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Gyermekkori diabétesz - tanácsok szülőknek és gyermekeknek

Új nagy egészségkönyv

Szülőnők kézikönyve

Szerzők:

• Chatterjee, Sanjay
• Chatterjee, Sudip
• Pandit, Kaushik

Kiadás:

Kiadó: Jaypee Brothers
ISBN 81-8061-694-0
2006

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Fülszöveg

Diabetes is a disease as old as civilization itself. The first recorded references are in the Ebers Papyrus which is 7000 years old. In India diabetes was described in very clear terms by Susruta around 600 BC and a distinction was made between what we now know as type 1 and type 2 diabetes. In India today diabetes is increasing at a rapid rate in our urban population centers. The incidence clearly rises as one moves from the rural to the semiurban and finally to the urban setting. A study has shown that 10% of urban Indians have diabetes versus a figure of 2% from the rural areas. As one transits from a rural to an urban setting, several changes occur. More of simple sugar is consumed as well as processed fast food and refined carbohydrates. Total food intake increases with advancing prosperity and exercise which was near mandatory in a rural setting becomes optional in a urban setting. As urbanization is a hall mark of civilization, diabetes can truly be called a disease of civilization itself.
Why are we concerned about diabetes ? It is because diabetes increases disability and shortens life. Type 2 diabetes has been calculated to shorten life by about 10 years. In an US study of 14,374 persons followed for 22 years, diabetes accounted for 5.1% of the cohort but for 10.6% of the deaths. The increased death rate was attributable to cardiovascular disease, i.e. heart disease and stroke. In fact 80% of type 2 diabetic patients are destined to die of cardiovascular causes. The cost of treating this excess of cardiovascular disease is enormous. The loss to the nation in terms of productive lives cut down in their prime is incalculable. Luckily research data suggests that aggressive management of all risk factors can cut down excess cardiovascular disease.
Experience has shown that no disease can be controlled by treatment alone. The essence of control lies in disease prevention. Again research has shown that life style modification can prevent diabetes, although it is easier said than done.
In the last decade or so, many exciting new discoveries have been made that have revolutionized diabetes care. The fruits of most of these discoveries are available in India today. In this handbook the medical student is provided with a core knowledge of diabetes with stress on the latest evidence based research. By the time he or she matures into a practicing physician, India will have the world's largest population of diabetes patients. These patients will bring in their wake the world's largest epidemic of cardiovascular disease. If action is not taken today India faces a health care disaster that will shorten many lives and careers. Hopefully this book will play a small role in stemming the tsunami./Sudip Chatterjee, Sanjay Chatterjee, Kaushik Pandit