Diabetes as a Global Diabetes as a Global Health ProblemHealth Problem

The IDF meets the The IDF meets the ChallengeChallenge

ByBy

Prof. Morsi ArabProf. Morsi Arab

IDF Chairman MENA RegionIDF Chairman MENA Region

MENA

Reported Incidence of Type1 Diabetes at the MENA Region per 100.000 population under 15 yrs ( Diabetes Atlas 2006)

• Afghanistan 1.2• Algeria 8.6 • Bahrain 2.5• Egypt 8.0• Iran 3.7• Iraq 3.7• Jordan 3.2• Kuwait 22.3• Lebanon 3.2• Libya 9.0• Morocco 8.6• Palestine 3.2• Oman 2.5• Pakistan 0.5• Qatar 11.4• Saudi Arabia 12.3• Sudan 10.1• Tunisia 7.3 • Emirates 2.5• Yemen 2.5

�ِAt The MENA Region

Prevalence of Diabetes is 9.2 % (age 20 -79)Prevalence of IGT …….is 8.1%

24.5 millions with Diabetes & 22.4 with IGT

out of the top 10 highest diabetes prevalence rate countries 6 are MENA countries

Estimated death due to DM as % of all deaths is 11.5% ) 11.1% in Europe and 11.8 % in MENA (

Diabetes Mortality

World wide = 3.2 millions die from complications

associated with diabetes

In the ME : ( with high prev. of diab.)

one in 4 deaths in adults 35-64 years

is related to diabetes

MENA

30.5

20.5

14.3

13

9.3

6.3

6.1

0 5 10 15 20 25 30 35 %

age

gro

up

sThe pyramidal structure of the

Egyptian population

>60

-60

-50

-40

-30

-20

-10

Prevelance of DM in whole Egypt in Different Age Groups

0.62 0.80

3.08

8.25

12.04

15.06

0

2

4

6

8

10

12

14

16

% p

op

ula

tio

n

Age Group 10 20 30 40 50 60

0

5

10

15

20

25P

erc

en

t

20 30 40 50 60 >60

Age

Diabetes Prevelance & Age Groups

Western desert

Eastern desert

Saini

Nubia

14.7% 14.3%

5.6%

8.5%

2.0%

0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

U UN RN RA RD

Prevelance of DM among age group ( 40 - ) in different communities

DIABETES IS PART OF THE WIDER HEALTH PROBLEM : THE METABOLIC SYNDROME

20-25 % of the world adult population have the metabolic syndrome ( MTS) , and these are:

- 5 times at risk to develop diabetes type 2

- 3 times likely to have a heart attack

or stroke

- twice likely to die

“Obesity” is always involved , or associated with all elements of the

Metabolic Syndrome:

But Which type of Obesity?

“Abdominal Obesity “ as measured by waist

circumference is more indicative of the

Metabolic Syndrome profile than increased BMI