In News:

• World Diabetes Day is observed on November 14th each year to raise awareness about diabetes, its prevention, and management.
• It was created by the International Diabetes Federation (IDF) and the World Health Organization (WHO).

• Significance: Commemorates the birthday of Sir Frederick Banting, who co-discovered insulin in 1922 alongside Charles Best.
• Theme (2024): "Access to Diabetes Care: Empowering Better Health for All".

History:

• Established in 1991 by the International Diabetes Federation (IDF) and World Health Organization (WHO).
• Recognized as a global observance by the UN in 2006.
• Activities: Awareness campaigns, health check-ups, educational seminars, and lighting of Blue Circle Monuments worldwide as a symbol of unity in the fight against diabetes.

Global Diabetes Data (2022):

• Total Diabetic Adults: 828 million globally.
• India's Share: 212 million (approximately 25% of global cases).
• Other Countries:

• • China: 148 million.
  • USA: 42 million.
  • Pakistan: 36 million.
  • Indonesia: 25 million.
  • Brazil: 22 million.

Risk Factors for Diabetes:

• Global Factors: Obesity and poor diets are key contributors.
• India-Specific Factors: Dietary habits, lack of exercise, and socio-economic disparities contribute significantly to the high prevalence.

Untreated Cases:

• Global untreated cases (2022): 445 million (59% of diabetics globally).
• India untreated cases (2022): 133 million (64 million men, 69 million women).
• Complications: Untreated diabetes leads to severe health complications, including heart disease, kidney failure, and premature death.

Types of Diabetes:

• Diabetes Mellitus: The most common type of diabetes, characterized by issues with insulin production or its efficient use.
  • Type 1 Diabetes (T1D):
    • Autoimmune condition where the pancreas produces little or no insulin.
    • Primarily affects children and young adults.
  • Type 2 Diabetes (T2D):
    • Insulin resistance combined with reduced insulin production.
    • Often linked to lifestyle factors like obesity and physical inactivity.
  • Gestational Diabetes:
    • Occurs in pregnant women, leading to high blood sugar.
    • Typically resolves after childbirth.
  • Diabetes Insipidus:
    • Imbalance of water regulation due to inadequate secretion or response to antidiuretic hormone (ADH).
    • Leads to excessive urination and dehydration.

Symptoms of Diabetes:

• Frequent urination.
• Excessive thirst and hunger.
• Unexplained weight loss.
• Blurred vision.
• Fatigue.
• Slow-healing wounds.

Role of Insulin in Managing Diabetes:

• Function of Insulin: A hormone produced by the pancreas that helps regulate blood glucose levels by facilitating glucose uptake into cells.
• In Type 1 Diabetes: Insulin injections or pumps are essential for survival.
• In Type 2 Diabetes: Insulin or oral medications may be prescribed alongside lifestyle modifications like diet and exercise.

Government Initiatives in India:

• National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases, and Stroke (NPCDCS): Focuses on awareness, early diagnosis, and management of diabetes.
• National Health Policy (2017): Aims to reduce premature deaths from non-communicable diseases by 25% by 2025.
• Ayushman Bharat – Health and Wellness Centres: Provides free screenings and consultations for diabetes and other non-communicable diseases.
• Eat Right Movement: Promotes healthier dietary habits to combat obesity and reduce diabetes risks.
• School Health Programs: Aims to educate children on healthy lifestyles to prevent the early onset of Type 2 diabetes.