DIABETIC PREVENTION

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 Diabetes has grown to be one of the most serious public health issues of our day.

Changes in lifestyle lead to decreased physical activity, overnutrition, and nutrition transitions,

all of which contribute to an increase in the incidence of chronic metabolic disorders and

fatalities associated with them. The change from undernutrition to overnutrition suggests that

chronic diseases of affluence have become a public health issue, necessitating the development

of long-term health-related goals for disease prevention. According to statistics, over 2 billion

people are overweight or obese, and approximately 400 million individuals worldwide have

diabetes. The human body's metabolism is influenced by environmental influences and the gut

bacteria. Several studies have shown that lifestyle changes can successfully slow the evolution of

diabetes in people who have poor glucose tolerance. Diabetes may become a fortuitous event if

the preventative window is shifted back. Effective prevention necessitates the government's

undivided attention and the engagement of all citizens. Experts and researchers must also

develop concrete scientific and reasonable measures.

Environmental influences have an impact on human metabolism throughout one's

lifetime. A mother's poor lifestyle during pregnancy may result in the child developing chronic

metabolic illnesses early in life (Schaper et al., 2020). Poor nutrition during the embryonic

period may cause the fetus to develop "thrifty" genes; when the postnatal newborn receives

appropriate nourishment, obesity and metabolic problems will develop. Excess consumption or a

glucose metabolism issue in the mother during pregnancy can result in fetal feeding surplus and

high-insulin hematology, both of which are major contributors to childhood macrosomia and

obesity.

Recent findings from the Prevencion con DietaMediterranea (PREDIMED) research,

among others, suggest that Mediterranean-style diets can reduce the risk of cardiovascular
disease, type 2 diabetes, and cancer. The importance of fruits, vegetables, nuts, fish, poultry, and

olive oil, as well as foods with a low glycemic index, but very little red meat, may explain the

beneficial effects of Mediterranean-style diets. The bulk of these foods have higher levels of

polyphenolic flavonoids, carotenoids, omega-3 fatty acids, antioxidants, vitamins, and minerals,

as well as necessary and non-essential amino acids, all of which may influence brain-body

interactions that contribute to CVDs and diabetes.

Prevention through awareness can help raise global awareness and its complications

among diabetic patients (Jeffcoate et al., 2018). The International Diabetic Federation (IDF) is

responsible for setting up days for diabetic campaigns, targeted at educating the world about the

causes, symptoms, complications and treatments associated with the condition. Awareness

education on primary prevention of diabetes can be done by the following ways: Camps –

Screening, and education camps, awareness Campaigns, exhibitions, seminars/Conferences,

rallies, folk Arts etc.

 Many governments, institutions, and pharmaceutical firms have committed enormous

sums of money to study the pathophysiology and find novel treatments in response to the rising

growth of diabetes and other chronic metabolic illnesses (Meng et al., 2019). Indeed, new

medications and technologies are constantly being developed. They do not, however, control the

rapid growth of diabetic patients: the more patients treated, the newer cases are discovered. The

prognosis for diabetes has also made no significant progress. This is mostly due to the fact that

disease prevention has yet to be featured on the global agenda, and no effective strategies to

prevent diseases at their source have been implemented.

Theoretically, diabetes prevention is both successful and achievable. The recent

environmental and lifestyle changes have coincided with a fast increase in the incidence of
diabetes. The fundamental variables in the development of diabetes are long-term excessive

calorie intake, increased intake of dietary protein and fats, and reduced physical activity. As a

result, starting with lifestyle adjustments will almost certainly be a huge success.

In conclusion, diabetes prevention necessitates a new way of life that must be improved

and maintained. First, diabetes prevention requires behavioral constraints, scientific direction,

and years of dedication and self-control. Second, the effect of diabetes prevention may manifest

10 or even 20 years later, which is difficult to evaluate by today's evaluation system because

society demands rapid gratification and benefits. Despite the foregoing, the importance of

coordinating prophylactic activities of various types, such as education and screening, is clear,

and prophylactic programs should be implemented on a local or broader scale. Diabetes

prevention is projected to have significant benefits for people, governments, and the entire

human species, as well as immeasurable savings for society's resources.

Diabetes and other chronic metabolic illnesses have grown increasingly critical,

demanding immediate action on the part of people, society, and government. It calls for the

submission of recommendations and specific ways by specialists, the expansion of education by

governments, and the active participation of all individuals. Diabetes and other chronic metabolic

disorders would no longer be unconquerable diseases harming human health if these treatments

were implemented, and their avoidance would considerably improve the quality of life.
 References

Schaper, N. C., van Netten, J. J., Apelqvist, J., Bus, S. A., Hinchliffe, R. J., Lipsky, B. A.,

& IWGDF Editorial Board. (2020). Practical Guidelines on the prevention and management of

diabetic foot disease (IWGDF 2019 update). Diabetes/metabolism research and reviews, 36,

e3266.

Jeffcoate, W. J., Vileikyte, L., Boyko, E. J., Armstrong, D. G., & Boulton, A. J. (2018).

Current challenges and opportunities in the prevention and management of diabetic foot ulcers.

Diabetes care, 41(4), 645-652.

Meng, J. M., Cao, S. Y., Wei, X. L., Gan, R. Y., Wang, Y. F., Cai, S. X., ... & Li, H. B.

(2019). Effects and mechanisms of tea for the prevention and management of diabetes mellitus

and diabetic complications: An updated review. Antioxidants, 8(6), 170.