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The world prevalence of diabetes among adults (aged 20-79 years) is 6.4%, affecting 285 million adults, in 2010, and will increase to 7.7%, and 439 million adults by 2030. Between 2010 and 2030, there will be a 69% increase in numbers of adults with diabetes in developing countries and a 20% increase in developed countries.
Diabetes is fast gaining the status of a potential epidemic in India with more than 62 million diabetic individuals currently diagnosed with the disease. It is predicted that by 2030 diabetes mellitus may afflict up to 79.4 million individuals in India. Diabetes mellitus is reaching potentially epidemic proportions in India. The level of morbidity and mortality due to diabetes and its potential complications are enormous, and pose significant health care burdens on both families and society. In India, the steady migration of people from rural to urban areas, the economic boom, and corresponding change in lifestyle are all affecting the level of diabetes. Yet despite the increase in diabetes there remains a paucity of studies investigating the precise status of the disease because of the geographical, socioeconomic, and ethnic nature of such a large and diverse country. Given the disease is now highly visible across all sections of society within India, there is now the demand for urgent research and intervention - at regional and national levels - to try to mitigate the potentially catastrophic increase in diabetes that is predicted for the upcoming years.
Worryingly, diabetes is now being shown to be associated with a spectrum of complications and to be occurring at a relatively younger age within the country. Complications from diabetes can be classified as microvascular or macrovascular. Microvascular complications include nervous system damage (neuropathy), renal system damage (nephropathy) and eye damage (retinopathy). Macrovascular complications include cardiovascular disease, stroke, and peripheral vascular disease. Peripheral vascular disease may lead to bruises or injuries that do not heal, gangrene, and, ultimately, amputation. Other complications include dental disease, reduced resistance to infections such as influenza and pneumonia, and macrosomia and other birth complications among pregnant women with diabetes.
Considering this scenario, we diabetes health foundation charitable trust has taken up mission of awareness, screening, education and treatment of diabetes. Lack of awareness left people undiagnosed and it increases the complication level in them. Self known people only focused on sugar and neglecting complication. It need education of diabetes to respond properly to the treatment. Diet and exercise are more focused ways for self care of sugar level and it reduce burden economic burden.
