Nov 14, 2011

Brunei - Diabetes 3rd leading cause of death over 7 yrs in Brunei



FOR the past seven years, diabetes has been the leading cause of death in Brunei, stated the Ministry of Health's information booklet for 2010.

The World Health Organisation (WHO) has estimated that more than 346 million people worldwide have diabetes. This number is likely to more than double by 2030 without intervention. On the incidence of this likelihood in Brunei, The Brunei Times talks with Dr Yung Chee Kwang, an acting specialist (Diabetes and Endocrinology) at the Diabetes Centre, Ripas.

"This is a very likely scenario in our local population partly due to our lifestyle changes, urbanisation happening in Brunei, the introduction of western food, lack of exercise and healthy choice of food not commonly practiced," said Dr Yung on the possibility of Brunei's rate of diabetes doubling in the coming years.

Calling diabetes a "lifestyle disease", Dr Yung said it comes down to people's choice. Leading a sedentary lifestyle and not exercising as much as they should be has escalated the prevalence of diabetes in the local population, he explained. An increase weight and subsequently obesity which is a risk factor for diabetes follow as a result.

"How we take care of our body now do have implications later on," said Dr Yung.

As society progresses towards modernisation and globalisation, it not only has an impact on our increased standard of living, rather our exposure to these "convenience" in life has a detrimental impact on our health, he said.

"The pace of life has changed with time and people are cooking less at home and opting for fast, easy and convenient food outside," explained Dr Yung .

Parents, as role models, have to realise that their actions and behaviours will have an impact on their children in the future.

As a "lifestyle disease", Dr Yung explained that it is possible to prevent diabetes provided there is a change in lifestyle by eating healthily and exercising at least 30 minutes a day.

"Just be losing 5-10 per cent of your body weight will actually make a big difference. Studies across the United States, Finland and China show that a dietary and lifestyle intervention actually can reduce the risk of developing diabetes by at least 50 per cent," said Dr Yung.

He likened this loss in body weight as "even better than the use of certain drugs to halt the development of diabetes".

It cannot be stressed more than enough but "diet lifestyle is the best preventive measure" one can do, said Dr Yung.

"If people can change their lifestyles by adopting a healthy eating habit and be active, diabetes can be prevented."

"If we do not make the change now, we will see the number of diabetes cases rise exponentially out of control in our country," emphasised Dr Yung.

Moreover, Dr Yung said a majority of patients do not necessarily have symptoms when they are diagnosed with diabetes. However, the public should be aware of symptoms such as feeling thirsty, passing urine frequently, weight loss or feeling lethargic.

The specialist advised that in the prevention of diabetes complications, it is important to control blood sugar level to regulate the diseases as well as controlling blood pressure and cholesterol levels.

Diabetes takes centrestage today, as the World Diabetes Day (WDD) is observed worldwide in a bid to increase awareness on the disease and prevention methods.

MUN FUNG
BANDAR SERI BEGAWAN
The Brunei Times



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