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Prospectives of Diabetes in MENA Region

Prospectives of Diabetes in MENA Region. By Prof. ADEL A EL-SAYED MD Chairman Elect Middle East and North Africa (MENA) Region International Diabetes Federation (IDF) Professor of Internal Medicine Suhag Faculty of Medicine Suhag -EGYPT. The Problem. Mortality Rates 1980-1996. 140.

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Prospectives of Diabetes in MENA Region

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  1. Prospectives of Diabetes in MENA Region By Prof. ADEL A EL-SAYED MD Chairman Elect Middle East and North Africa (MENA) Region International Diabetes Federation (IDF) Professor of Internal Medicine Suhag Faculty of Medicine Suhag-EGYPT

  2. The Problem

  3. Mortality Rates 1980-1996 140 Diabetes Cancer Cardiovascular Disease 120 Stroke Age adjusted death rate relative to 1980 100 80 60 1980 1984 1998 1992 1996 Year From McKinlay et al. Lancet 2000; 356:757

  4. Global Projections for the Diabetes Epidemic: 2003-2025 NA EUR 23.0 M 36.2 M ↑57.0% 48.4 M 58.6 M ↑21% EMME WP 19.2 M 39.4 M ↑105% SEA 43.0 M 75.8 M ↑79% 39.3 M 81.6 M ↑108% AFR SACA 7.1M 15.0 M ↑111% World 2003 = 194 M 2025 = 333 M ↑ 72% 14.2 M 26.2 M ↑85% 2003 2025 M = million, AFR = Africa, NA = North America, EUR = Europe, SACA = South and Central America, EMME = Eastern Mediterranean and Middle East, SEA = South-East Asia, WP = Western Pacific Diabetes Atlas Committee. Diabetes Atlas 2nd Edition: IDF 2003. ©2005. American College of Physicians. All Rights Reserved.

  5. The Arab World

  6. Diabetes Mellitus Prevalence in the Middle east countries 10-20% >20% <10%

  7. What happened?

  8. Search for….. • Life style change. • Obesity.

  9. Fast-food The growing popularity of fast food is just one of many cultural changes that have been brought about by globalization

  10. The new century Epidemic

  11. The story of diabetes in the Middle East

  12. Diabetes was a rare disease

  13. Diabetes was a rare disease “Diabetes mellitus was seldom seen in “cold” Europe, whereas it was frequently encountered in “warm” Africa.” “I, too, have not seen it in the West, nor did any of my teachers under whom I studied mention that they had seen diabetes. However, here in Egypt, in the course of approximately ten years, I have seen more than twenty people who suffer from this illness.” MAIMONIDES (1135-1204AD)

  14. The life style changed acutely and completely

  15. Prevalence of Diabetes (20-79 age group) 2007-2025 2007 2025 Nauru 30.7% 32.3% United ArabEmirates 19.5% 21.9% SaudiArabia 16.7% 18.4% Bahrein 15.2% 17.0% Kuwait 14.4% 16.4% Oman 13.1% 14.7% Tonga 12.9% 15.2% Mauritius 11.1% 13.4% Egypt 11.0% 13.4% Mexico 10.6% 11.4% Top 10 IDF Diabetes Atlas 2006

  16. The Prevalence of diabetes and other chronic diseases in Arab Countries WHO, 2000

  17. Obesity

  18. Prevalence of overweight and obesity among some countries of the Eastern Mediterranean Region Eastern Mediterranean Health Journal - 2004

  19. Obesity in children

  20. Prevalence of overweight and obesity among primary school children in Qatar2004 ( Dr. Fauzia A. Alkhalafetal . ) • Overweight 11.6% • Obesity 14.7%. • Overweight & Obesity 26.3% • The prevalence of overweight and obesity among Qatari children were higher than Non-Qatari children . The prevalence of obesity and overweight was higher among Qatari girls (28.5%) compared to Qatari boys (24.1%).

  21. Mean Percentage of Overweight and Obesity Kuwaitis below 20 yrs The Kuwait Nutrition Surveillance system 2007

  22. OBESITY PREVALENCE

  23. Obesity in women

  24. Healthy Qatari Females(500) BMI

  25. BMI - Qatari females Vs. Saudi Arabian females

  26. Type 2 Diabetes

  27. Diseases pattern in the kingdom of Saudi Arabia over 100 years

  28. Al-Nozha Al-Nuaim • El-Hazmi et al Anokute et al • El-Hazmi et al Fatani et al Abu-Aisha abst*. Bacchus et al4

  29. Diabetes Prevalence in Arabian Gulf

  30. Age standardized rates (30-64 yrs) UAE Diagnosed and undiagnosed DM Pre-DM state Diabetes Research and Clinical Practice 78 (2007) 369–377

  31. Diabetes (Type 2) In children &Adolescents • Increased dramatically in a short period • Before 1992 = 2 to 4% of all childhood DM • 1994 = increased to 16 % • The parallel increase of obesity is the most significant factor for the rise in diabetes. • Insulin resistance Obese children and adolescents are 12.6 times more likely than non-obese to have high fasting blood insulin levels, a risk factor for type 2 diabetes.

  32. Gestational Diabetes

  33. Prevalence of Gestational Diabetes Hamad Medical Corporation-Qatar(1993, 2000 & 2009) Source: (NabeelIsseh et al.,1997; J ObstetGynaecol et al.,2000, Bener A, et al. 2010)

  34. Incidence of Gestational Diabetes Hamad Medical Corporation-Qatar1996-2009 Source: Annual Health Report, HMC

  35. Type 1 Diabetes

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