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14 November, 2015 00:00 00 AM
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Control of a deadly disease

MUHAMMAD ABDUL MAZID
Control of a deadly disease

MUHAMMAD ABDUL MAZIDWorld Diabetes Day (WDD) is celebrated every year on NOVEMBER 14. The day  engages millions of people worldwide in diabetes advocacy and awareness. World Diabetes Day became an official United Nations Day in 2007 with the passage of United Nation Resolution 61/225 proposed by Bangladesh. Bangladesh Diabetic Samity (BADAS) backed Govt of Bangladesh and became instrumental in campaigning for this resolution to draw attention to issues of paramount importance to the diabetes world and keeps diabetes firmly in the public spotlight. The WDD logo was also adopted in 2007 to mark the passage of the United Nations World Diabetes Day Resolution. The logo is the blue circle - the global symbol for diabetes which was developed as part of the Unite for Diabetes awareness campaign. The significance of the blue circle symbol is overwhelmingly positive, portraying the unity of the global diabetes community in response to the diabetes pandemic. Across cultures, the circle symbolizes life and health. The colour blue reflects the sky that unites all nations and is the colour of the United Nations flag.  
Each year World Diabetes Day is centered on a theme related to diabetes. Topics covered in the past have included diabetes and human rights, diabetes and lifestyle, and the costs of diabetes. This year sees the second of a five-year campaign that will address the growing need for diabetes education and prevention programmes. The campaign slogan for 2015 is Healthy Eating is an important part of managing all types of Diabetes The day itself is celebrated on November 14, to mark the birthday of Frederick Banting who, along with Charles Best, first conceived the idea which led to the discovery of insulin in 1921. WDD is celebrated worldwide by the over 200 member associations of the International Diabetes Federation in more than 160 countries and territories, all Member States of the United Nations, as well as by other associations and organizations, companies, healthcare professionals and people living with diabetes and their families.
Diabetes  a group of metabolic diseases, clinically known as Diabetes mellitus, in which a person has high blood sugar, either because the body does not produce enough insulin, or because cells do not respond to the insulin that is produced. Glucose is vital to human health because it's the main source of energy for the cells that make up  muscles and tissues and that is why  it is the   main source of fuel of the body. This high blood sugar produces the classical symptoms frequent urination, increased thirst and increased hunger. If anyone has  diabetes, no matter what type, it means he has too much glucose in his blood, although the reasons may differ and too much glucose can lead to serious health problems. There are three main types of diabetes: Type 1 diabetes  results from the body's failure to produce insulin, and presently requires the person to inject insulin.  Type 2 Diabetes: results from insulin, a condition in which cells fail to use insulin properly, sometimes combined with an absolute insulin deficiency. Gestational diabetes: is when pregnant women, who have never had diabetes before, have a high blood glucose level during pregnancy. It may precede development of type 2 DM. All forms of diabetes have been treatable since insulin became available in 1921, and type 2 diabetes may be controlled with medications. Both type 1 and 2 are  chronic conditions that usually cannot be cured. Pancreas transplants have been tried with limited success in type 1 DM; gastric bypass surgery has been successful in many with morbid obesity and type 2 DM Adequate treatment of diabetes is thus important, as well as blood pressure control and lifestyle factors such as smoking cessation and maintaining a healthy body weight.
The term diabetes was coined by Aretaeus of Cappadocia, was derived from the Greek verb diabaínein. In 1675, Thomas Willis added the word mellitus, from the Latin meaning "honey", a reference to the sweet taste of the urine. This sweet taste had been noticed in urine by the ancient Greeks, Chinese, Egyptians, Indians, and Persians. Diabetes mellitus appears to have been a death sentence in the ancient era. Hippocrates makes no mention of it, which may indicate that he felt the disease was incurable. Indian philosopher Sushruta identified diabetes and classified it as Medhumeha. The ancient Indians tested for diabetes by observing whether ants were attracted to a person's urine, and called the ailment "sweet urine disease" (Madhumeha).
In his 14 volume medical encyclopedia The Canon of Medicine,( 1025) Avicenna (980–1037) provided, for the first time ,  a detailed account on diabetes mellitus, "describing the abnormal appetite and the collapse of sexual functions," and he documented the sweet taste of diabetic urine. Avicenna recognized primary and secondary diabetes and also described diabetic gangrene, and treated diabetes using a mixture of lupine, trigonella (fenugreek), and zedoary seed, which produces a considerable reduction in the excretion of sugar, a treatment which is still prescribed in modern times. Avicenna also "described diabetes insipidus very precisely for the first time", though it was later Johann Peter Frank (1745–1821) who first differentiated between diabetes mellitus and diabetes insipidus.
The endocrine role of the pancreas in metabolism, and indeed the existence of insulin, was not further clarified until 1921, when Sir Frederick Grant Banting ( 1891-1941) and Charles Herbert Best (1899-1978) led to the availability of an effective treatment—insulin injections. For this, Banting and laboratory director MacLeod received the Nobel Prize in Physiology or Medicine in 1923; both shared their Prize money with others in the team who were not recognized, in particular Best and Collip. Banting and Best made the patent available without charge and did not attempt to control commercial production. Insulin production and therapy rapidly spread around the world, largely as a result of this decision. Banting is honored by World Diabetes Day which is held on his birthday, November 14. Despite the availability of treatment, diabetes has remained a major cause of death. For instance, statistics reveal that the cause-specific mortality rate during 1927 amounted to about 47.7 per 100,000 populations in Malta.
The Bangladesh Scenario: The International Diabetes Federation (IDF) estimated   that 8.7 million or 4.9% of people living in Bangladesh had diabetes in 2014 and by 2025, that number is expected to grow to 9.2 million or 6.1% of the population. This explosion in diabetes prevalence will place Bangladesh among the top ten countries in terms of the number of people living with diabetes in 2025. At that date, 80% of all diabetes cases will be in low-and-middle income countries.
The increase in diabetes in Bangladesh is expected to follow global gender patterns, whereby more women than men will live with diabetes. IDF and WHO predict that the number of women in the world with diabetes will double in less than 20 years. In Bangladesh the number of women with diabetes will grow from the current 2 million to 4 million by 2025. During the same period, men with diabetes will rise from 1.8 million to 3.4 million. Recent empirical studies shows the urban population with diabetes in Bangladesh is expected to increase dramatically over the next 20 years. This is due to a combination of urbanization and migration from rural to urban areas. Observed  Professor AK Azad Khan, President of the Bangladesh Diabetic Samity (BADAS), while talking to ‘Unite for Diabetes’ reporter Kerrita McClaughlyn on November 17, 2006, that, 'people all over the world, especially in developing countries, have the impression that diabetes is a disease of the rich. That is NOT the case. Diabetes is rising faster in developing countries like Bangladesh. There are many reasons for the increases, but a key reason is that lifestyles are changing faster in developing countries. This change is related to urbanization and globalization. You can’t stop it, it is part of civilisation. What is of concern is that with this increased urbanization people are getting less physical exercise. Even if they want to exercise, there’s less space to do that. Workplaces, schools and colleges have few or no facilities for physical activity.'

Dr. Muhammad Abdul Mazid, former Secretary and Chairman NBR, currently chief coordinator Diabetic Association of Bangladesh
Email: [email protected]

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Editor : M. Shamsur Rahman

Published by the Editor on behalf of Independent Publications Limited at Media Printers, 446/H, Tejgaon I/A, Dhaka-1215.
Editorial, News & Commercial Offices : Beximco Media Complex, 149-150 Tejgaon I/A, Dhaka-1208, Bangladesh. GPO Box No. 934, Dhaka-1000.

Editor : M. Shamsur Rahman
Published by the Editor on behalf of Independent Publications Limited at Media Printers, 446/H, Tejgaon I/A, Dhaka-1215.
Editorial, News & Commercial Offices : Beximco Media Complex, 149-150 Tejgaon I/A, Dhaka-1208, Bangladesh. GPO Box No. 934, Dhaka-1000.

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