United Nations Diabetes Day: how to keep hundreds of millions of families away from "sweet troubles"?
Beijing, 13 Nov (Xinhua) United Nations Diabetes Day: how to keep hundreds of millions of families away from "sweet troubles"?
Xinhua News Agency reporters Lin Miaomiao, qu Ting, Bao Xiaojing and Wen Jinghua
Lack of exercise, "three high" diet, smoking, drinking, staying up late. With the invasion of unhealthy lifestyle, the incidence of diabetes is on the rise in the world, and China is the country with the largest number of patients in the world.
How to keep hundreds of millions of families away from "sweet troubles"? On the eve of "November 14" United Nations Diabetes Day, the reporter found that the lack of health literacy is the current difficulty in the prevention and treatment of diabetes. The road of preventing "sugar" requires everyone to enhance their health awareness and be the "first responsible person" of their own health.
Bad lifestyle brings "Sweet annoyance"
Three or five friends meet for midnight snacks, and it's hard not to drink milk tea for a day. Some of the popular lifestyles are actually eroding our health. According to the data of the Institute of Nutrition and Health of the Chinese Center for Disease Control and Prevention, the daily intake of added sugar (mainly sucrose) in China is about 30g, and the intake of edible oil is 42.1g. The intake was higher than that recommended by the World Health Organization and the Dietary guidelines for Chinese residents.
"there is one diabetic in about 10 adults in China." Zhu Dalong, chairman of the Diabetes Branch of the Chinese Medical Association and director of the Endocrinology Department of Nanjing Gulou Hospital, said that the prevalence rate of pre-diabetes in China is as high as 50.1%, and if there is no intervention, these people will also join the "diabetes army" in the future.
"there is an increase in the number of people with diabetes, and an unhealthy lifestyle is an important reason." Xiao Jianzhong, director of the Department of Endocrinology and Metabolism of Beijing Tsinghua Changgeng Hospital, said that the "internal cause" of diabetes is genetic factors, and the probability of diabetes among the immediate blood relatives of diabetic patients is higher than that of ordinary people. "external factors" are environmental factors, excess heat, reduced activity, high pressure of life will increase the risk of the disease.
Healthy China Action points out that unhealthy diets such as high salt, high sugar and high fat are risk factors for obesity, cardiovascular and cerebrovascular diseases, diabetes and other metabolic diseases and tumors. The 2016 Global burden of Disease study showed that dietary factors accounted for 15.9 percent of the disease burden.
Li Guangwei, consultant expert at Fuwai Hospital of the Chinese Academy of Medical Sciences and director of the diagnosis and treatment Center for Endocrine and Cardiovascular Diseases, said that diabetes is a high risk factor for cardiovascular disease, and cardiovascular disease is an important cause of death in patients with diabetes. In the past, the treatment of patients with diabetes was mainly concerned with how to reduce blood sugar, but now focus first on reducing blood sugar while reducing cardiovascular risk.
The lack of Health Literacy has become a prominent difficulty in Prevention and treatment
Among the high risk factors for diabetes, experts believe that the most important one is aging and the other is obesity. Zhu Dalong said: with the aging of the population, there has been a significant increase in the incidence of diabetes among middle-aged and elderly people between the ages of 50 and 65 in China. In addition, the younger age trend of obesity and overweight has also led to a significant increase in the number of people under the age of 30 with type 2 diabetes.
The reporter's investigation found that due to the lack of primary health care conditions and the failure of patients to follow the instructions of their doctors, the treatment rate of diabetic patients is less than half of the standard, and some patients prefer to seek "divine medicine" rather than take it informally. The lack of health literacy has become a prominent difficulty in prevention and treatment.
Ning Guang, deputy dean of Ruijin Hospital affiliated to the Medical College of Shanghai Jiaotong University, said that according to glycosylated hemoglobin less than 7%, the treatment rate of diabetic patients in China is less than 40%. Less than 20% of diabetic patients had blood glucose, blood pressure and blood lipid, which were closely related to increased risk of stroke, myocardial infarction and kidney disease.
In recent years, the prevalence rate of diabetes in rural areas has increased faster than that in urban areas. Some village doctors told reporters that the lack of relevant knowledge among the elderly in rural areas, coupled with the advertising of various children's drinks, mistakenly thought that "lactic acid bacteria" dairy drinks were nutritious and gave them to their children as milk. When children grow up, they become reluctant to drink water and drink only drinks, causing problems with their blood sugar.
In treatment, some patients do not go to regular hospitals, but believe in folk prescriptions, false advertisements, resulting in some so-called "radical cure of diabetes" and "activation of insulin in the body"divine medicine" has the opportunity to take advantage of. In July this year, the Wuhe County people's Court of Anhui Province sentenced a case in which Zhao and other seven people pretended to be health counselors of the "Diabetes Rehabilitation Center" to communicate with patients to publicize the hypoglycemic function of "XX Tangkang." In half a year, the sales amount reached more than 640000 yuan, and the express sent more than 3000 pieces of logistics information to the whole country.
The road of preventing "sugar" needs to be "walked in step" by the public.
The Chinese slogan for this year's United Nations Diabetes Day is "prevent and control diabetes and protect your family." Zhu Dalong said that the focus of China's road to preventing "sugar" is to raise public awareness and let the knowledge of preventing "sugar" reach out to the family and everyone.
In July this year, China launched the healthy China Action on Diabetes Prevention and Control. The person in charge of the Disease Control Bureau of the National Health Commission proposed that in the action of prevention and treatment of diabetes, a healthy lifestyle is the foundation; early detection and early intervention is the key; standardizing health management is the focus; and the promotion of grass-roots capacity is the guarantee.
Experts call for pre-diabetes people not to develop into diabetes, so that diabetic patients do not develop complications, which requires people to take the initiative to pay attention to their own blood sugar, weight, etc., to be their own health "first responsible person."
"lifestyle intervention is one of the important measures for the treatment of diabetes." Xiao Jianzhong said.
Mi Jie, director of the Children's chronic Disease Management Center of the National Children's Medical Center and Beijing Children's Hospital, believes that the obesity rate among adolescents remains high, and the risk of metabolic syndrome in obese children is several times higher than that in normal weight children. Schools, society and families should form joint efforts to promote children to develop healthy eating, physical exercise and other good living habits, and reduce the "little fat pier", the "reserve army" of diabetic patients.
Zhu Dalong said: the Diabetes Branch of the Chinese Medical Association and the China International Medical Exchange Foundation have launched the "Blue Light Action" for ten years in a row, and this year has become the "Blue Light Action month." Many diabetes experts relay on the Internet platform to prevent "sugar" science popularization, has covered nearly 100 million readers.
"Diabetes doctors can only save one person at a time, but advocating early detection and early intervention can affect every social cell and prevent 'sugar' from walking together." Zhu Dalong said.