Sweet food, bitter effect in India and Bangladesh

[Black_cats]

Sweet food, bitter effect in India and Bangladesh
By Visual Journalism Team | ASIA | 5h ago

Diabetes is becoming increasingly prevalent in India and Bangladesh, highlighting a need for better health care as fast food and sweet drinks gain popularity. The illness is already among the top 10 causes of death here.
"It's something that's not going to go away," said Rohin Sarin, a 17-year-old diabetic in New Delhi. His friends in their blue and brown school uniform know that Rohin always needs his special equipment. They have seen the ritual quite often. When Rohin starts feeling light-headed and dizzy, the pupil knows what to do. He removes his insulin pen from his school bag, gives himself one of four daily injections and takes a bite of an energy bar just to make sure that his blood sugar level improves.

Rohin Sarin in New Delhi injects insulin into his arm
'Growing burden on public health'
Rohin, a boy portraited by Associated Press, is by no means alone as a diabetic in India. The International Diabetes Federation estimates that 8.8% of Indians have diabetes. What sounds like a small share equals — in one of the world's most populous countries — a staggering 115 million people, some of whom don't even yet know they are affected by the illness. That makes India home to the second-largest number of adults living with diabetes worldwide, after China. The Indian Council of Medical Research (ICMR) concludes in a study called INDIAB (INdia DIABetes study): "Diabetes and other non-communicable disease risk factors like dyslipidemia, hypertension, obesity and metabolic syndrome are imposing a large and growing burden on public health."

What are the reasons? Economic growth has changed Indians' lifestyles. People eat out more often and prefer fast food such as burgers and pizzas or convenience food, instead of traditional vegetable meals. When Burger King opened its first Indian outlet in New Delhi, people queued outside. The changes have also brought a rise in obesity.

The danger of instant noodles
But it is not only a problem for the wealthy people in the capital. "Indians today are also much more likely to consume processed products and move less, in combination with a carbohydrate-rich diet," Sameer Valsangkar told DW. He's a doctor from the Catholic Health Association of India (CHAI), which cooperates with MISEREOR in Germany. Valsangkar argues that it's a kind of vicious circle.

https://m.dw.com/en/sweet-food-bitter-effect-in-india-and-bangladesh/a-48606628

 

[Zee-shaun]

I'm always up for a challenge.
Now let's see how we can relate diabates to defence to make this thread 'useful' and worthy of bits and bytes in the Banglades Defence Forum.

How about a rasgulla bomb?

 

[Black_cats]

I'm always up for a challenge.
Now let's see how we can relate diabates to defence to make this thread 'useful' and worthy of bits and bytes in the Banglades Defence Forum.

How about a rasgulla bomb?

Put more sugar in the tea!!

 

[bluesky]

I have seen in Bangladesh people pouring 3 to 5 teaspoonful of sugar in a cup of tea. Diabetes may be hereditary but it may also be caused by taking too much of sugar, eating too much of carbohydrates and not taking proper exercises.

Many other diseases may accompany diabetes, such as high blood pressure and cholesterol. Subcontinent people love too much of sugar, salt, sour, oil and hot chili. All are bad except that hot chili does not interfere with diabetes. Rather, salt may be substituted with hot chili (green or not) to make the food a little tastier.

A patient must adhere to strict diet control and must be under the supervision of an expert doctor throughout his/her life. Taking the prescribed medicines every day is essential. Taking salt must be limited to keep blood pressure under control. A patient has to learn how to remain half-hungry all the days of his remaining life.

 

[Black_cats]

I have seen in Bangladesh people pouring 3 to 5 teaspoonful of sugar in a cup of tea. Diabetes may be hereditary but it may also be caused by taking too much of sugar, eating too much of carbohydrates and not taking proper exercises.

Many other diseases may accompany diabetes, such as high blood pressure and cholesterol. Subcontinent people love too much of sugar, salt, sour, oil and hot chili. All are bad except that hot chili does not interfere with diabetes. Rather, salt may be substituted with hot chili (green or not) to make the food a little tastier.

A patient must adhere to strict diet control and must be under the supervision of an expert doctor throughout his/her life. Taking the prescribed medicines every day is essential. Taking salt must be limited to keep blood pressure under control. A patient has to learn how to remain half-hungry all the days of his remaining life.

This is not only diabetic but this is the leading cause of blindness in Bangladesh which is know diabetic retinopathy. The diagnosis and subsequent treatment are expensive. ICDDRB recently launched AI based diabetic retinopathy detection which is cost effective in collaboration with Eyes For All PLC, United Arab Emirates and DIAGNOS Inc, Canada.

There will be around 13.7 million diabetic patient in Bangladesh by 2045 as projected by IDF.

AI-based diabetic retinopathy detection now at icddr,b
BD to witness 13.7m diabetics by 2045: IDF
Published: May 13, 2019 17:12:02 | Updated: May 14, 2019 09:52:21

icddr,b in collaboration with Eyes For All PLC, United Arab Emirates and DIAGNOS Inc, Canada on Monday launched an artificial intelligence (AI)-based technology for the detection of diabetic retinopathy in Bangladesh.

Deployment of the industry leading FLAIRE technology based Computer Assisted Retina Analysis (CARA) artificial intelligence platform will commence its operation from Tuesday at icddr,b's diagnostic centre located in the city's Mohakhali.

CARA is a tele-ophthalmology technology that integrates with existing equipment (hardware and software) and processes at the point of care and comprises: image upload, image enhancement automated pre-screening, grading by a specialist.

CARA is accessible securely over the internet, and is compatible with all recognised image formats and brands of fundus cameras, and is electronic medical record compatible.

It is a cost-effective tool for screening large numbers of patients, in real time and has been approved by regulatory authorities including Health Canada, US Food and Drug Administration (FDA), the European Union and others, said icddr,b.

Diabetic retinopathy is one of the most severe complications of diabetes, which often leads to permanent blindness, if not detected and intervened early.

The International Diabetes Federation (IDF) estimates that there are about 5.9 million people suffering from diabetes in Bangladesh, while another 3.9 million people have undiagnosed diabetes.

Of all the people with diabetes 27 per cent, about 1.8 million people, have some form of diabetic retinopathy.

Additionally, IDF estimates that Bangladesh will become one of ten countries to have a high number of people with diabetes (13.7 million)by the year 2045.

The introduction of this new technology will provide fast, accurate and precision based reporting and will help to render diabetic retinopathy screening services to a growing number of people with diabetes.

Commenting on the initiative Zahed Chowdhury, Co-founder of Eyes For All said the mismatch between existing healthcare infrastructure and demand in the country means that DIAGNOS's proprietary technology will make a tremendous difference to the lives of many people in the country.

Yves-Stephane Couture, vice-president of sales at DIAGNOS said, "We are tremendously excited about the initiative with icddr,b and are looking forward to continuing our work with EFA to fight to prevent vision loss in Bangladesh and Asia".

Dr Niyaz Ahmed, Senior Director, Laboratory Sciences & Services at icddr,b stressed the importance of early detection of diabetic retinopathy. "We intend to take advantage of the benefit of AI in screening diabetic retinopathy early and cost effectively, so that we can reach out to more and more patients and help them tackle this growing problem".

icddr,b diagnostic centre will offer screening for diabetic retinopathy at an affordable price everyday from 8:30am to 5:00pm, and the report will be provided within 24 hours of the screening, reports UNB.

https://thefinancialexpress.com.bd/...etinopathy-detection-now-at-icddrb-1557745922

 

[xyxmt]

I have seen in Bangladesh people pouring 3 to 5 teaspoonful of sugar in a cup of tea. Diabetes may be hereditary but it may also be caused by taking too much of sugar, eating too much of carbohydrates and not taking proper exercises.

Many other diseases may accompany diabetes, such as high blood pressure and cholesterol. Subcontinent people love too much of sugar, salt, sour, oil and hot chili. All are bad except that hot chili does not interfere with diabetes. Rather, salt may be substituted with hot chili (green or not) to make the food a little tastier.

A patient must adhere to strict diet control and must be under the supervision of an expert doctor throughout his/her life. Taking the prescribed medicines every day is essential. Taking salt must be limited to keep blood pressure under control. A patient has to learn how to remain half-hungry all the days of his remaining life.

dont know about Banlgadesh and India but I think People in Pakistan consume far less sugar thanb North Americans, here people drink coffee 2 three times a day amount of sugar that makes me puke with one sip and mind you one large cup here is equal to 2 cups of tea in volume. Other than coffee people have cokes, ice cream and cake as their daily food habit. my Conclusion, either Diabetes is hereditary in sub continent or Roti is more dangerous than we know.

 

[Black_cats]

dont know about Banlgadesh and India but I think People in Pakistan consume far less sugar thanb North Americans, here people drink coffee 2 three times a day amount of sugar that makes me puke with one sip and mind you one large cup here is equal to 2 cups of tea in volume. Other than coffee people have cokes, ice cream and cake as their daily food habit. my Conclusion, either Diabetes is hereditary in sub continent or Roti is more dangerous than we know.

What’s the diabetic condition in Pakistan? However my understanding is Roti is better for diabetic? Specially that’s what I have seen earlier in Bangladesh to have roti instead of rice which can increase diabetic. Plus soft drinks specially coke people drinks like crazy but many say contain lots of sugar and can damage liver. Don’t know to what extent it’s true. Plus ice cream, cake, sweets are there to add on top of it.

Problem is diabetic is now leading to many other diseases in Bangladesh. Blindness is the scary one.

 

[bluesky]

dont know about Banlgadesh and India but I think People in Pakistan consume far less sugar thanb North Americans, here people drink coffee 2 three times a day amount of sugar that makes me puke with one sip and mind you one large cup here is equal to 2 cups of tea in volume. Other than coffee people have cokes, ice cream and cake as their daily food habit. my Conclusion, either Diabetes is hereditary in sub continent or Roti is more dangerous than we know.

No, wheat-based Chapati Roti is much better than rice, especially little coarse and reddish ones. Diabetes is certainly hereditary, but it can be caused also by the overconsumption of sweet, starchy, and fatty foods. Since it initiates other diseases like blood pressure, it is wise also to take a little lesser amount of salt every day.

Another point is to keep the waistline thinner. I see Punjabi people here. They are certainly tall and strong physically, but many are quite bulky in the waist. This may not be healthy. I have heard that Punjab has a lot of buffalo milk. So, people there are accustomed to drinking it in good quantities since childhood. I think it should be kept at the minimum. Milk is good but it has also a lot of fats.

 

[Nilgiri]

dont know about Banlgadesh and India but I think People in Pakistan consume far less sugar thanb North Americans, here people drink coffee 2 three times a day amount of sugar that makes me puke with one sip and mind you one large cup here is equal to 2 cups of tea in volume. Other than coffee people have cokes, ice cream and cake as their daily food habit. my Conclusion, either Diabetes is hereditary in sub continent or Roti is more dangerous than we know.

There is genetics at play too. Some societies experienced more famine more broadly in past (and certain mutations in genes were an advantage so an evolution kind of happened over time it has been proposed), so the genes that helped to keep population alive (in hunger periods) can be bad when the society become more affluent suddenly and has broad access to constant over-nutrition etc.

It is still being researched. In interim people must live as healthy life as they can regarding diet and exercise to give themselves the best chance on the issue regardless.