Melia Propolis

Thursday, November 18, 2010

Diabetes is Not Sweet on cost


Jakarta, Diabetes mellitus, often called disease of sugar, though never as sweet as its name if it is talking about the cost of care. High cost of care is increasingly becoming the burden along with the increasing number of sufferers worldwide.

International Diabetes Federation (IDF) estimates that 30 million people worldwide suffer from diabetes in 1985 and jumped to 150 million within the next 10 years. Now the number reached 285 million and is expected to continue to increase to 438 million by 2030, larger than the population throughout Europe today.

Unfortunately, even the largest increases experienced by developing countries like Indonesia that are economically relatively less strong compared to developed countries. Where as long-term treatment and care of diabetes requires facilities and facilities that are not cheap.

"The awareness of healthy lifestyles in developed countries is higher so that diabetes is only experienced by the age of 65 years and over. In developing countries, have reached the age of 45-64 years," said Dr. Pradeep Soewondo, SpPD-KEMD of the Society for Endocrinology Indonesia, in a press conference World Diabetes Day at the Hotel Le Meridien, Jakarta, Friday (11/19/2010).

Though limited means, facilities and funds for treatment will determine the quality of life with diabetes. Moreover, care and treatment of this disease is usually done in the long run, even practically a lifetime.

For example, the death rate from diabetes in the countries of sub-Saharan Africa are classified as poor 4 times higher than the average worldwide. One of the triggers is the inability of local governments to provide cheap drugs and generic insulin.

Life expectancy of people with diabetes in the region are generally low, but still varies according to economic capacity and level of government concern. For example, in Zamibia who have insulin management program is better, life expectancy of people with diabetes may reach 11 years.

While in Mali, life expectancy is only 30 months in the absence of programs that ensure the availability and affordability of insulin. Life expectancy of people with diabetes in Mozambique even shorter, because not many who survive more than 1 year.

The expensive cost of treatment and care

Increasingly large number of people with diabetes make the cost required for treatment and care come to swell. Swelling was estimated to cost even much more rapidly than the population growth rate worldwide.

During 2007 alone, diabetes care around the world carrying cost an estimated U.S. $ 232 billion. Quoted from worlddiabetesday, Friday (11/19/2010), in 2025 the cost was expected to continue to swell until it reaches U.S. $ 302.5 billion.

In industrialized countries, 25 percent of the cost of diabetes treatment is used to control blood sugar levels. Treatment of long-term complications such as heart disease spend 25 percent of the total cost, while the remaining 50 percent is used for other treatments related to diabetes.

While in poor countries like India, people with diabetes on average spend 25 percent of total revenues only for treatment. And that's usually just enough to overcome the increase in sugar content is really high and threaten the soul, not for routine treatment.

The same difficulties experienced by countries in Latin America and the Caribbean, the average income is higher. Lack of health insurance from the government to make people with diabetes in the region still have to bear 40-60 percent of his own pocket medical expenses.

Most or nearly 50 percent also run out to buy the drugs control blood sugar levels. Left only little or even no residual at all to treat complications, such as high blood pressure (hypertension), cholesterol (hyperlipidemia), and heart disease.

The cost is much cheaper to prevent

Although the rate of pengingkatan number of people with diabetes in developing countries are on average higher than developed countries, some countries in Asia successfully mengeremnya including Singapore and Thailand. Dr. Pradeep said, a healthy lifestyle is the key to success for both countries.

"In Thailand, the school cafeteria does not sell candy, soft drinks and fast food. In Singapore, students who are fat can not leave early, there are special events sports after school hours. Compulsory military also distinguished, if generally only 6 months then for youth the obese a longer time, "he said.

As prevention, these steps are already quite effective considering one risk factor for diabetes is obesity. But for those who already have diabetes, world health organization WHO provides 4 steps to prevent the swelling cost of care.

The four steps were judged not only easy to do, but also cheap when compared with the cost needed in case of complications such as impotence, heart attacks and amputations. Quoted from worlddiabetesday, here are 4 steps mentioned:
Blood sugar control in a minimal but routine
1. Control your blood pressure regularly
2. Legs for people with diabetes are at high risk of injury
3. Care before pregnancy (preconception) for women with diabetes to prevent gestational diabetes
Meanwhile, to commemorate World Diabetes Day which falls on November 14, pharmaceutical companies Sanovi-Aventis Group, held a campaign themed "Doing More Together". The campaign was conducted through the launch of e-baloon, electronic balloons symbolizing awareness of diabetes.

Sanovi-Aventis, which is an official partner of World Diabetes Day 2010 invites anyone who cares about diabetes to release balloons together electronically. You do this by visiting www.kendalidiabetes.com and clicking the balloon that appears on the site.

Source: AN Uyung Pramudiarja - detikHealth


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