| 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.
| 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 |
