{"title":"Focus on the fetus through enhanced maternal care: the way forward for diabetes and cardiovascular disease prevention","authors":"I. A. Jayawardane, S. Sudasinghe, C. Wijeratne","doi":"10.4038/sljpm.v2i1.36","DOIUrl":null,"url":null,"abstract":"Type 2 diabetes is considered the ‘mother of all diseases’ due to its macrovascular and microvascular complications negatively impacting on quality of life. It has a huge impact on well-being of South Asian populations being number one cause for premature disability and death. Its impact on economic development of lower and middle-income countries being significant, saw heads of states pledge at the UN general assembly 2011 to pay special attention in enhancing healthy lifestyle. This initiative has been unable to stem the tide in the next decade. The global prevalence of diabetes and related metabolic disease has risen exponentially. Worldwide trends of age-standardized diabetes prevalence increased from 4.3% in 1980 to 9.0% in 2014 in men, and from 5.0% to 7.9% in women, with women surpassing men with advancing age. In 2019, a total of 463 million people was estimated to be living with diabetes, representing 9.3% of the global adult population (20–79 years). This is projected to increase to 578 million (10.2%) in 2030 and 700 million (10.9%) in 2045. The prevalence of diabetes in women in 2019 was estimated to be 9.0%, and 9.6% in men. The increase in diabetes prevalence with age leads to a prevalence of 19.9% in people aged 65–79 years. It is well accepted that women are not far behind men in prevalence and also recognized to suffer from more severe complications. World Diabetes Day is observed on 14 November, since 2006. More recently the internationally agreed themes include ‘Healthy WomenHealthy Nation’ and ‘Diabetes and the Family’. Many countries struggling with the rise of type 2 diabetes have focused on the affliction of prediabetes and diabetes in young women.","PeriodicalId":273627,"journal":{"name":"Sri Lanka Journal of Perinatal Medicine","volume":"74 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2021-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Sri Lanka Journal of Perinatal Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4038/sljpm.v2i1.36","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 1
Abstract
Type 2 diabetes is considered the ‘mother of all diseases’ due to its macrovascular and microvascular complications negatively impacting on quality of life. It has a huge impact on well-being of South Asian populations being number one cause for premature disability and death. Its impact on economic development of lower and middle-income countries being significant, saw heads of states pledge at the UN general assembly 2011 to pay special attention in enhancing healthy lifestyle. This initiative has been unable to stem the tide in the next decade. The global prevalence of diabetes and related metabolic disease has risen exponentially. Worldwide trends of age-standardized diabetes prevalence increased from 4.3% in 1980 to 9.0% in 2014 in men, and from 5.0% to 7.9% in women, with women surpassing men with advancing age. In 2019, a total of 463 million people was estimated to be living with diabetes, representing 9.3% of the global adult population (20–79 years). This is projected to increase to 578 million (10.2%) in 2030 and 700 million (10.9%) in 2045. The prevalence of diabetes in women in 2019 was estimated to be 9.0%, and 9.6% in men. The increase in diabetes prevalence with age leads to a prevalence of 19.9% in people aged 65–79 years. It is well accepted that women are not far behind men in prevalence and also recognized to suffer from more severe complications. World Diabetes Day is observed on 14 November, since 2006. More recently the internationally agreed themes include ‘Healthy WomenHealthy Nation’ and ‘Diabetes and the Family’. Many countries struggling with the rise of type 2 diabetes have focused on the affliction of prediabetes and diabetes in young women.