We know that diabetes and prediabetes affect approximately six million births in India alone, of which 90 percent are due to GDM..
2020 was a great year not just for the doctors but for all of our frontline workers in Medical Fraternity. Besides fighting the ongoing global pandemic, they are also burdened with managing and dealing with NCD patients.
A recent World Health Organization survey of 155 countries conducted in May 2020 showed that 53 percent of countries surveyed had partially or completely disrupted services for treating high blood pressure; 49 percent for treating diabetes and its related complications; 42 percent for cancer treatment, and 31 percent for cardiovascular emergencies. Besides all this. The topic of mental health for everyone, especially the elderly – with fear of contracting the virus, dying, or unknown, or dealing with an epidemic – is also receiving great attention..
Throughout all of this, an important and severely overlooked area of threat to maternal and child health from non-communicable diseases is gestational diabetes (GDM) or diabetes diagnosed during pregnancy.. Not surprisingly, in parallel with the increased prevalence of diabetes, there appears to be an increased prevalence of GDM that affects approximately five million women each year.. Just like other types of diabetes, it causes high blood sugar that can affect the health of both pregnant women and the fetus..
It is important to understand that managing diabetes and its complications imposes a significant economic burden on society; Hence there is an urgent need for effective strategies to control this epidemic as well. The prevalence of GDM has been reported in the range of 3. 8% in Kashmir compared to 6%. 2% in Mysore 9. 5% in western India and 17. 9 percent in Tamil Nadu. In more recent studies, using various criteria, prevalence rates have been reported as high as 35 percent from Punjab and 41 percent from Lucknow..
I am surprised to note that our very own unpublished data indicate that 30 percent of expectant mothers attended by our counselors have gestational diabetes, and we are also looking into whether any biomarkers can be identified for early diagnosis.. Geographical differences in prevalence have been attributed to differences in age and / or socioeconomic status of pregnant women in these regions. It is estimated that around 4 million women are affected by GDM in India, at any given point in time.
GDM not only affects the mother’s immediate health (preeclampsia, stillbirth, gigantism, need for cesarean delivery) and neonatal outcomes (hypoglycemia, shortness of breath, and increased risk of congenital heart disease) but also increases the risk of developing Type 2 diabetes in the future mother as well as the child. Current literature indicates that pre-diabetes and diabetes affect approximately six million births in India alone, 90 percent of which are due to GDM.. Babies born with GDM pregnancies face an increased risk of developing obesity and type 2 diabetes. The cornerstone of GDM administration is control of blood sugar and the quality of dietary intake. GDM management is complex in India, and the current challenges are multi-factor.
We need to understand that a diagnosis of gestational diabetes may affect a woman’s mental health, functioning and quality of life, with potential negative effects on adherence to treatment.. Identifying and treating the psychological and emotional needs of women with GDM can have benefits for sustainable long-term behavior change after an affected pregnancy.. Nurses are educators because they are very involved in educating patients to deal with their illness. Current literature has shown positive results through ‘education’ about maternal expectation when nurses are involved and diabetes education helps improve glycemic controls.. They are the teachers, they describe to patients their condition, and they inform them of disease, possible complications, and test results. We need our nursing teachers to be skilled in this teaching and learning process as they listen to the demands and needs of their patients and have a good background and understanding of diabetes, including its complications and problems.. Better diabetes education provides an improvement in the patient’s self-care through a better understanding of their disease.
As we strive towards the global shortage of nurses, immediate action is needed including increasing the hiring of nurses through traditional university methods and expanding new roles and vocational training methods.. Each approach requires clinical workplaces to increase their teaching capacity while supporting the current workforce to provide first-class care. Non-communicable diseases have higher morbidity and mortality rates, especially with the cost of medicines. Nurses are advanced and motivating caregivers who play a critical role in advising patients about the many non-pharmacological approaches that help them reduce medication – nutritional advice, lifestyle changes, etc.. . Nurses have a critical role in educating pregnant and breastfeeding mothers about this topic.
Non-communicable diseases (NCDs) are the leading cause of death globally, killing more people annually than all other causes combined, but these diseases are largely preventable.. These diseases can be treated and controlled effectively. We can turn the tide. But we have a long time to go.
Nov 14, 2020, 12:39:45 EST
The researchers used a mouse model to study the effects of long-term low-dose transfer of PBDEs to the offspring through the mother on diabetes in adulthood.
Experts believe that while a family history of high blood pressure cannot be avoided, other lifestyle risk factors can and should be regulated to keep high blood pressure at bay.
Pregnant women often have pregnancy skin disease due to complex changes in the endocrine, immune, metabolism and blood vessels of the body.
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Diabetes, World Diabetes Day, Non-communicable Diseases
World News – Great Britain – World Diabetes Day: Amidst the Coronavirus Pandemic, India needs to pay attention to diabetes during pregnancy – Health News , First post
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