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Diabetes rates on the rise, developing countries seek solution

diabetes developing countriesNot that long ago many chronic diseases were considered to be problems confined to prosperous countries. But the developing world is fast catching up—especially when it comes to diabetes.

Populous India and China have the most diabetic citizens in the world, with 40.9 million and 39.8 million respectively, according to data from International Diabetes Foundation. Other developing countries, including Egypt and Suriname, have a higher prevalence of diabetes among adults than the U.S.

In today’s Boston Globe, reporter Derrick Jackson writes from Uganda about the rise of diabetes there and the struggle for funds to fight the disease.

Bitekyerezo Medaro, a doctor who runs a diabetes clinic in Mbarara, Uganda, says the number of diagnosed diabetes cases is about the same as HIV (5 to 6 percent of the population).  But the disparity in treatment is stark. Diabetes medicines are expensive; HIV treatments are largely free thanks to aid programs. “One diabetic patient told me she wished she had HIV because HIV treatment is free and she has to pay for insulin," Medaro says.

In 2008, the U.S. poured $6 billion into AIDS relief through the President’s Emergency Plan for Aids Relief (PEPFAR), and more than 2.1 million people were treated.  Those results leave Medaro split, as he tells the Globe, “When I see the treatment for HIV, I become inspired as to what we can do. When I see what we have for diabetes, I feel defeated.” 

Image courtesy of MelB via Flickr

Correction: The original version of this post misstated the number of people in India and China with diabetes.

Tags: diabetes
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  1. 1. spectreality 06:25 PM 6/16/09

    This article would be more informative if it discussed why diabetes is on the rise in developing countries. What industrial or environmental factors are contributing to the condition?

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  2. 2. OUTLAWXXX21 08:10 PM 6/16/09

    I honestly think it all boils down to diet... We still just don't know but Type 2 is almost always because the person was very overweight. Type 1 is a mystery for now. They have no idea if it's genetics, Virus, or something we did to our self...

    But like I said, I really do think it has to do with a diet the human body was not meant to handle. The body gets forced to compensate when people dump sugar into their system so the pancreas make insulin like crazy and then we do it again. eat more sugary shit, so instead of this nice gradual balance, it's more like a slamming sea saw.... It just wears the hell of out the pancreas, and then it can no longer produce insulin... Till they truly figure this out. I'm gonna be careful w/ my diet ^^

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  3. 3. johnyq 08:43 PM 6/16/09

    For diabetes and relationship to diet and processed carbohydrates, read "good calories, bad calories", very interesting book.
    http://www.amazon.com/Good-Calories-Bad-Gary-Taubes/dp/1400040787

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  4. 4. NadineSun 09:06 PM 6/16/09

    That is not possible that China has 929 million diabetics. That's 70% of its population. I checked elsewhere and it may be more like 30 million.

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  5. 5. NadineSun 09:08 PM 6/16/09

    It is not possible that China has 929 million diabetics. That's about 70% of the population. I checked elsewhere and it's more like 30 million. Surprised to see this mistake at Scientific American.

    Reply | Report Abuse | Link to this
  6. 6. nzfran88 06:32 AM 6/17/09

    I think you miss read the article:

    Populous India and China have the most diabetic citizens in the world, with 40.9 million and 39.8 million respectively, according to data from International Diabetes Foundation.

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  7. 7. nzfran88 06:32 AM 6/17/09

    I think you miss read the article Nadine:

    Populous India and China have the most diabetic citizens in the world, with 40.9 million and 39.8 million respectively, according to data from International Diabetes Foundation.

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  8. 8. randeg 07:30 AM 6/17/09

    No wonder Dr. Medaro feels defeated when he finds out about the treatment for diabetes when compared to the availability of treatment for Aids. That's not fair, is it? We should all try to do something about it and I know some are. There are children going to the Congress for instance to raise awareness and to request for funding.

    Evelyn Guzman
    http://www.free-symptoms-of-diabetes-alert.com (If you want to visit, just click but if it doesnt work, copy and paste it onto your browser.)

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  9. 9. jack.123 08:29 PM 6/17/09

    it's called thinning the heard so the fat will die so more will eat.

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  10. 10. kjones 09:16 AM 6/18/09

    I have endured diabetes for 45 years and I'm still looking for the day I can be cured. I'm grateful to have had two healthy children, three grandaughters, and live a good life. I've tried the insulin pump, yet the first week I was on it I developed a virus and was taken off of it. The high blood sugar attributed to the proliferative retinopathy in my right eye. Now I have to have my eyes checked every 3 months and have had laser surgeries several times. I have always taken the best care of myself. My diabetic brother, at the age of 29, died from a second heart attack attributed from his diabetes. We both exercised, kept our weights under control, and took insulin since we were kids. I'm sincerely grateful for the new insulins, testing monitors, and laser treatments that have helped me with my disease, but I really concern myself with the future generation and how their life styles will be affected with the new onsets of diabetes occurring each day. Concurrently, I code at Children's Hospital and I can't believe how many children are coming in with Type I and Type II diabetes. We need a cure and we need it right now!

    Reply | Report Abuse | Link to this
  11. 11. kjones 09:17 AM 6/18/09

    I have endured diabetes for 45 years and I'm still looking for the day I can be cured. I'm grateful to have had two healthy children, three grandaughters, and live a good life. I've tried the insulin pump, yet the first week I was on it I developed a virus and was taken off of it. The high blood sugar attributed to the proliferative retinopathy in my right eye. Now I have to have my eyes checked every 3 months and have had laser surgeries several times. I have always taken the best care of myself. My diabetic brother, at the age of 29, died from a second heart attack attributed from his diabetes. We both exercised, kept our weights under control, and took insulin since we were kids. I'm sincerely grateful for the new insulins, testing monitors, and laser treatments that have helped me with my disease, but I really concern myself with the future generation and how their life styles will be affected with the new onsets of diabetes occurring each day. Concurrently, I code at Children's Hospital and I can't believe how many children are coming in with Type I and Type II diabetes. We need a cure and we need it right now!

    Reply | Report Abuse | Link to this
  12. 12. kjones 09:19 AM 6/18/09

    I have endured diabetes for 45 years and I'm still looking for the day I can be cured. I'm grateful to have had two healthy children, three grandaughters, and live a good life. I've tried the insulin pump, yet the first week I was on it I developed a virus and was taken off of it. The high blood sugar attributed to the proliferative retinopathy in my right eye. Now I have to have my eyes checked every 3 months and have had laser surgeries several times. I have always taken the best care of myself. My diabetic brother, at the age of 29, died from a second heart attack attributed from his diabetes. We both exercised, kept our weights under control, and took insulin since we were kids. I'm sincerely grateful for the new insulins, testing monitors, and laser treatments that have helped me with my disease, but I really concern myself with the future generation and how their life styles will be affected with the new onsets of diabetes occurring each day. Concurrently, I code at Children's Hospital and I can't believe how many children are coming in with Type I and Type II diabetes. We need a cure and we need it right now!

    Reply | Report Abuse | Link to this
  13. 13. kjones 09:19 AM 6/18/09

    I have endured diabetes for 45 years and I'm still looking for the day I can be cured. I'm grateful to have had two healthy children, three grandaughters, and live a good life. I've tried the insulin pump, yet the first week I was on it I developed a virus and was taken off of it. The high blood sugar attributed to the proliferative retinopathy in my right eye. Now I have to have my eyes checked every 3 months and have had laser surgeries several times. I have always taken the best care of myself. My diabetic brother, at the age of 29, died from a second heart attack attributed from his diabetes. We both exercised, kept our weights under control, and took insulin since we were kids. I'm sincerely grateful for the new insulins, testing monitors, and laser treatments that have helped me with my disease, but I really concern myself with the future generation and how their life styles will be affected with the new onsets of diabetes occurring each day. Concurrently, I code at Children's Hospital and I can't believe how many children are coming in with Type I and Type II diabetes. We need a cure and we need it right now!

    Reply | Report Abuse | Link to this
  14. 14. Deoxyribose 05:54 PM 6/19/09

    Jack has a point... "thinning the herd." We are doing so much to promote longevity of dangerous, damaging, and anti-fitness genes with our well-intentioned interventions. Consider the plight of couples with infertility. We go to such extremes to see that they successfully bear their own children. Unfortunately, this passes the burden of unsuccessful genes on to the next generation. The children now carry the genes that promote their parents' infertility. This helps the individual but has long-term effects on our society as a whole.

    Reply | Report Abuse | Link to this
  15. 15. johnjocham 10:02 AM 1/26/10

    We need to raise awareness of the social and economic impacts that diabetes will have on us globally.
    It's too big a task for any one government to tackle so they pay lip service and move on.
    I am trying to raise awareness and funds for research at http://www.crusadersagainstdiabetes.org - please do all you can to help

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