they have too much food to eat? Not at all. When we take a look at that countries people are skinny, just bones and skin. Do they live watching TV all day long? They do not have car to move around, so they have to walk. Then why starvation, malnutrition, and high activity does not prevent them from developing diabetes, ether type of it? There are only 5% of type 1 diabetics in  all diabetes population. All other type 2 diabetics, preventable medical condition no one ever was able to prevent.

There are three main forms of diabetes: type 1, type 2 and gestational diabetes. The cause of type 1 diabetes is unknown and people living with it require daily insulin administration for survival. Type 2 accounts for the vast majority of people living with diabetes globally, and is largely the result of excess body weight and physical inactivity.

The question is, how diabetes type 2 diagnosed? The diagnose for diabetes, ether type of it, based on the level of sugar, fasting, or random, or average for three month. In any case it is lowest level of sugar in blood. So, after diagnose of diabetes was done, how type of diabetes diagnosed? WHO does not provide answer to this very reasonable and very simple question, how type of diabetes diagnosed? Still, WHO is certain, type 2 diabetes can be prevented with life style changing. Is this WHO humor?
      After diabetes type 2 was detected and diagnosed, what is next? 
small set of generic medicine;
education to facilitate selt-care;
regular screening for early detection and treatment of complications.
      So, why it is detection and treatment for complications rather then monitoring progress in treatment efficiency? Does set of generic medicine work, or it is not effective type of medicine and diabetic type 2 need another medication? Diabetes can be diagnosed with ether number of level of sugar, aas low just above cut line, such high as about fatal. How it is possible to treat any level of sugar in blood with the same small set of generic medicine? 
      WHO does not see the problem in this way. WHO does not look at the cure or effect of any treatment for diabetes type 2. Medical Industry is already good standing. With so high rate in Diabetes type 2 development all what they need just collect $$$$$. 422 millions adults, every one pay for small generic medicine and develops big complications. More and more healthy eating plans are needed. More and more tests would be provided. By 2030 WHO planned to double the amount of diabetics type 2. Every one love American Apple Pie, it is so sweet.  We are great MEAT for Medical Industry and Political Power.

“Around 100 years after the insulin hormone was discovered, the “Global report on diabetes” shows that essential diabetes medicines and technologies, including insulin, needed for treatment are generally available in only 1 in 3 of the world’s poorest countries,” says Dr Etienne Krug, Director of WHO’s Department for the Management of NCDs, Disability, Violence and Injury Prevention. “Access to insulin is a matter of life or death for many people with diabetes. Improving access to insulin and NCD medicines in general should be a priority.”

Insulin is not available in America for middle class. Medicaid will pay for insulin, so low income diabetics have it. Middle class is not low income. Even when we do lost our jobs we still not qualified for Medicaid. We do have unemployment check, and it is most time higher then $1138 for family of two, the cut point for to be eligible for Medicaid and have insulin for free. Insulin I need cost $2000 monthly. Not so many families can afford it. 
   America, NYC, diabetes is number 4 cause of Death. It is not number of diabetics who lost lives timelessly. It is number of Death resulted by high blood sugar level, 100% preventable Death with insulin therapy. There is no insulin for American Middle Class. Disable person, diabetic on 300 units of insulin daily dose, critical condition, was cut off life support, insulin, and put on slow Death, long and painful suffering, day after day, month after month.... . Perfect way to modify life style.

Global efforts are underway to make medicines, including for NCDs, more available and affordable. Commitments from world leaders, including the SDGs, the 2011 “UN Political Declaration on the Prevention and Control of Noncommunicable Diseases”, the 2014 UN General Assembly “Outcome Document on Noncommunicable Diseases”, and the work of the UN Secretary-General’s high-level panel on access to essential medicines are aimed at improving affordability and availability of essential drugs for people living with diabetes. 

Metformin never was a problem. It is really affordable and low cost, just $4 for month supply. Death is cheaper then life. This is commitment. Thanks. I better to stay by my own. Even when I do not have insulin I do not take metformin. It is better to stay without medicine then take wrong medicine. Even it is very cost effective. Does someone able to get what does it mean that medicine is cost effective? I think it can be low cost and high cost still if it is effective then why take costly medicine with the same effect?  If medicine with low effect or it is not effective then why take this medicine anyway? 

Global commitments to reduce diabetes

“Many cases of diabetes can be prevented, and measures exist to detect and manage the condition, improving the odds that people with diabetes live long and healthy lives,” says Dr Oleg Chestnov, WHO’s Assistant Director-General for NCDs and Mental Health. “But change greatly depends on governments doing more, including by implementing global commitments to address diabetes and other NCDs.”

In 1980 WHO presented a new type of diabetes, type 2, which WHO still not able to describe how to diagnose this medical condition. Since that diabetics Death  rate dramatically go up.

Diabetes caused 1.5 million deaths in 2012. Higher-than-optimal blood glucose caused an additional 2.2 million deaths by increasing the risks of cardiovascular and other diseases.

Now more and more committees developed to reduce diabetics population. Still, we stand, and after developing very wide middle area, still alive. Also more and more doctors reduce to be serial killer and Rx insulin rather then small dose of generic medicine and life style modifications. The rate of Metformin drops, and rate of insulin sells go up. Big Pharma develop new and very effective types of insulin, and put it on the market. It is our choice what to take and how to see ourselves and others.

via Ravenvoron