More needs to be done to improve outbreak messages and target the most vulnerable if we are to prevent the effects of the diabetes epidemic on our health care system.

Recent government health data show that almost one in three kiwis over the age of 15 is obese. The national prevalence of obesity has increased year by year until 2019/2020, in particular the level of “morbid obesity”, which is defined as the body mass index (BMI) 40-50 kg / m2.[1][2][3]

The life expectancy of people with severe or obese illness is reduced by approximately 8-10 years.[4]

Es emulation greatly affects the Maori և Pacific, with a prevalence of 48% և 63%, respectively. This is a variable risk factor that contributes to health inequalities and unnecessary premature death.[5][6]

Esophagus և Diabetes is closely related, 80% of patients with type 2 diabetes are considered obese. Obesity is also associated with other comorbidities, including kidney failure, fatty liver, respiratory problems, decreased mobility, chronic joint pain, cardiovascular disease, and an increase in mortality from several cancers.[7][8]

The prevalence of type 2 diabetes in New Zealand is estimated at 4.7%, however, the prevalence is higher in Maori (5.3%), Asian (5.7%), Pacific (11.1%) than in other European nations. (4.7%): ): The Pacific is also expected to see the largest increase in type 2 diabetes by 2040, with an estimated 16.2% of their patients.[9][10]

The Maori ֆ Pacific is the largest population of dialysis departments in New ելland ելland.[11]

Dr. Ole Schmidel, an endocrinologist in Auckland, says he is particularly concerned about the rising incidence of type 2 diabetes in children and adults, as this early screening causes more aggressive disease, more complications, and earlier death from the disease than the type. Diagnosed with type 1 or type 2 diabetes in older age groups.[12]

He says a recent report to the Ministry of Health points to the cost of type 2 diabetes for young people, which will cost the country more than half a million dollars more for each life.[13]

“Two decades ago, childhood type 2 diabetes was virtually unknown, but now it is common for patients in this age group to get sick.

“After consuming all the other options, the current method of combating obesity is bariatric surgery. However, each gastric bypass costs the government about $ 9,000- $ 12,000, and a very limited number of surgeries are funded by the state each year.[14]

“Therefore, this method does not significantly affect the growth of obesity and diabetes in New Zealand. “Only about 0.5% of the eligible population can receive this treatment in the public sector,” he said.[15]

Dr. Schmidel says research shows that in adults with type 2 diabetes, weight loss can increase the risk of recurrence by as much as 5-10%, as can other side effects associated with obesity.[16]

“Talking about weight is not easy. Many misconceptions, stigmas and denials do not allow us to have an open and educated debate.

“We may never blame or embarrass those who are overweight, who are struggling with obesity. As a society, we need to expand our understanding that there are many social determinants of health, including our fatty environment, which is responsible for this problem.

“In addition, we know that complex brain mechanisms play a role in regulating hunger and cravings, which can be seen as a further obstacle to weight loss,” he says.

“If we talk to people early on, we can prevent a lot of complications, we can even leave type 2 diabetes in remission,” says Dr. Schmidel.

“It is well established that modest weight loss can lead to significant improvements in many related complications, including type 2 diabetes and high blood pressure.

“This is achievable, we must aim for a realistic, sustainable weight loss,” he said.

Dr. Schmidel says that when we talk about weight, it is not so much the loss of weight as the reduction of overweight problems.

“When people come to me to control their weight, they worry about weight problems. “People want sustainable weight loss, and as doctors we need to be able to support them in this life.”

“It is so important that people have the opportunity to understand their weight issues that we, as a community, will weigh the weight without stigmatizing, blaming, overcoming old misconceptions, and supporting, if possible, helping.

“I encourage people to find a compassionate healthcare provider who feels safe by starting a conversation who can tell them about the options available to them.

“It’s time for us as a society to start taking obesity seriously, to get out of the preventable disease epidemic we face,” he said.

Written on behalf of Radiant Health by Impact PR. For more information or pictures contact Mark Devlin mark@impactpr.co.nz +6421509060

[1]

Ministry of Health. Available here.

[2]

Annual update of the main results of NZ Health Survey 2019/20. Available here. Accessed July 15, 2021.

[3]

BMI classifications: Australian և New Aland ել Gastric և Esophageal Surgery Association. Available here.

[4]

Whitlock C, և others. Body Mass Index պատճառ Causes of Mortality: 900,000 Adults Joint analysis of 57 prospective studies. Lancet 2009; 373 (9669): 1083-96:

[5]

Annual update of the main results of NZ Health Survey 2019/20. Available here. Accessed July 15, 2021.

[6]

Theodore R, McLean R, TeMorenga L. Maori Obesity Challenges Aotearoa / New aland անդland. Aust NZJ Public Health. December 2015; 39 (6): 509-12. doi: 10.1111 / 1753-6405.12418. Epub 2015 August 10: PMID: 26260663. Available here.

[7]

Health outcomes of patients with severe obesity type 2 diabetes 1 year after laparoscopically adjustable gastric lavage. B. on B. Dixon, Paul E. O’Brien. Diabetes Care February 2002, 25 (2) 358-363; Available here.

[8]

Medical risks of Pi-Sunyer X. obesity. Postgrad doctor. 2009; 121 (6): 21-33: Available here.

[9]

NZ Health Quality և Safety Committee – Diabetes Atlas. Available here.

[10]

Economic and social value of type 2 diabetes 2021. Diabetes N. Z. Available here.

[11]

Ministry of Health. NZ Nephrology Annual Report 2018. Available here.

[12]

Wilmot E, Idris I. Early onset type 2 diabetes. Risk factors, clinical impact և management. Ther Adv Chronic Dis. 2014; 5 (6): 234-244: Available here.

[13]

Economic and social value of type 2 diabetes 2021. Diabetes NZ. Available here.

[14]

Gounder ST, Wijayanayaka DR, Murphy R, Armstrong D, Cutfield RG, Kim DD, Clarke MG, Evennett NJ, Humphreys ML, Robinson SJ, Booth MW. The cost of bariatric surgery in a randomized controlled trial (RCT) comparing Roux en Y gastric bypass vs gastrectomy in patients with obese diabetics. NZ Med J. 2016, October 14; 129 (1443): 43-52: PMID: 27736851. Available here.

[15]

Murphy, R., Haafel, M., Beban, G., But, M., Bartholomew, K. And Sandiford, P. (2019), fluctuations in publicly funded bariatric surgery intervention by New Zealand. Practical Med J, 49. 391-395: https://doi.org/10.1111/imj.14226:

[16]

Dambha-Miller H, Day AJ, Strelitz J, Irving G, Griffin SJ. Behavior change, weight loss թող remission of type 2 diabetes. Perspective community-based research. Diabetes 2020 April; 37 (4): 681-688. doi: 10.1111 / dme.14122. Available here.

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