Diabetes tsunami: Sugar is more dangerous than gunpowder

This far exceeds the estimated deaths from war and violence.

“Yuval Noah Harari could not have been more accurate in his book Homo Deus when he said that sugar is more dangerous than gunpowder!” said Dr Larry Distiller, specialist physician/endocrinologist and principal physician, and executive chairman of the Centre of Diabetes and Endocrinology (CDE).

In 2004, a renowned epidemiologist, Professor Paul Zimmet, stated that “what HIV/Aids was to the last 20 years of the 20th century, diabetes will be in the first 20 years of this century”.

“Unfortunately, he has been proven to be correct,” said Distiller.

In 2001, it was estimated that by 2025 there would be over 350 million people in the world with type two diabetes. This number was exceeded in 2011.

There are now over 415 million people with diabetes in the world, with current estimates of over 642 million by 2040 likely to be exceeded.

Currently, almost one in every 11 of the world’s population has diabetes. The largest increase will be in developing countries, where diabetes is expected to double in the next 15 years. South Africa has the highest number of adults living with diabetes in Africa

• Risk factors

The reason why these numbers matter, said Distiller, is that the diagnosis of diabetes confers a massively increased risk of coronary heart disease and stroke.

Diabetes is linked closely to the other well-known risk factors for heart disease and death, namely high blood pressure, high cholesterol and obesity.

“Almost 80 per cent of those dying from diabetes in developing countries are under the age of 60 years, just when these people should be in their most economically productive years.

“Apart from the personal and emotional trauma caused by early death, the potential effect on the economy is immeasurable,” he added.

Diabetes remains the most common cause of blindness in the western world, the leading cause of kidney failure, dialysis and transplantation and the most common factor in lower limb amputations.

• Hospitilisation

It is also a major cause of acute hospitalisation.

Distiller said that good management of diabetes has the potential to reduce acute hospitalisation rates by 85 per cent, eye complications and renal failure by 60 per cent and amputation rates by over 80 per cent.

“The potential cost savings run into billions of Rands. The problem is that diabetes, despite its frequency, is both an expensive and difficult condition to treat. It requires ongoing, in-depth management, education, monitoring and constant review and intensification of medication, with many patients eventually requiring insulin for control.

“And, as complications develop, the cost of management goes up incrementally and exponentially,” he said.

“The bottom line is that the most important person in the management of diabetes is the person living with diabetes. The majority of diabetes care is self-administered.

“People with diabetes have to decide when to take their medication, what goes onto their plate on a daily basis and whether or not they will exercise. This can be overwhelming. Much needs to be done to assist people living with diabetes.”

• App

For this reason, CDE has launched a free CDE Club App providing information, a tool to track progress and even earn rewards.

The aim of the App is to step in and empower people with diabetes so they can meet their daily self-management demands.

“The App is free for anyone living with diabetes, you do not need to be a member of CDE to access it,” he explained.

“The diabetes tsunami is here. Unless we meet it head on with appropriate management this condition is single-handedly set to break the health care system, if not the entire economy, in the next decade,” concluded Distiller.