Diabetes in Australia

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Evolution of the age-standardized prevalence of diabetes in Australia, from 1980 to 2014 . Evolution of diabetes in Australia.svg
Evolution of the age-standardized prevalence of diabetes in Australia, from 1980 to 2014 .

An estimated 275 Australians develop diabetes every day. The 2005 Australian AusDiab Follow-up Study (Australian Diabetes, Obesity and Lifestyle Study) showed that 1.7 million Australians have diabetes but that up to half of the cases of type 2 diabetes remain undiagnosed.

Contents

Type 2

Type 2 diabetes is the most common type of diabetes, and majority of those affected are diagnosed with Type 2. Type 2 diabetes is classified as a lifestyle disease which is impacted by environmental and hereditary factors. [2] This form of diabetes is significantly affected by the lifestyle the individual has. It is associated with the individuals' diet and activity level. The population who are most at risk are those who adopt a sedentary lifestyle at a young age.

Prevention

Although there is no direct cure for Type 2 diabetes the Australian Government: Department of Health [4] has put in place guidelines to assure that children and adolescents receive the suggested period of time engaging in physical activity. Some of their suggestions are as follows:

Diabetes facts

Other facts about diabetes include:

In 2007-08 approximately 520,000 people had diabetes and CVD meaning only 42% of diabetics did not have CVD. CVD is the major cause of mortality in people suffering from diabetes with CVD accounting for 80% of deaths. [6] [7]

The International Diabetes Federation has estimated that currently 194 million people worldwide, or 5.1% within the adult population have diabetes; this will jump to 333 million, or 6.3%, by 2025. Type 2 Diabetes makes up approximately 85% to 95% of all diabetes in developed countries, and is even higher in developing countries.

The European Region, with 48 million, and Western Pacific Region, with 43 million, has the most people with diabetes currently. In 2025, the region with the largest number of people with diabetes will change to the South-East Asian Region with approximately 82 million sufferers.

Right now the age group with the greatest number of people suffering from diabetes are the 40- to 59-year-olds. Owing to the ageing population, by 2025 there will be 146 million people aged 40–59 and 147 million people aged 60 or older with diabetes.

In 2003, the number of people with diabetes in urban areas was 78 million and by 2025 it is said to increase to 182 million urban and 61 million rural people with diabetes. [8]

Epidemiology

Indigenous Australians

A University of Alberta study, conducted in 2006, noted that 60% of Aboriginal people over the age of 35 in Western Australia tested positive for diabetes. [9]

Migrant populations

A study conducted by the International Diabetes Institute at Monash University showed that Asians, Pacific Islanders, and Middle Eastern immigrants who moved to Australia were diagnosed with diabetes at a higher level than the average. [10] The increase was explained by the adoption of a Western diet in place of a more healthy "traditional" diet more common in their native countries, as well as adopting a more sedentary lifestyle which is ubiquitous in developed countries. [11]

National Diabetes Services Scheme

The National Diabetes Services Scheme (NDSS) was created in 1987 and is an institution funded by the Australian Government that delivers diabetes-related products at affordable prices and provides information and support services to people with type 1, type 2, gestational and other types of diabetes; the number one national peak body for diabetes in Australia, Diabetes Australia, runs this scheme. State and territory diabetes organisations are also assisting in the arrangements and planning of services for this scheme. The National Diabetes service aim is to ensure appropriate, reliable and affordable access to diabetes-related products and services to support people suffering from diabetes. [12]

See also

Related Research Articles

Metabolic syndrome Medical condition

Metabolic syndrome is a clustering of at least three of the following five medical conditions: abdominal obesity, high blood pressure, high blood sugar, high serum triglycerides, and low serum high-density lipoprotein (HDL).

New World Syndrome is a set of non-communicable diseases brought on by consumption of junk food and a sedentary lifestyle, especially common to indigenous peoples of the Americas, Oceania, and circumpolar peoples. It is characterized by obesity, heart disease, diabetes, hypertension, and shortened life span.

Lifestyle diseases can be defined as diseases linked with ones lifestyle. Lifestyle diseases are non-communicable diseases. They are caused by lack of physical activity, unhealthy eating, alcohol, substance use disorders and smoking tobacco, which can lead to heart disease, stroke, obesity, type II diabetes and Lung cancer. The diseases that appear to increase in frequency as countries become more industrialized and people live longer include Alzheimer's disease, arthritis, atherosclerosis, asthma, cancer, chronic liver disease or cirrhosis, chronic obstructive pulmonary disease, colitis, irritable bowel syndrome, type 2 diabetes, heart disease, hypertension, metabolic syndrome, chronic kidney failure, osteoporosis, PCOD, stroke, depression, obesity and vascular dementia.

Cardiovascular disease Class of diseases that involve the heart or blood vessels

Cardiovascular disease (CVD) is a class of diseases that involve the heart or blood vessels. CVD includes coronary artery diseases (CAD) such as angina and myocardial infarction. Other CVDs include stroke, heart failure, hypertensive heart disease, rheumatic heart disease, cardiomyopathy, abnormal heart rhythms, congenital heart disease, valvular heart disease, carditis, aortic aneurysms, peripheral artery disease, thromboembolic disease, and venous thrombosis.

Diseases of affluence, previously called diseases of rich people, is a term sometimes given to selected diseases and other health conditions which are commonly thought to be a result of increasing wealth in a society. Also referred to as the "Western disease" paradigm, these diseases are in contrast to so-called "diseases of poverty", which largely result from and contribute to human impoverishment. These diseases of affluence have vastly increased in prevalence since the end of World War II.

Sedentary lifestyle Type of lifestyle involving little or no physical activity

A sedentary lifestyle is a type of lifestyle involving little or no physical activity. A person living a sedentary lifestyle is often sitting or lying down while engaged in an activity like socializing, watching television, playing video games, reading or using a mobile phone/computer for much of the day. A sedentary lifestyle can potentially contribute to ill health and many preventable causes of death.

Physical fitness is maintained by a range of physical activities. Physical activity is defined by the World Health Organization as "any bodily movement produced by skeletal muscles that requires energy expenditure." Human factors and social influences are important in starting and maintaining such activities. Social environments can influence motivation and persistence, through pressures towards social conformity.

Non-communicable disease Medical condition

A non-communicable disease (NCD) is a disease that is not transmissible directly from one person to another. NCDs include Parkinson's disease, autoimmune diseases, strokes, most heart diseases, most cancers, diabetes, chronic kidney disease, osteoarthritis, osteoporosis, Alzheimer's disease, cataracts, and others. NCDs may be chronic or acute. Most are non-infectious, although there are some non-communicable infectious diseases, such as parasitic diseases in which the parasite's life cycle does not include direct host-to-host transmission.

Prediabetes is a component of the metabolic syndrome and is characterized by elevated blood sugar levels that fall below the threshold to diagnose diabetes mellitus. It usually does not cause symptoms but people with prediabetes often have obesity, dyslipidemia with high triglycerides and/or low HDL cholesterol, and hypertension. It is also associated with increased risk for cardiovascular disease (CVD). Prediabetes is more accurately considered an early stage of diabetes as health complications associated with type 2 diabetes often occur before the diagnosis of diabetes.

Baker Heart and Diabetes Institute

The Baker Heart and Diabetes Institute, commonly known as the Baker Institute, is an Australian independent medical research institute headquartered in Melbourne, Victoria. Established in 1926, the institute is one of Australia's oldest medical research organisations with an historical focus on cardiovascular disease. In 2008, it became the country's first medical research institute to target diabetes, heart disease, obesity and their complications at the basic, clinical and population health levels.

According to 2007 statistics from the World Health Organization (WHO), Australia has the third-highest prevalence of overweight adults in the English-speaking world. Obesity in Australia is an "epidemic" with "increasing frequency." The Medical Journal of Australia found that obesity in Australia more than doubled in the two decades preceding 2003, and the unprecedented rise in obesity has been compared to the same health crisis in America. The rise in obesity has been attributed to poor eating habits in the country closely related to the availability of fast food since the 1970s, sedentary lifestyles and a decrease in the labour workforce.

Obesity in Nauru

Obesity in Nauru is a major issue for the Republic of Nauru. The World Health Organization's (WHO) estimated that 94.5% of Nauruans were identified as overweight and obese, with an obesity rate of 71.7%.

Obesity in the Middle East and North Africa is a notable health issue. Out of the 15 fattest nations in the world as of 2014, 5 were located in the Middle East and North Africa region.

This article provides a global overview of the current trends and distribution of metabolic syndrome. Metabolic syndrome refers to a cluster of related risk factors for cardiovascular disease that includes abdominal obesity, diabetes, hypertension, and elevated cholesterol.

Diabetes Group of metabolic disorders

Diabetes mellitus (DM), commonly known as just diabetes, is a group of metabolic disorders characterized by a high blood sugar level over a prolonged period of time. Symptoms often include frequent urination, increased thirst and increased appetite. If left untreated, diabetes can cause many health complications. Acute complications can include diabetic ketoacidosis, hyperosmolar hyperglycemic state, or death. Serious long-term complications include cardiovascular disease, stroke, chronic kidney disease, foot ulcers, damage to the nerves, damage to the eyes and cognitive impairment.

Nutrition is the intake of food, considered in relation to the body's dietary needs. Well-maintained nutrition includes a balanced diet as well as a regular exercise routine. Nutrition is an essential aspect of everyday life as it aids in supporting mental as well as physical body functioning. The National Health and Medical Research Council determines the Dietary Guidelines within Australia and it requires children to consume an adequate amount of food from each of the five food groups, which includes fruit, vegetables, meat and poultry, whole grains as well as dairy products. Nutrition is especially important for developing children as it influences every aspect of their growth and development. Nutrition allows children to maintain a stable BMI, reduces the risks of developing obesity, anemia and diabetes as well as minimises child susceptibility to mineral and vitamin deficiencies.

Childhood obesity in Australia Overview of childhood obesity in Australia

Obesity is defined as the excessive accumulation of fat and is predominantly caused when there is an energy imbalance between calorie consumption and calorie expenditure. Childhood obesity is becoming an increasing concern worldwide, and Australia alone recognizes that 1 in 4 children are either overweight or obese.

Cardiovascular disease in Australia

Cardiovascular disease, including heart disease, is a major cause of death in Australia. Heart disease is an overall term used for any type of Cardiovascular disease that affects the heart reducing blood supply to the heart. It is also often referred as Cardiac disease and Coronary heart disease. It is generally a lifelong condition where damage to the artery and blood vessel cannot be cured.

Though people often use physical activity and exercise interchangeably, the terms have different definitions. “Physical activity” refers to any body movement that burns calories, whether it’s for work or play, daily chores, or the daily commute. “Exercise,” a subcategory of physical activity, refers to -planned, structured, and repetitive- activities aimed at improving physical fitness and health. Exercise is a bodily activity that enhances or maintains physical fitness and overall health and wellness. Physical activity is number one most common health issue in the world. Staying physically active can help prevent or delay certain diseases, including some cancers, heart disease and diabetes, and also relieve depression and improve mood.

Cuilin Zhang Chinese epidemiologist and physician-scientist

Cuilin Zhang is an epidemiologist and physician-scientist researching the roles of genetic and environmental factors in the pathogenesis of gestational diabetes, type 2 diabetes, and obesity and health consequences of these complications. Zhang is a senior investigator and acting chief of the epidemiology branch at the Eunice Kennedy Shriver National Institute of Child Health and Human Development.

References

  1. "Diabetes > Data Download > NCD-RisC". ncdrisc.org. Retrieved 2020-02-08.
  2. "Type 2 Diabetes". Diabetes Australia. National Diabetes Services Scheme. 2015.
  3. "Type 2 Diabetes". Diabetes Australia. Australian Government: National Diabetes Service Scheme. 2015.
  4. "Australia's Physical Activity and Sedentary Behaviour Guidelines for Adults (18-64)" (PDF). Physical Activity and Sedentary Behaviour. Australian Government: Department of Health. 2014.
  5. ELM Barr, DJ Magliano, PZ Zimmet, KR Polkinghorne, RC Atkins, DW Dunstan, SG Murray, JE Shaw 2006, AusDiab 2005 The Australian Diabetes, Obesity and Lifestyle Study International Diabetes Institute, Melbourne, Australia
  6. "Cardiovascular disease". Australian Institute of Health and Welfare (AIHW). 2015. Archived from the original on 2015-04-13. Retrieved 2015-04-13.
  7. Sowers, J.R.; Epstein, M.; & Frohlich, E.D. (2001). "Diabetes, hypertension and cardiovascular disease an update". Journal of the American Heart Association. 37: 1053–1059. doi: 10.1161/01.HYP.37.4.1053 .
  8. "Diabetes Atlas" (PDF). 2003. Archived from the original (PDF) on 2015-09-24.
  9. "International study links aboriginal health, lifestyle, local decision-making". The Canadian Press. 3 July 2009. Retrieved 5 July 2009.
  10. Gibson, Robert. "Obesity in Australia" (PDF). Retrieved April 6, 2015.
  11. Gibson, Robert. "Obesity in Australia" (PDF). Retrieved April 6, 2015.
  12. Thompson, Madeline (7 July 2012). "The National Diabetes Services Scheme". Australian Pharmacist.