– Narayan Adhikari Chitwan, Nov. 12: With the influx of urban food into the rural areas, the villages are becoming insecure due to diabetes. Doctors say that patients from rural areas have started coming for treatment after reaching a critical stage due to non-availability of tests. In the past, local products were used in rural areas, but in recent days, the use of prepared food has increased and the problem of diabetes has started to appear.
The disease has started to appear as the labor of the people in the rural areas has decreased and the food has become like that of the city. Sahariya noodles, biscuits, pasta, ready-made beverages are increasingly used in daily meals and meals. At the same time, consumption of meat and alcohol has also increased.
Dr. Kalidas Adhikari, a physician at Bharatpur Hospital, says that the problem of diabetes has started increasing with the advent of urban living in rural areas. He said that there is a problem among the villagers due to change in diet, increase in consumption of fish, meat and alcohol. He says, “Purchasing power has increased in the village as well. Eating and drinking like in the city has increased the problem.”
Stating that the lifestyle has changed, he said that even though regular tests are conducted in the city, patients from rural areas come to the hospital in the last stage when they do not get tested. Dr. Prakash Aryal, a physician at the College of Medical Sciences, Bharatpur, says that although there are many people in the city and many patients come, there is a similar problem in rural areas in proportion to the population. He says, “Those who live in the village, they also have to pay attention to food, regular testing.”
Stating that other members of the family should be tested regularly after 35 years if they do not have diabetes, he suggested that if anyone in the house has diabetes, they should be tested from the age of 20. He said that if there is obesity, high blood pressure and hereditary problems, even those under the age of 20 should be tested. Such classes should be tested every year. Dr. Aryal suggests that others be tested in three to five years. Dr. Aryal said, “Not only urban dwellers but also those living in rural areas have to undergo regular tests.”
Dr. Sourav Khatiwada, an endocrinologist at Chitwan Medical College, says that if the body’s ability to digest sugar is reduced, the amount of sugar in the blood will increase. He says, “This condition is called diabetes. If the blood test on an empty stomach is more than 126 mg per deciliter and if it is more than 200 after eating, we call it diabetes. ” He pointed out that after diabetes, diet, exercise and medicine, it is necessary to control the sugar at a certain point with the help of these three things.
“The main reason is obesity and a luxurious lifestyle,” he said. It must be controlled. Many people now work in chairs for long periods of time, not exercising. This causes the body’s glucose-digesting system and insulin to not work properly, which leads to diabetes. ”
Suggesting to exercise for half an hour daily by sweating, he says, “Even if you can eat and exercise hereditarily, the time for diabetes will be pushed back five to ten years. The body needs to eat in moderation. We eat rice more slowly in our diet. It is important to know the amount of rice and dill to be eaten as it will produce a lot of glucose even if you eat less. ” He suggests that it is better to get into the habit of eating in consultation with a dietitian according to your weight, age and height. Generally, it is said that eating one and a half handful of rice in the morning and one handful in the evening is enough. He suggests not eating too much at one time and eating too little at a time.
Physician Dr. Bhojraj Adhikari, chairman of Bharatpur Hospital Development Committee, says that diabetes itself is not a disease. “Diabetes is not a disease, it’s just a collection of things that can cause disease,” he says. He says that if you hit the eyes, heart, kidneys, legs and blood vessels due to diabetes, you will get the disease. “If we control diabetes well, we can live a healthy life,” he said.
According to the World Health Organization, a total of 100 million people worldwide had diabetes in 1980, and over 40 years, that number has risen to more than 450 million. Dr. Adhikari, who has been active in diabetes treatment for a long time, says that there are 450 million people who may have diabetes, undiagnosed and may change their lifestyle in the next year or so. Of the world’s seven billion people, about 900 million are or may be diabetics.
According to Dr. Adhikari, it is estimated that 8.4 percent of the population in Nepal has diabetes. Stating that the test has reached all over Nepal, he said, “It is estimated that another 8.4 percent has not been tested.” Stating that studies conducted in urban areas of Nepal have shown that about 20 percent are affected by diabetes, he said that three percent of the villagers have diabetes.
He suggested adopting a healthy lifestyle and getting tested for diabetes once a year. He said, “If tested once a year, the chances of getting diabetes again are about 12 percent that year.”रासस / File Photo