World Day Fighting Diabetes.

20.08.2019 Sport

World Diabetes Day is celebrated annually on November 14. In 1991, in response to a growing threat to human health from diabetes (SD), this event started under the auspices of the International Diabetes Federation (IDF) and the World Health Organization (WHO). Since 2007, World Diabetes Day is held under the auspices of the United Nations (UN). This day was proclaimed by the UN General Assembly in a special resolution No.A / RES / 61/225 dated December 20, 2006.

There are three main types of diabetes. Type 1 diabetes: the protective system of the body attacks insulin-producing pancreatic cells. Blood circulation. Eat diabetic.

The body disease may affect people of any age.
People with this form of diabetes need insulin injections every day.
People with type 1 diabetes can lead a normal, healthy life.
Without insulin, a person with diabetes type 1 will die.
Glucose should be controlled at least 3 times a day.
Healthy nutrition and physical activity is necessary for proper control.
Diabetic stop.
Retinopathy is damaged and striking eyes.
Vaginal infections.
Heart attack and embolism.
Kidney complications.

Type 2 Diabetes: This is the most common type of diabetes.

In 2016, the theme of the World Day of Combating Diabetes is: "A look at diabetes."

In this regard, the main objectives of the event is to increase the public awareness of the risk factors for the development of diabetes and promoting screening aimed at early detection of changes carbohydrate exchange.

The number of patients with SD in the world over the past 10 years has increased more than 2 times, and by the end of 2015, reached 415 million people. According to the forecasts of the International Diabetic Federation by 2040, 642 million people will suffer.

This usually appears in adults, but more and more cases of children and adolescents. The body can produce insulin, but either not enough, or the body does not respond to its effects, causing the accumulation of glucose in the blood. People with type 2 diabetes can spend a lot of time without realizing their disease, because the symptoms can take years to appear or recognize. Most people with type 2 diabetes usually do not need daily insulin doses for survival. However, to control the status you can assign insulin along with overtoral drugs, healthy diet and increased physical activity. Obesity Bad diet lack of physical activity Old age Family history of diabetes inadequate food during pregnancy affecting a developing child. Infection B. bladder bubble, kidneys, skin or other infections that are more often healing. Turbidity of vision. Problems with kidney neuropathy glaucoma Periodic infections amputation Sexy impotence. Many people with diabetes develop some form of eye disease, which can damage vision and cause blindness. Cardiovascular diseases are the most common cause of death and disability among people with diabetes. Cardiovascular diseases accompanying diabetes include angina, myocardial infarction, stroke, peripheral arterial disease and stagnant heart failure. Women with diabetes require careful monitoring before and during pregnancy to minimize the risk of complications. High level Glucose in the blood during pregnancy can cause changes in the fruit, which leads to an increase in overweight and size. This, in turn, can lead to problems during childbirth, child injury and mother and low level Glucose in the child's baby after birth. In addition to nerve damage People with diabetes may experience problems with poor circulation in the legs as a result of damage blood vessels. People with diabetes face the risk of amputation, which can be 25 times more people without diabetes. There is an increased risk of tissue inflammation around the tooth in people with poor glucose control. Periodontitis is the main cause of the loss of teeth and is associated with an increased risk of cardiovascular diseases. The disease is caused by damage to small blood vessels, which can lead to a decrease in kidney efficiency or in general to failure. Maintaining almost normal levels blood glucose and arterial pressure Significantly reduces the risk of nephropathy. The most common type is peripheral neuropathy, which mainly affects the sensory nerves in the legs. Neuropathy can also lead to erectile dysfunction, as well as problems with digestion, urination and many other functions.

Fatigue.
Increased thirst.
Increase urination.
High levels of blood glucose are the main cause of retinopathy.
The high level of glucose can affect the development of the fetus.
These problems increase the risk of ulceration, infection and amputation.
The disease can affect any nerve in the body.
It can cause pain, tingling and loss of sensation.

According to the International Diabetes Federation.

IN Russian Federation, as in all countries of the world, there are high growth rates of the incidence of SD. Over the past 15 years, more than 2 million new cases of diabetes have been registered, about 365 patients per day.

According to the State Register of Patients with SD, for January 2016, in Russia, in Russia, there are about 4.3 million people in Russia, of which: type 2 dials prevails and consists of 3.9 million people. Meanwhile, the results of control and epidemiological studies conducted by FGBU Endocrinological science Center (ENTS) of the Ministry of Health of the Russian Federation in the period from 2002 to 2010, showed that the true number of patients with SD in Russia is approximately 3-4 times more officially registered and reaches 9 - 10 million people, which is about 7% of the population.

Eyes with diabetes, go to your health!

Gestational diabetes: When the woman is first diagnosed with diabetes during pregnancy. This usually occurs at a later stage and occurs because the body cannot produce or use a sufficient amount of insulin necessary for pregnancy. Since gestational diabetes usually develops on an advanced pregnancy stage, the child is already well formed, although it continues to grow. This day was chosen in order to be the date of birth of Frederick Banthing, who, along with Charles, discovered.

According to a sugar diabetes, 231516 patients are currently registered in the Moscow region: 11,283 type diabetes mellitus, at 215682 - type 2 diabetes mellitus, in 4551 - other types of diabetes mellitus. Every year, diabetes mellitus is detected at about 7-9 thousand inhabitants of the Moscow region.

Over the past 50-60 years, indigenous changes have occurred in most countries in the lifetime of people. Food has become more accessible. Accelerating the pace of life has increased the need for fast food and semi-finished products. People are becoming more and less preparing food at home and prefer the snacks on the go. Morning food is still consumed, a low-refreacted grain. To accelerate the preparation and improvement of taste quality, manufacturers use deep processing of products. The product is carefully processed, the faster it is absorbed in the intestine, which entails a number of negative consequences for metabolism. Thus, the type 2 diabetes mellitus epidemic in Asia is largely associated with the use of stealied white rice, which very quickly increases blood sugar. Wide distribution has acquired sweet carbonated drinks in the world, especially among young people. It has been proven that regular use of sweet beverages increases the risk of obesity and type 2 diabetes mellitus. In addition to changes in nutrition, a larger lifestyle is discharged a large role in the development of obesity. Most people have no need as before in regular physical work. On the contrary, in order to be physically active people spend money and free time, doing fitness or various species Sports. This requires certain efforts to which not everyone goes. In the 21st century, the average physical activity of the urban resident decreased by almost 50 times compared with previous centuries. In physically inactive people, the risk of sugar diabetes is higher by 27%.

What is diabetes control?

The blue circle should be recognized as a symbol of diabetes associations, volunteers, state bodies, industry and all people with diabetes on the planet. Knowledge, skills and abilities that have a positive effect on the result or in the blood to achieve adequate quality of life.

Diabetes type 1, which is most often found among children and adolescents. Type 2 diabetes, which is most frequent among adults and is associated with obesity or overweight, lack of physical activity and poor powers. Gestational diabetes, which is a complication of pregnancy, which affects approximately 10% of pregnancies around the world.

Changes in the lifetime of people's life on the planet led to the fact that more than 2 billion people over 20 years have overweight or obesity. More than half of all patients with obesity live in 10 countries: USA, China, India, Russia, Brazil, Mexico, Egypt, Germany and Indonesia. In Russia, the prevalence of obesity reached the emission of the epidemic. In our country, 54% of men and 58% of women over 20 are overweight or obesity. Observed fast growth The prevalence of obesity among young people, children and adolescents.

Large share of diabetes can be prevented. Avoiding obesity and overweight, following a healthy lifestyle based on a healthy diet, regular physical activity and maintaining healthy weight can prevent many cases. - For people who already have diabetes, maintaining adequate control of blood glucose level is important for preventing or delayed chronic complications of diabetes, such as blindness, neuropathy, renal failure or peripheral vascular failure - blood circulation, which can lead to amputation lower extremities, among others.

Another problem, closely related to metabolic disorders, is aging. Today, people want to remain young for a long time, active, in demand in the personal and social sphere. The development of chronic diseases sharply speeds up the aging processes. Type 2 diabetes mellitus call an accelerated aging model. Therefore, the normalization of metabolism is an indispensable condition for active longevity.

Perspective public Health. Diabetes usually affects people during their productivity and significantly associated with large psychological problems Compared to the overall population. It also affects their families, imposing responsibility for therapeutic and emotional care for the therapeutic and emotional concern about this disease, as well as society with direct economic impact caused by public spending, as well as disability, disability, early retirement and premature death.

From 90 to 95% of cases correspond to type 2 diabetes, type 2 diabetes can be prevented by reducing the main risk factors. Overweight and obesity, which contribute to 44% of cases. Physical inertness. There are other risk factors for the development of type 2 diabetes, including smoking, excessive alcohol consumption, family history of diabetes and other factors, while unknown.

Obesity among family members can affect future generations. If both parents have a normal weight, the risk of obesity in the child is 1 to 10, if one parent with obesity is 4 cases out of 10, and if both parents with obesity - 8 cases out of ten. It is difficult to exaggerate the role of a family in the formation of a healthy lifestyle in children and adolescents. Children today live in a world that predisposes more to unhealthy food preferences and hypodynamies than to healthy eating and physical activity. Fast food passion, use of sweetened beverages and many hours spent on a computer and watching TV shows forms a lifestyle in children leading to a weight gain and obesity development.

Obesity in children is growing rapidly. As part of preventive strategies, food labeling measures and fiscal measures will be most effective in terms of preventive measures. The strategy contributes to a healthy lifestyle during complex and individual care for pregnant women, which positively affects the fruit.

The article 66-bis of the Labor Code, included in Law No. 769, provides for women workers older than 40 years old and workers over 50 years old have the right to half days once a year during the term labor Relations, pass exams on preventive medicine in relevant public or private medical institutions.

During early childhood, the taste preferences of the child are developing, it imitates the healthy and unhealthy behavior of his parents. In 2010, in 2010, about 43 million children of preschool age had overweight and obesity, which is 60% more than in 1990. In some countries, almost half of the boys aged 8-9 years have overweight problems, and More than quarters are obesity.

Program " Healthy life"Aims on interference with the risk factors of chronic diseases, a decrease in their morbidity, promoting a healthy lifestyle by combating excessive malnutrition, improving the metabolic profile and the physical state of the population between 2 and 64 years and postpartum women who are at high risk of developing diabetes and high Blood pressure.

The key components of the response are to expand access to diagnostics, enlightenment of personal control over diseases and affordable treatment. This program is one of the main strategies of the Ministry of Health to facilitate the decrease in morbidity and mortality associated with cardiovascular diseases and diabetes.

The risk of obesity in children is increasing in the absence of breastfeeding, reducing sleep time, increasing the timing of TV shows or classes on the computer. The indicators of insufficient physical activity among children and adolescents are growing: only 34% of adolescents (13-15 years old) in the European Region (including Russia) are active in order to comply with the recommended norms. Parents must attach the conditions for these risks to minimize and form healthy food preferences in a child, to offer an alternative approach to leisure and encourage children for the desire to adhere to a healthy lifestyle.

According to a study of the World Health Organization, published on Wednesday, about 422 million people suffer from diabetes around the world - this is an indicator that has increased four times in less than 40 years and becomes a serious problem in the poorest countries.

In many countries, especially in low- and middle-income countries, the diabetes epidemic is growing rapidly. A large proportion of diabetes can be prevented by maintaining normal weight, conducting periodic physical activity, and a healthy diet can reduce the risk of diabetes.

The most important rules for the preservation of health and preventing the development of metabolic disorders is the preservation of the energy balance. Energy that is consumed with food is equal to the energy spent on exchange processes + Physical activity.

Basic principles of healthy nutrition:

Eat breakfast, lunch and dinner every day.
It is useful to start a day from a glass of warm water, into which you can add some lemon juice. It can help stimulate the operation of the gastrointestinal tract.
Never have a feeling of overcrowding. It should be stopped when it is full of 80%.
Try to eat vegetables and fruits for every meal. Better if they are different colors. Vegetables and fruits can be the basis of salads, as well as enter the juices and milk cocktails.
For lunch and dinner, the proportion of vegetables should be from ½ to 2/3 pieces of a plate, 1/4 - High protein food (fish, chicken, turkey, rabbit, rarely - beef, pork), ¼ - garnish (buckwheat, raw rice , lentils, rarely - potatoes).
For each meal, try to eat food with a high protein content (sizes with palm).
Every day eat a portion (30 g) nuts, giving preference walnut Nuts, almond and hazelnuk.
There are fewer semi-finished products or give up them at all.
Replace parhed rice, pasta, white bread On untreated rice, pasta and bread with the addition of solid grain.
Try to diversify your diet, there are not the same products for several days in a row.
Add vegetable oil (linen, olive, rape) in salads and other finished food. Try to heat them less. These oils are oxidized and formed when heated harmful substancescapable of damaging cells. With frying, you can use a small amount of butter or coconut oil, which are more stable at high temperatures. Try more often bake or cook food.
There is slowly, carefully chew food.
I do not try in moments of strong stress or fatigue. It is better to drink water.

The risk of type 2 of type increases in persons with abdominal obesity, which is diagnosed in a waist circle: men ≥ 94 cm, in women ≥ 80 cm.

More than 80% of deaths from diabetes occur in low- and middle-income countries. Diabetes can be treated to prevent complications. The main component of the response is greater access to the diagnosis, personal control training and affordable treatment.

Efforts to prevent and treat diabetes will be important to achieve a sustainable development goal Objective 3 to reduce premature mortality from noncommunicable diseases by a third. Diabetes is chronic diseasewhich occurs when the pancreas does not produce a sufficient amount of insulin or when the body cannot effectively use the resulting insulin. Insulin is a hormone that regulates blood sugar levels and provides the energy necessary for life. If you cannot achieve cells to become energy, sugar accumulates in the blood until harmful levels are achieved.

Attainment normal indicators The body mass index (BMI) is ideal for persons with obesity and overweight. However, very fast decline Body masses can bring more harm than good. Therefore, it is recommended to reduce body weight to 10% of the initial 8-12 months, subsequently maintain the result achieved with a gradual further decrease in body weight. To do this, when IMT from 27 to 35 kg / m 2, it is necessary to reduce body weight by 0.2-0.5 kg per week, with CMT\u003e 35 kg / m 2 - by 0.5-1 kg per week.

Over time, hyperglycemia can jeopardize all major body bodies and cause heart attacks, strokes, neuropathy, renal failure, blindness, impotence and infections that may require amputation. There are two main forms of diabetes.

People with type 1 diabetes usually do not produce insulin, so they need to make the injection of this hormone to survive. People with type 2 diabetes, which account for 90 percent of cases, often produce their own insulin, but the amount is insufficient or cannot be used properly; They are usually overweight and are sedentary, two circumstances that increase their insulin needs.

Physical activity - This is a key determinant of energy consumption, and therefore it is of great importance for the energy balance and the preservation of optimal weight. Physical activity can take the most different forms Both species varies according to the degree of intensity. The main principles of physical training are: Regularity, graduality and adequacy. It is necessary to alternate anaerobic (2-3 times a week) and aerobic loads (3-5 times a week). The minimum level of physical activity per day is 30 minutes, given that 1 occupation must be at least 10 minutes. Example of optimal level daily exercise is the passage of 10,000 steps on average and fast pace.

The project "A healthy family is a healthy generation" started on the territory of the Moscow region - a structured training program for classes in a healthy lifestyle in the family, whose goal is to reduce the prevalence of risk factors for the development of metabolic disorders from residents of the Moscow region. All materials of the program are prepared by specialists of the Moscow Regional Medical Prevention Center and the Department of Endocrinology Fow GBUZMO Monica. M.F. Vladimirsky. The project presents a single methodological approach to teach the focal group in conditions of health centers with the quality control of the assistance provided, receiving feedback. The program provides for independent continuation of learning all family members using the portal www.Vestor.rf.

In the framework of the field work of the endocrinological treatment and prophylactic module in the municipalities of the Moscow region, the staff of Gabuzmo Monica them. M.F. Vladimir regularly conduct screenings to identify hidden-occurring diabetes and earlier violations of carbohydrate metabolism, during which persons with an increased risk of sugar diabetes are examined. So in 2015, the exit team of specialists visited 7 districts of the Moscow region. As part of the promotion of Mobile diamobile, Monica visited the cities: Tuchkovo, Necklace, Pushchino, Dedovsk, Khimki, Yegoryevsk, Taldom. Doctors examined more than 1.5 thousand patients with diabetes and thousands of risk group. More than 5 thousand consultations and 1.5 thousand analyzes were conducted. Over the past five years, more than 5.5 thousand risk groups took part in screenings in screenings, among them 30% have been identified hidden-flowing diabetes mellitus and in 30% - early violations of carbohydrate metabolism. All patients with early violations of carbohydrate exchange and face risk group of diabetes are directed to training in the health centers of the Moscow region.

Given the high social significance of the problem of diabetes and the high prevalence of risk factors for the development of metabolic disorders from residents of the Moscow region, the Moscow Regional Medical Prevention Center (a branch for medical prevention GAUZMO KCVMMR) recommends to organize within a month, starting from November 14, the following information and educational events:

Widely inform the population on the World Day of Fighting Diabetes through the media, place information on Internet portals of the municipality, social networks.
Organize and spend direct esters with the performance of doctors on radio and television with an emphasis on risk factors and the prevention of metabolic disorders.
Publish an article in the local press the appropriate subject.
Conduct thematic seminars and conferences for doctors and medium-sized medical workers.
Organize mass shares (health charging, flash mobs, sports competitions, dance workouts) with the involvement of youth, incl. Participants in public volunteer organizations whose activities are aimed at promoting a healthy lifestyle.
Organize conducting activities for the public in institutions, houses of culture, cinemas, shopping centers, etc., including screening surveys (determination of blood glucose content, measurement of blood pressure and anthropometric data, etc.), conducting open schools for the prevention of diabetes, rational schools and physical activity with performances of endocrinologists, therapists, doctors centers (departments, cabinets) of medical prevention, health centers.
Implement the release of thematic sanitary ballots in the LPU.
Disseminate memo, booklets, sugar diabetes prevention leaflets.

Information about the activities carried out, please submit to the Moscow Regional Medical Prevention Center (a branch for medical prevention GAUZ MO K C C C C C C C C C C C C C C QUMMI: with [Email Protected] up to December 25, 2016.

Sugar diabetes is a global medical and social problem, which is due to the ever-growing rates of morbidity and prevalence in all countries. As of 2014, almost 350 million people in the world suffer from diabetes, and by 2030 it is supposed to increase the total number of deaths from diabetes more than 50%.
It is important that a significant proportion of diseases of diabetes can be prevented. 30 minutes of regular physical activity of moderate intensity for most days and healthy nutrition It can significantly reduce the risk of a 2-type diabetes mellitus. Increasing the degree of informality of patients on the prevention, diagnosis and treatment of diabetes - priority tasks of WHO.

November 14 - World Diabetes Day. This date is the birthday of the scientist Frederick Banthing, who has opened the world of Insulin and who later became the laureate of the Nobel Prize in physiology and medicine. In January 1922, a young Canadian scientist Frederick Banting made an insulin injection by a 14-year-old boy Leonard Thompson suffering from diabetes mellitus. Since then, the diagnosis of sugar diabetes has ceased to be fatal.

November 12, 2016 In the Central House of Scientists of the Russian Academy of Sciences held a conference dedicated to the World Day of Fighting Diabetes.
The organizers of the conference were the All-Russian Public Organization of Disabled "Russian Diabetic Association", Public Organization "Russian Association of Endocrinologists"; Ministry of Health of the Russian Federation; FGBU "Endocrinological Science Center" Ministry of Health of the Russian Federation.
At the conference, the leading ENT endocrinology specialists discussed the prevention and treatment of diabetes. President of the Russian Diabetic Association, D.M. Alexander Yuryevich Majorov made a report on the results of the activities of the Association in 2016 and plans for 2017.

In continuation of the conference of 150 invited children with diabetes, the playful puppet performance of the "Fairy Tales of Fedor Soldier" Theater "Golden Fish" was watched. The participants of the Children's TV project "Voice" were invited to the holiday, who, together with the animators, conducted an entertainment program, and at the end of the event, children received gifts.

A solemn presentation of Josina's medals "For 50 courageous years with diabetes" patients, whose life with diabetes is delivered admiration, optimism and motivates to fight this disease.

It is noteworthy that initially the medal of the American doctor Eliot Proctor Josina was awarded patients whose experience was 25 years. To date, several patients in the world have already been awarded the medal "For 80 courageous years with diabetes", which once again underlines the unlimited possibilities of human motivation, because for the treatment of diabetes, a daily self-control and attentive attitude to the recommendations of the doctor are needed.

November 14, 2016 At 13-00, a press conference was held in Mia Russia today "on current issues in organizing assistance to patients with diabetes. The press conference was attended by adviser to the Minister of Health of the Russian Federation Lanskaya Igor Lvovich, director of the Institute of Diabetes FGBU "Endocrinological Scientific Center" of the Ministry of Health of the Russian Federation, Academician of the Russian Academy of Sciences, Marina Vladimirovna, Director of the Institute of Children's Endocrinology of the FSBI ENTS Ministry of Health of the Russian Federation, Director of the Institute of Children's Endocrinology of the FSBI ENTS Ministry of Health of the Russian Federation, Academician RAS Peterkov Valentina Aleksandrovna, President of the Russian Diabetic Association, Head of Sugar Diake Treatment Therapy with Reference - Diabetes Management Center of the Russian Federation, Professor Majorov Alexander Yuryevich, First Deputy Director for Scientific and Medical Works FGBU "GNICPM" of the Ministry of Health of Russia, Member Correspondent RAS Drapkina Oksana Mikhailovna, Deputy Chief Medical Part of the Endocrinological Dispensary Department of Health of Moscow Dharava Olga Viktorovna.

Marina Vladimirovna Shestakova made a report on the prevalence and detection of diabetes mellitus, in which the sad statistics of the Nation epidemiological study conducted: today more than 6.5 million Russians have diabetes mellitus 2 and almost half are not suspected of it, and every fifth The Russian is at the stage prediabet. Marina Vladimirovna drew attention to the fact that diabetes for a long time can proceed asymptomaticly, hitting endocrine system man. In Russia, over the past 15 years, the number of cases increased more than 2 times and 365 Russians is ill daily. It is noteworthy that only 26% of public funds is spent on drug therapy of the disease, and most of the treatment of severe complications: cardiological, ophthalmologic, disorders of the kidney and lower limbs.

Peterkov Valentina Alexandrovna drew attention to the fact that providing Russian children insuls, glucometters and consumables are carried out at the global level. Today, each third child has a pump. In February, it is expected to enter the market for a uncoole glucometter of foreign production, in the summer - Russian. Education of the sick and self-control is the key to successful disease. Valentina Aleksandrovna also noted the work of Russian endocrinologists, whose "phone is included around the clock", because, according to the survey conducted, with urgent situations with diabetes (or his relatives), first of all call the attending physician.

Alexander Yuryevich Majorov spoke about the activities of the Russian Diabetic Association of Persons with Disabilities, stressing that the last word in this abbreviation does not always reflect reality: because with proper treatment, observation, self-controlling the life of a patient with diabetes mellitus is no different from life healthy man. In proof of its words, Alexander Yuryevich demonstrated several videos dedicated to children's holidays in summer camps, regional diasplikiadam: physically active, joyful children who need only greater control over their health. At the conclusion of his speech, Alexander Yuryevich invited the patient to the scene, who was awarded the medal "for 50 courageous years with diabetes." Konstantin spoke about his life path, illness and attitude towards treatment. All present noted optimism and easy attitude to the life of Constantine.

Drapkina Oksana Mikhailovna drew attention to obesity, as the main risk factor in the development of diabetes and led the sad statistics: if in 1993 only 11% of men in Russia had overweight, then by 2013 - 27% (almost every third). Among women, the amount of overweight has not changed almost unchanged (30% today against 26% in 1993)

"On the body of a fat person is not free from any pathology of the site," said Oksana Mikhailovna.

Dharava Olga Viktorovna led statistics in Moscow: 3,000 children and adolescents with diabetes were registered. Olga Viktorovna emphasized the importance of modern technologies in the prevention of many diseases. According to her, even a simple program, measuring your daily activity, stimulates you to increase it and, thereby, reduce the risk of overweight.

Igor Lvovich Lanskaya summed up the press conference and drew attention to the fact that the Ministry of Health of the Russian Federation was open to discuss all sorts of programs that popularize a healthy lifestyle.