The Associated Chambers of Commerce and Industry of India (ASSOCHAM), the apex trade association of the country, as part of its 'Illness to Wellness' campaign and in the light of the forthcoming 'World Diabetes Day' on Saturday unveiled a report on the findings of a National Level Survey conducted on the state of Diabetes in India.
The release was followed by a webinar on "Diabetes Free India" organized with the objective of cascading awareness and disseminating wisdom on diabetes management and its prevention, which was attended by a panel of eminent experts and doctors from across the country.
The survey report entitled "Diabetes in India" was produced by ASSOCHAM and the Delhi-based think tank, Thought Arbitrage Research Institute (TARI). The survey was designed and conducted by IMRB-Kantar and covered 2,33,672 people and 673 public health offices in 21 state clusters covering appropriate regions and age segments.
The key findings of the survey relate to the burden of diabetes and its primary causes or risk factors which lead to its rise and increasing spread in the country. According to the report, the prevalence of diabetes cases in India almost doubled from 42.6 million cases in 2005 to 85.4 cases in 2019.
Globally, on the other hand, the prevalence of diabetes increased from 273.4 cases in 2005 to 460 million cases in 2019. Small wonder then that India has the dubious distinction of becoming the global hub for diabetes cases with prevalence of cases increasing from 15.6 per cent to 18.6 per cent cases in the same interval.
Globally, diabetes accounts for 70.9 million DALYs (Disability-Adjusted Life Years) and 36.7 YLDs (Years Lived with Disability) in 2019. In India, diabetes accounts for 12.8 million DALYs, 6.7 million YLDs and 0.3 million deaths during the same time-period.
In terms of risk factors for diabetes, dietary habits related to high intake of junk / fried foods, most common in younger people today, has highest relative risk of 47 per cent. The next highest risk factors as elicited by the survey report relate to low physical activity (38 per cent), low intake of fruits and vegetables (28 per cent), and other causes such as stress, pollution, and high consumption of alcohol and carbonated/ sugary drinks.
Diabetes is a chronic disease that occurs either when the pancreas does not produce enough insulin or when the body cannot effectively use the insulin it produces. Over the time, uncontrolled diabetes leads to serious body's systems damage, especially the nerves and blood vessels. There are ample studies conducted by RSSDI (Research Society for the Study of Diabetes in India) which emphatically depict and highlights that diabetes is a major cause of blindness, kidney failure, heart attacks, stroke, and lower limb amputation.
The survey outlines the prevalence landscape of diabetes in that it accounts for 25 per cent of all NCDs in India at a rate of 2.9 percent. The disease incidence increases significantly in individuals above 35 years of age and affects men more than women.
The report also finds that about 16.8 per cent of the male adult population (15 years) and 14.6 per cent of the female adult population (15 years) on average are estimated to be diabetic. Prevalence of diabetes is highest in southern states including Puducherry, Kerala, Tamil Nadu, Andhra Pradesh and Telangana and lowest in Uttar Pradesh and Rajasthan.
In terms of sufferers seeking treatment for diabetes, the survey presented some important insights in this regard too. About 7 per cent of the respondents who were suffering from diabetes stated that they were not seeking any treatment at all. However, more than 56 per cent of the respondents stated that they are seeking treatment for more than one year, a fact testifying to the indisputable and inevitable morbidity of this disease.
Diabetes is proven through studies to be associated with a high risk of cardiac arrest and there have been substantial increases in new cases of diabetes during the Covid-19 pandemic due to various reasons. In the current situation, diabetes has become a serious health concern since large numbers of patients are already vulnerable to the coronavirus.
Thus, diabetic patients affected by Covid-19 can cause a major health crisis. Reports show that large occurrence of diabetes makes it a serious comorbidity in Covid-19 patients. Diabetes also imposes a substantial burden on society in the form of higher medical costs, lost productivity, premature mortality, and intangible costs in the form of reduced quality of life.
Setting the tone for the panel discussion at the webinar, Anil Rajput, Chairperson, ASSOCHAM CSR Council, said: "This year marks the 100th anniversary of the discovery of insulin. It is, however, unfortunate that diabetes has been underrated as a global public health issue. This needs to be addressed on priority and we as a nation need to take urgent important steps to address this challenge. It is a fact that diabetes is one of the top three NCDs in India and with each year the burden of this disease is rising."
Dr. Banshi Saboo, President, Research Society for Study of Diabetes in India (RSSDI), said: "Diabetes prevention must be part of a larger national mission. Students should be taught 'Health Science' as a subject in schools which can help in preventing this disease and creating awareness about healthy lifestyles among our future generations. We must also change the age limit for the cyclical three-year testing protocol for sugar from 30 years presently to 25 years of age."
Dr. (Col.) Sudhir Tripathi, Chairperson and HOD, Endocrinology and Metabolism, Sir Ganga Ram Hospital New Delhi, said: "Diabetes can be prevented even at the pregnancy stage. Healthy mothers give birth to healthy children. We must also educate and inform people that this disease is reversible with healthy lifestyle and timely interventions.
Babies who are healthier, not obese, have a far lesser risk of developing diabetes in adulthood. It is advised that we must now have a National Diabetes Month in November to spread awareness and access about diabetes amongst people."
Dr. Dinesh Agarwal, Senior Consultant Internist and Head of Department, Department of Medicine Marwari Hospitals, Vice Chairman, RSSDI Assam Chapter, said: "One of the key risk factors and causes of diabetes is stress and junk food. Even children undergo a huge amount of stress these days due to a highly competitive and strained environment.
It is a fact that stress leads to hormonal changes which in turn can trigger diabetes in individuals. Add to this the fact that lack of exercise among both children and adults lead to an onset of the disease which could have easily avoided by following simple steps."
Dr. Rajesh Kesari, Founder and Director, Total Care Control, Delhi-NCR, said: "Diabetes free India is a dream for all of us. Diabetes, a chronic disease, has so many affected all of us either as families or as individuals. It is important to control this disease because not only does it cause many other diseases or co-morbidities and complications to take place, but also leads to a huge economic burden. The interesting aspect here is that 95 per cent of diabetes can be prevented, and it is important that we all work towards this."
The webinar was addressed by Shri Anil Rajput, Chairperson, ASSOCHAM CSR Council; Dr. Kaushik Dutta, Founder and Co-Director, Thought Arbitrage Research Institute (TARI), New Delhi and eminent doctors which included - Dr. Banshi Saboo, President, Research Society for Study of Diabetes in India (RSSDI), Dr. (Col.) Sudhir Tripathi, Chairperson and HOD, Endocrinology and Metabolism, Sir Ganga Ram Hospital New Delhi, Dr. Dinesh Agarwal, Senior Consultant Internist and Head of Department, Department of Medicine Marwari Hospitals, Vice Chairman, RSSDI Assam Chapter, and Dr. Rajesh Kesari, Founder and Director, Total Care Control, Delhi-NCR.
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Bhopal- A team of scientists at the Indian Institute of Science Education and Research (IISER) Bhopal have in a review identified the biomolecular relationships between Covid-19, ageing, and diabetes.
The review, published in the journal Molecular and Cellular Biochemistry, presented that existing drugs used to treat diabetes, obesity and ageing can potentially be used to treat Covid-19. Similar naturally existing biomolecules were also explored in combination for the Covid treatment.
"There are classes of compounds such as polyphenols found in plant-based food, curcumin (found in turmeric), and resveratrol (found in grapes), have been shown to not only slow down the ageing process, but also possess anti-viral properties," said Dr. Amjad Husain, Principal Scientist, and CEO of Innovation and Incubation Center for Entrepreneurship (IICE), IISER Bhopal, in a statement.
Some other polyphenols that the researchers have identified as being useful for both Covid-19 treatment and comorbidity conditions such as diabetes and ageing may include catechins (present in green tea, cocoa and berries), procyanidins (found in apples, cinnamon and grape skin), and theaflavin (found in black tea).
The researchers also present evidence of some existing potential anti-ageing drugs such as Rapamycin that can be explored for the Covid-19 treatment because of the common biochemical pathways associated with these diseases. Another such example is a drug Metformin , which is usually used to control blood sugar.
The review showed that at the molecular level, there are intersecting pathways that are common to diabetes, ageing, and Covid-19. All three conditions are associated with oxidative stress and lowering of the immune response and complications arising from them lead to the onset of numerous other diseases such as cardiovascular disorders, eye diseases, neuropathy (nerve diseases), and nephropathy (kidney problems).
The researchers believe that an ideal therapeutic candidate for Covid-19 should be able to target the pathways that are common to diabetes, ageing and the SARS-CoV-2 infection.
Further, computational studies showed that lipids present in cell membranes play an important role in coronavirus infectivity.
Natural compounds such as polyphenols may affect the binding of the virus to host receptors and the molecular interactions required for virus replication and release, thereby stopping the infection in its early stages, the team explained.
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अगर आप हरे-भरे इलाकों में रहते हैं तो आपको हृदय का रोग विकसित होने की संभावनाएं कम होती हैं। एक नए अध्ययन में यह बात सामने आई है। ईएससी कांग्रेस 2021 में प्रस्तुत किए गए निष्कर्षों से संकेत मिलता है कि पूरे अध्ययन के दौरान उच्च हरे भरे वाले ब्लॉकों के निवासियों में कम हरे भरे वाले ब्लॉकों की तुलना में किसी भी नई कार्डियोवैस्कुलर स्थितियों को विकसित करने की 16 प्रतिशत कम संभावनाएं थीं।
यूनिवर्सिटी ऑफ मियामी, अमेरिका के विलियम ऐटकेन ने कहा, "जब कोई क्षेत्र उच्च हरापन बनाए रखता है और जब हरापन बढ़ता है, तो समय के साथ हरेपन के उच्च स्तर हृदय की स्थिति और स्ट्रोक की कम दरों से जुड़े होते हैं।"
एटकेन ने कहा, "यह उल्लेखनीय था कि ये संबंध केवल पांच वर्षों में दिखाई दिए, पॉजिटिव पर्यावरणीय प्रभाव के लिए अपेक्षाकृत कम समय में।"
अध्ययन के लिए, टीम में 65 वर्ष और उससे अधिक आयु के 2,43,558 यूएस मेडिकेयर लाभार्थी शामिल थे जो 2011 से 2016 तक मियामी के एक ही क्षेत्र में रहते थे।
पांच साल के अध्ययन के दौरान दिल का दौरा, आलिंद फिब्रिलेशन, दिल की विफलता, इस्केमिक हृदय रोग, उच्च रक्तचाप और स्ट्रोक / क्षणिक इस्केमिक हमले सहित नई हृदय स्थितियों की घटनाओं को प्राप्त करने के लिए मेडिकेयर रिकॉर्ड का उपयोग किया गया था।
पृथ्वी की सतह से परावर्तित दृश्य और निकट-अवरक्त (अदृश्य) सूर्य के प्रकाश की मात्रा का आकलन करने के लिए उपग्रह छवियों का उपयोग किया गया था। पौधों से क्लोरोफिल आमतौर पर ²श्य प्रकाश को अवशोषित करता है और निकट-अवरक्त प्रकाश को दर्शाता है, इसलिए दोनों को मापने से वनस्पति की मात्रा का संकेत मिलता है।
शहर के ब्लॉकों की हरियाली को तब निम्न, मध्यम या उच्च के रूप में वर्गीकृत किया गया था।
प्रतिभागियों को इस आधार पर वर्गीकृत किया गया था कि वे 2011 में निम्न, मध्यम या उच्च हरियाली वाले ब्लॉकों में रहते थे। 2016 में उन्हीं निवासियों और उनके ब्लॉक की हरियाली के लिए प्रक्रिया को दोहराया गया था।
टीम ने ब्लॉक-स्तरीय हरेपन के आधार पर किसी भी नए हृदय रोग के विकास की बाधाओं और नई हृदय स्थितियों की संख्या का विश्लेषण किया।
फॉलो-अप के दौरान कार्डियोवैस्कुलर स्थिति विकसित करने वाले प्रतिभागियों में, उच्च हरियाली वाले क्षेत्रों में कम हरेपन वाले ब्लॉकों की तुलना में 4 प्रतिशत कम नई बीमारियां विकसित हुईं। (एजेंसी)
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Chennai, Aug 3 (IANS) The Madurai district collector has banned the retail sale of flowers, vegetables and fruits taking into account the possibility of a Covid-19 spread due to the festival season. Madurai district administration has already banned entry to temples including the famous Madurai Meenakshi Temple till August 8 to prevent crowding and a possible spread of the virus.The Collector has also warned the closure of vegetable and fruit markets and flower market in Mattuthavani and the wholesale vegetable market if the traders don't follow the standard Covid protocols.Madurai District Collector, Dr S. Aneesh Shekhar has also warned the textile shops, commercial establishments and supermarkets that they would not be allowed to function if Covid protocols are not maintained properly.The decision of the Collector has come in the wake of an expected huge crowd in the busy commercial streets and fruit, vegetable, and flower markets of Madurai as festival days are coming in the "Aadi" month.The Tamil Nadu HR&CE department has already banned entry of devotees to 22 temples in Madurai district from Monday to August 8 including Madurai Meenakshi Temple which attracts huge crowds from all parts of south India during the "Aadi" month.--IANSaal/skp/
Prayagraj (Uttar Pradesh), Aug 1 (IANS) There is no qualified research to prove it but people claim that they have benefitted and now swear by it.The leaves of the African bitter leaf tree/plant are said to have helped people reduce their blood sugar levels.Gopal Tiwari, 72, is now popularising the benefits of the leaves by regularly distributing them to people at a temple in Katra locality in Prayagraj.Every morning, Tiwari waits at the temple with these leaves and gives them to devotees who suffer from diabetes."Two years ago, someone told me about the benefits of the leaves of this unique plant and how it can control blood sugar level. I gave it to my wife who had high blood sugar levels and then saw that she benefitted because her blood sugar levels began going down. I have several plants in my home and I give it to those who ask for it," said Tiwari.He said that the leaves reduce one's dependence on pharmaceuticals.Prof Anupam Dikshit, former head of the Department of Botany at Allahabad University, said, "The plant does have medicinal properties and the Botanical name of this plant is Vernonia amygdalina. It belongs to the marigold family. Plants of this family are herbaceous (with exception of Vernonia amygdalina which is the only tree) and only a few research works have proven its anti-Diabetes properties."Ayurvedic expert Dr D.K. Srivastava said, "Diabetes can be controlled by consuming the leaves of this tree as the borderline sugar patient can consume two leaves in the morning before breakfast while moderate diabetes can be controlled by consuming two leaves before every meal. One can experience the anti-diabetic properties of the plant after getting the sugar levels tested after 30 days of consumption.""Since the leaves are quite bitter, the patients can keep the leaves in the mouth like beetle leaves without chewing. As the saliva reacts with the leaves and its juice, in diluted form, it can be gulped with a tolerable level of bitterness," suggested Dr Srivastava.The leaves of the plant are available round the year and new plants can be raised through stem cutting. In the summer season, the plant grows even faster.Meanwhile, some of those who have been taking leaves from Tiwari at the temple, claim to have benefitted from the same."There are no side effects and it is like eating 'karela' (bitter gourd). I have been taking these leaves for four months and there has been a marginal improvement in my diabetic condition. I plan to take it regularly because Ayurveda and alternative medicine takes time," said Rakesh Pathak, a retired government employee.--IANSamita/dpb
New Delhi, July 23 (IANS) The Delhi Traffic Police on Friday created a 23 km green corridor in the city from Jasola to Rajendra Place, to help transport a cadaveric liver.The liver was transported from Indraprastha Apollo Hospitals in Jasola to BLK-Max Hospital in Rajendra Place, through the 23 km stretch in just 22 minutes. The liver donated by a 70-year-old male patient who suffered intracranial haemorrhage resulting in brain death, was transplanted to a 42-year-old BSF constable from Gwalior, Madhya Pradesh at BLK. "We are happy to report that in a surgery that lasted almost seven hours, we managed to give a new lease of life to a 42-year-old male BSF constable, who had been waiting for the transplant for long," Dr Abhideep Chaudhary, Senior Director & HOD, HPB Surgery & Liver Transplantation, BLK, said in a statement. The constable was suffering from end stage liver disease with jaundice, ascites (abnormal build-up of fluid in the abdomen), hepatic encephalopathy (decline in brain function due to severe liver disease) and recurrent gastrointestinal bleeding. "He was admitted in our hospital since May 21 this year in a state of 'liver coma'. The patient was in a critical state, however, none of his family members were a match for donation," Chaudhary said. The patient is recovering well, the doctor said."We remain indebted to the family of the donor who decided to serve critical patients even in their time of loss. Organ donation can save so many precious lives and I really hope that everyone embraces this cause. We would also like to thank all authorities concerned like NOTTO, and the Delhi Police for taking swift action and making this possible," he added. --IANSrvt/bg