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[Diabetes in international perspective].

J Jervell1

  • 1Medisinsk avdeling, Rikshospitalet, Oslo. jak.jervell@klinmed.uio.no

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|November 15, 2000
PubMed
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Diabetes mellitus is a growing global health concern, with increasing incidence of both type 1 and type 2. Factors like urbanization and potential early life undernutrition contribute to type 2 diabetes prevalence.

Area of Science:

  • Endocrinology
  • Public Health
  • Epidemiology

Context:

  • Global rise in diabetes mellitus cases, driven by population aging and increased longevity of individuals with type 1 diabetes.
  • Increasing incidence rates for both type 1 and type 2 diabetes globally.
  • Type 2 diabetes incidence is linked to urbanization, particularly in developing nations, with higher prevalence than in industrialized countries.

Purpose:

  • To highlight the increasing global prevalence and incidence of diabetes mellitus.
  • To explore potential contributing factors to type 1 and type 2 diabetes, including urbanization and early life nutrition.
  • To address the critical issue of insulin unavailability for type 1 diabetes patients in developing countries.

Summary:

  • Diabetes mellitus is becoming more widespread due to population growth, aging, and longer lifespans for type 1 diabetes patients.

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  • Rising urbanization is a key factor in the increasing incidence of type 2 diabetes, which is more prevalent in developing countries.
  • The theory of early undernutrition predisposing to metabolic syndrome and type 2 diabetes is under investigation.
  • Insulin unavailability in developing countries stems from high costs, poverty, poor infrastructure, and lack of education, with health authorities often deprioritizing supply.

    • Impact:

    • Increased focus on understanding the unknown causes of type 1 diabetes.
    • Potential for interventions targeting urbanization and early life nutrition to mitigate type 2 diabetes risk.
    • Urgent need to address insulin accessibility and affordability in resource-limited settings.
    • Strengthening international collaboration, exemplified by the International Diabetes Federation, to support diabetes care and advocacy.