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Diabetes: The Epidemic of the 21st Century
Professor Jean Claude Mbanya, Professor Nigel Unwin, Dr David Whiting
IDF Diabetes Atlas LaunchMonday, October 19, 12:30 – 1:30 PM
IDF World Diabetes Congress 2009Montréal, Canada
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The Diabetes Epidemic• Epidemic out of control in
spite of warnings• Serious development issue
impeding Millennium Development Goals
• Urgent need – for prevention programmes – to strengthen healthcare systems
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Diabetes: Epidemic out of control
Professor Nigel UnwinChair of the IDF Diabetes Atlas Committee
IDF Diabetes Atlas LaunchMonday, October 19, 12:30 – 1:30 PM
IDF World Diabetes Congress 2009Montréal, Canada
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Number of people with diabetes (20-79 years), 2010 and 2030
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Over 4 million deaths in 2010 will be caused by diabetes
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The diabetes epidemic is here
Diabetes is a threat to social andeconomic development
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Diabetes: taking action
Dr David WhitingIDF Epidemiologist
IDF Diabetes Atlas LaunchMonday, October 19, 12:30 – 1:30 PM
IDF World Diabetes Congress 2009Montréal, Canada
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• Perception problems• Good news• LMC focus
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Prevention
• Robust evidence• Interventions• Challenges
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Coverage
• Good basic care• IDF guidelines• World Bank and WHO – Blood glucose control– Blood pressure control– Foot care
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Integrated approach
MACRO: policy; finance
MESO: community; health care organizations
MICRO: person with diabetes; family
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• e.g. Those requiring insulin
• Essential medicines
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INTEGRATED HEALTH SYSTEMS,SUPPORTIVE POLICIES
DIABETESCAN BE PREVENTED
DIABETES CAN BE TREATED
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Key findings
285 million people with diabetes
435 million within 20 years
4 million deaths each year
Diabetes costs the world US$376 billion
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Reducing the Diabetes Burden• Ensure availability of essential medicines for people living
with diabetes and other non-communicable diseases (NCDs) in low- and middle- income countries
• Immediately and substantially increase financing for NCDs• Integrate NCD prevention into national health systems and
the global development agenda • Create a Special Envoy of the UN Secretary-General for NCDs• Support a UN General Assembly Special Session on NCDs
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Q&A
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