Diabetes in Uzbekistan: new ways of integration

Professor Said I. Ismailov, Chief,

Association of Endocrinologists of The Republic of Uzbekistan

Association of Endocrinologysts of Uzbekistan

Association of Endocrinologists of the Republic of Uzbekistan (AERU) established in 2002 was reorganized from previous Republican Society of Endocrinologists and provides its activities as NGO in coalition with patients’ associations in the Republic

On 19th World Diabetes Congress in Cape Town AERU became a member of IDF.

For the present, there are seven NGO:

People with Diabetes in Uzbekistan Total population – 26 mln urban -

55%, rural - 45% The number of registered people

with diabetes approached 100057 persons in the beginning of 2007.

Among them, type 1 diabetes constitutes 17734 and type 2 diabetes 82323, where 904 children and 428 adolescents.

As the epidemiologic studies show, the actual number of people with condition as 14 time higher as registered.

In 2000 Register for children and adolescents with diabetes initiated, and from 2006 we started to register all people with diabetes. National Register have shown the actual situation on diabetes across the country and allowed to analyze the mistakes and disadvantages. 100.057

17.734

82.323

0.904 0.428

1400

total DM1 DM2 children adolescent DMproposed

Children and adolescent with DM

Though in 1998 life expectancy for children constituted 8 years then for the last years mortality among the children decreased by 60%, whereas in adolescents this index dropped by 78.5%, while diabetes prevalence among children and adolescents rose from 7.5 to 10.2 and 21.2 per 100000 respectively. Registration and prevention of diabetes complications such as nephropathy, retinopathy, and neuropathy rose as much as twice in the regions. In addition, the treatment quality of children and adolescents with diabetes improved. For the period of register, the quantity of children and adolescents on intensive insulin therapy increased from 30 to 70%.

Institute of Endocrinology

Institute of Endocrinology is a main Diabetes center in Uzbekistan, provided the qualified cure for people with diabetes, provided the study in all aspects of diabetes – basic investigation, clinical and epidemiologycal study

Situation with diabetes in the Republic still

leaves much to be desired Provision with insulin and

its supplies from the government still insufficient (35.3%). Self-control supplies do not included in the budget of the government. Although National Program for Diabetes created many years ago, the government has not approved it yet.

0%

5%

10%

15%

20%

25%

30%

35%

40%

government

2002

2006

2002

2006

WDF grant in 2005 helped to organize and equip centers and

schools for diabetes in all the regions of the country. Currently, computers in these centers were installed with “Register for Diabetes Mellitus in Uzbekistan” software. These will help to create a computer database for all the people with the condition from all over the country and to estimate the quality of care in every region of the Republic.

Activity of patients with diabetes

Our contacts and humanitarian aid

For the last years, we established contacts with “Insulin for Life” and “Life for a Child” which provide some of our people with insulin supplies, especially children and adolescents.

In summer 2006 “Insulin for Life” and “Insulin zum Leben”, Austria, Germany in association with Institute of Endocrinology, “NovoNordisk” office in Tashkent sponsored our summer camp activities. 76 children and adolescents were admitted for a week period to take an education on diabetes control. They learned self-control, basic nutrition, diabetes and its complications.

IFL aids to Uzbekistan distributed among the people with diabetes in Tashkent, Samarkand, Kokand,

Navoi, Bukhara regions

Our friends from Insulin for Life and Insulin zum Leben

EASD Meeting in Copenhagen, Denmark

Ассоциация Эндокринологов Узбекистана поддержала резолюцию ООН по диабету на

заседании 5 сентября 2006 года

Our delegates with

IDF Europe 2006

new ways of integration We plan to increase the number of regional

associations as well as to raise the activities of the people with diabetes.

We need in a help both trainee by the NGO experience and government support in full coverage of the people with DM by insulin and supply

To sum up, the situation on diabetes in Uzbekistan improves as the contacts and relations with other organizations increase

We need more and we should learned more We more thanks to our partners, our friends for help

in rising of our activity and of continue to trend of integration

We hope to continue of improving the situation with DM in our

country and hope to present our best achievements in nearest time

Thanks for attention