Cyber World

Basically there are two types of Diabetes

Type-1  It is hardly any serious public health problem in INDIA , accounts only 2% of cases ,occurs in children below 15 year of age .There is total destruction of beta cells of pancreas due to infection/autoimmunity. So there is complete lack of INSULIN and to treat such patients we need injections of Insulin. It is called Insulin dependent diabetes, IDDM also.

BUT THE MAJOR PROBLEM IN INDIA IS TYPE-2 DIABETES WHICH IS TAKING A SHAPE OF EPIDEMIC

So it is worthwhile to understand about Type-2 diabetes
Occurs in age group above 35 yr.
In practice I am surprised to get new diabetics at a very early age of 30 and above and without any family history of diabetes. More young people are getting diabetes in this coal belt of Dhanbad and same is the story in other part of the country. THIS IS MATTER OF SERIOUS CONCERN.

WHAT HAPPENS IN TYPE-2 DIABETES ???
WHY IS IT TAKING A FEARFUL SHAPE ???
ARE WE RESPONSIBLE OR IS IT A GOD-SENT CURSE ???
CAN IT BE PREVENTED ???

STORY OF TYPE II DIABETES

There is no absolute deficiency of Insulin, Insulin is secreted less than required amount or whatever Insulin is there is not active. You can say it is useless Insulin. Due to genetic predisposition certain ethnic groups are more susceptible to develop Insulin abnormality. Based on sedentary habits and faulty diet since childhood beta cells of pancreas are exhausted and are not able to meet the required challenge.

Before we proceed further , let us think why there should be difference in incidence of diabetes in rural and urban areas?

Most important evidence came from the landmark study by Diabetic Research center, Chennai. It was done on Dravidian populations with considerable socio-economic differences living in urban and rural areas.

The age-adjusted prevalence of Diabetes in 1988 in rural areas : 2.4%
............................................................................in urban areas : 8.2%

IN DHANBAD (yr 2000)

Prevalence of Diabetes in rural setting : 2.5 %
Prevalence of Diabetes in urban setting : 12% [ nk et al]
                    

There is a strong evidences for a genetic component in causation of this condition but there occurs a definite shift when people move from rural setting to urban setting in following manner : 

They adopt sedentary habit

There is complete lack of physical work

They adopt Hamburger coca-cola culture

They take refined cereal high fat diet

Such food is in reality bad food with severe nutritional deficiency so that more free radicals are generated which hampers the work of Insulin