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Diabetes in South Asians

Diabetic medicine, 2014-10, Vol.31 (10), p.1153-1162 [Peer Reviewed Journal]

2014 The Authors. Diabetic Medicine © 2014 Diabetes UK ;2015 INIST-CNRS ;2014 The Authors. Diabetic Medicine © 2014 Diabetes UK. ;ISSN: 0742-3071 ;EISSN: 1464-5491 ;DOI: 10.1111/dme.12540 ;PMID: 24975549 ;CODEN: DIMEEV

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Title:
Diabetes in South Asians
Author: Misra, A. ; Ramchandran, A. ; Jayawardena, R. ; Shrivastava, U. ; Snehalatha, C.
Subjects: Asia - epidemiology ; Biological and medical sciences ; Combined Modality Therapy ; Diabetes Mellitus, Type 2 - epidemiology ; Diabetes Mellitus, Type 2 - ethnology ; Diabetes Mellitus, Type 2 - prevention & control ; Diabetes Mellitus, Type 2 - therapy ; Diabetes. Impaired glucose tolerance ; Endocrine pancreas. Apud cells (diseases) ; Endocrinopathies ; Etiopathogenesis. Screening. Investigations. Target tissue resistance ; Feeding. Feeding behavior ; Fundamental and applied biological sciences. Psychology ; Health Promotion ; Health Transition ; Humans ; Medical sciences ; Prevalence ; Rural Health - ethnology ; Urban Health - ethnology ; Vertebrates: anatomy and physiology, studies on body, several organs or systems ; Vertebrates: endocrinology
Is Part Of: Diabetic medicine, 2014-10, Vol.31 (10), p.1153-1162
Description: Economic, dietary and other lifestyle transitions have been occurring rapidly in most South Asian countries, making their populations more vulnerable to developing Type 2 diabetes and cardiovascular diseases. Recent data show an increasing prevalence of Type 2 diabetes in urban areas as well as in semi‐urban and rural areas, inclusive of people belonging to middle and low socio‐economic strata. Prime determinants for Type 2 diabetes in South Asians include physical inactivity, imbalanced diets, abdominal obesity, excess hepatic fat and, possibly, adverse perinatal and early life nutrition and intra‐country migration. It is reported that Type 2 diabetes affects South Asians a decade earlier and some complications, for example nephropathy, are more prevalent and progressive than in other races. Further, prevalence of pre‐diabetes is high, and so is conversion to diabetes, while more than 50% of those who are affected remain undiagnosed. Attitudes, cultural differences and religious and social beliefs pose barriers in effective prevention and management of Type 2 diabetes in South Asians. Inadequate resources, insufficient healthcare budgets, lack of medical reimbursement and socio‐economic factors contribute to the cost of diabetes management. The challenge is to develop new translational strategies, which are pragmatic, cost‐effective and scalable and can be adopted by the South Asian countries with limited resources. The key areas that need focus are: generation of awareness, prioritizing health care for vulnerable subgroups (children, women, pregnant women and the underprivileged), screening of high‐risk groups, maximum coverage of the population with essential medicines, and strengthening primary care. An effective national diabetes control programme in each South Asian country should be formulated, with these issues in mind.
Publisher: Oxford: Blackwell Publishing Ltd
Language: English
Identifier: ISSN: 0742-3071
EISSN: 1464-5491
DOI: 10.1111/dme.12540
PMID: 24975549
CODEN: DIMEEV
Source: MEDLINE
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Diabetes in South Asians

2014 The Authors. Diabetic Medicine © 2014 Diabetes UK ;2015 INIST-CNRS ;2014 The Authors. Diabetic Medicine © 2014 Diabetes UK. ;ISSN: 0742-3071 ;EISSN: 1464-5491 ;DOI: 10.1111/dme.12540 ;PMID: 24975549 ;CODEN: DIMEEV

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