International Journal of Health Sciences
Available online at www.sciencescholar.us
Vol. 5 No. 1, April 2021, pages: i-v
e-ISSN: 2550-696X, p-ISSN: 2550-6978
https://doi.org/10.53730/ijhs.v5n1.2864
Health and Treatment of Diabetes Mellitus
I Wayan Suryasa a, María Rodríguez-Gámez b, Tihnov Koldoris c
Editorial
Abstract
Keywords
Some reflections will be presented on diabetes mellitus, which is a very
common chronic disease in daily life due to different causes where diet and
sedentary lifestyle directly influence. Considering these analyzes, the proposal
of this work is to ensure that readers are able to know, interpret, disseminate
and in many cases recommend preventive measures that help improve the
physical and mental health of readers, and citizens, with this it would be
achieved the best quality of life in society. The disease flourishes when the
pancreas does not secrete enough insulin or when the body does not use the
insulin it produces effectively. The effect of uncontrolled diabetes is
hyperglycemia or high blood glucose). Over time, this disease seriously
damages many organs of the human body, mainly the nervous system and
blood vessels. They achieve a healthy body and mind at the present time that
humanity is engaged in eradicating the viruses that have affected the world
population, which would provide a healthy development for humanity.
diabetes mellitus;
disease;
health habit;
health problem;
health specialist;
healthcare;
healthy body;
healthy development;
healthy lifestyles;
life quality;
mental health;
International Journal of Health Sciences © 2021.
This is an open access article under the CC BY-NC-ND license
(https://creativecommons.org/licenses/by-nc-nd/4.0/).
Introduction
Diabetes mellitus is a disease that has no borders, it manifests itself when the body does not control the
amount of glucose (a type of sugar) in the blood and the kidneys make a large amount urine, occurs when the
body does not produce enough insulin or does not consume it the way it should (Cockram, 2000). The World
Health Organization (WHO) states that the number of people with diabetes increased from 108 million in
1980 to 422 million in 2014. The prevalence of this disease continues to increase rapidly in low- and middleincome countries, not behaving in the same way in high-income countries (Cigarroa et al., 1989; Bansal, 2020).
It was estimated that in 2019 that the disease was the direct cause of 1.5 million deaths and that, in 2012, 2.2
million people died because of hyperglycemia (WHO, 2021).
a
b
c
ITB STIKOM Bali, Denpasar, Indonesia
Universidad Técnica de Manabí, Portoviejo, Ecuador
Queen Mary University of London, London, United Kingdom
i
ii
e-ISSN: 2550-696X p-ISSN: 2550-6978
From what has been analyzed, the disease is responsible for other catastrophic diseases such as blindness,
kidney failure, myocardial infarction, stroke and amputation of the lower limbs, as you can read, people who
acquire the disease face other diseases that by If alone they are very serious, to prevent diabetes from winning
the battle of a stable quality of life, different elements must be clear that would help to stay healthy (Wilson,
1990; McDonough & Shaw, 2012; Lune, 2004). Diabetes mellitus groups together a group of metabolic
diseases of diverse etiology characterized mainly by the presence of chronic hyperglycemia. Type 2 diabetes
accounts for more than 90% of all cases, and genetic and environmental factors participate in its
etiopathogenesis. Type 1 diabetes represents 5 to 10%, being the autoimmune destruction of pancreatic beta
cells the fundamental cause (Czichos & Saito, 2006).
There are three main types of diabetes: type 1 diabetes, type 2 diabetes, and gestational diabetes (diabetes
during pregnancy). Type 1 diabetes can be characterized by destruction of the pancreatic islets of beta cells
and total insulinopenia, according to Ozdemir et al. (2003), is one of the most frequent chronic diseases of
childhood, the incidence of which is increasing, especially in children under 5 years of age; It significantly
affects the health of the population, especially through its chronic or long-term complications, which cause
frequent morbidity and significantly reduce life expectancy (Fischli et al., 1998). Type 2 diabetes is a chronic,
degenerative, and incurable but controllable disease, it is considered one of the chronic diseases with the
greatest impact on the quality of life of the world population and constitutes a real health problem; belongs to
the group of diseases that cause physical disability due to its various multi-organ difficulties, with an
undoubted increase in morbidity and mortality in recent years (De Luis et al., 1998).
Gestational diabetes mellitus has been defined by Ozdemir et al. (2003), as any carbohydrate intolerance
diagnosed during pregnancy. The prevalence of this disease is approximately 2 to 5% of normal pregnancies
and depends on the prevalence of type 2 diabetes mellitus in the population, they state that the prevalence of
this disease at a global level varies from 1 to 14%, According to the population analyzed, they consider that in
Mexico, it complicates 8 to 12% of pregnancies, a figure continues to increase and this problem is associated
with adverse maternal and neonatal outcomes; they are also at risk for type 2 diabetes in the years following
their pregnancy, and their children are at higher risk for obesity and diabetes.
In recent years, a gradual increase in the prevalence and incidence of both types of diabetes has been
observed. It is important to carry out an early diagnosis of the disease to avoid metabolic and cardiovascular
complications in the short and long term. The symptoms that guide the development of hyperglycemia are the
presence of polyuria, polydipsia, polyphagia, asthenia and weight loss. Early intervention with hygienicdietary and even pharmacological measures in patients with “prediabetes” manages to reduce the incidence of
type 2 diabetes and cardiovascular complications (Jacob et al., 2020; D’Alfonso, 2020).
Behavior of diabetes in different regions
The world report on diabetes published by WHO states that in many regions the lack of effective policies for
the creation of environments conducive to healthy lifestyles and the lack of access to good health care they
translate into a lack of attention to the prevention and treatment of the disease, especially in the case of
people with limited resources (WHO, 2016). The World Atlas of Diabetes makes several statements that are
worth reflecting on, where it is stated that around 463 million adults between 20 and 79 years old have
diabetes. This represents 9.3% of the world population in this age group. The total amount is projected to
increase to 578 million (10.2%) by 2030 and 700 million (10.9%) by 2045 (IDF, 2019).
The situation of the different regions assessed by (IDF, 2019)
The European Region of the IDF has the highest number of children and adolescents (0-19 years) with type 1
diabetes: 296,500 in total. The IDF Middle East and North Africa Region has the highest age-adjusted
prevalence of diabetes of all the IDF Regions (nearly 12%). 43% of all diabetes-related healthcare
expenditures occur in the North American and Caribbean Region. 44% of diabetes-related deaths in the IDF
South and Central America Region affect people under 60 years of age. 57% of adults aged 20-79 with
diabetes in the IDF Southeast Asia Region are undiagnosed. The highest number of diabetes-related deaths in
2019 occurred in the IDF Western Pacific Region (well over one million).
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Diabetes and cardiovascular diseases Cardiovascular
disease represents the main cause of mortality according to a health specialist in Uruguay (Cosson et al.,
2006), they state that in recent years there have been advances in therapeutics that have been shown to
reduce major cardiovascular events, considering the interaction between diabetes, cardiovascular diseases
and their treatment. Their recent studies showed that the new drugs are one more tool, which, oriented to the
pathophysiology of the disease, achieve not only a decrease in blood glucose values, but also a decrease in
major cardiovascular events (Westgren & Levi, 1998; Galer et al., 2000).
Diabetes mellitus and foot injuries
The disease is associated to a multiplicity of conditions such as environmental or age, this was analyzed by
(Zozulinska & Wierusz-Wysocka, 2006), according to them the prevalence of this disease increases
particularly in social groups that have rapidly changed from the traditional to the modern lifestyle; On the
other hand, type 1 diabetes mellitus (DM) is prevalent among children on the planet
Population Genetics Population
genetics was valued by the researchers Rojas et al. (2010), where it was considered that the distribution of
genes in the population and the factors that maintain or change the frequency of genes and genotypes from
generation to generation, being a fundamental pillar in the study of human evolution and genetic mapping,
evaluations that influence the development of the diabetes. Ethnicity has also been an important risk factor, it
is recognized by the WHO that the highest rates of type 2 diabetes have occurred in people of Asian and
African origin, as well as in indigenous peoples of the Americas and Australian-Asians (Government of Mexico,
2018).
Food and lifestyle changes
Many scientists attend of the subject have dealt the contribution offered to the reduction of disease dietary
changes and lifestyle, most agree that these two factors help reduce the factors that influence the onset of the
disease (Rajput et al., 2012). Spanish researchers have suggested that the high caloric intake of the current
diet and sedentary lifestyle are the main causes of the notable increase in obesity in society (Hernández et al.,
2013), they argue that the studies carried out have shown that personalized nutrition and exercise are
effective in significantly preventing or delaying disease; they also consider that moderate physical activity
practiced on a regular basis is essential in prevention and treatment seems the most effective.
Four key messages about diabetes
In the report presented by two specialists, the first from the WHO and the second from the International
Diabetes Federation (Laraeni et al., 2021), state which are the 10 countries with the highest incidence of
people with the disease, among these are India, China, the United States, Indonesia, Japan, Pakistan, Russia,
Brazil, Italy, and Bangladesh, this disease has become a global problem that continues to grow. It is estimated
by these authors that a total of 366 million people by 2030 will have the disease, most of this increase will be
due to an increase of 150% in developing countries. Four messages are presented that will help reduce the
probability of acquiring diabetes: You should increase physical activity, have a healthy and balanced diet,
achieve the right weight for your size, and reduce negative health habits such as not smoking. The Pan
American health organization has the objective for 2025, to stop the increase in diabetes and obesity (PAHO,
2021), to achieve this proposal, the population must become aware and improve the quality of life by
complying with the four previous messages.
Suryasa, I. W., Rodríguez-Gámez, M., & Koldoris, T. (2021). Health and treatment of diabetes mellitus.
International Journal of Health Sciences, 5(1), i-v.
https://doi.org/10.53730/ijhs.v5n1.2864
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Recommendation
The editorial team advises readers to maintain a healthy diet, perform physical exercises and reduce habits
that are inappropriate for creating a healthy environment and a better quality of life.
Acknowledgments
We would also like to express our gratitude to all the contributors, namely the authors, reviewers, and editors,
who have made this issue possible. IJHS is currently accepting manuscripts for upcoming issues based on
original qualitative or quantitative research that opens new areas of inquiry and investigation.
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Biography of Editors
I Wayan Suryasa (Founder and Managing Editor)
received his Doctorate of Linguistics from Udayana University specializing in the
area of translation studies and semantics. He teaches translation, semantics at the
college level, as well as a consultant of publications in Indonesia and Ecuador. His
publications focus on translation studies, semantics related to the linguistics field.
He is active in his local area of Indonesia running a teacher research group and
organizing workshops. He is also Ass. Professor.
Email: iwayansuryasa@utm.edu.ec
María Rodríguez Gámez (Chief Executive Editor)
Dra. María Rodríguez Gámez, Professor and Researcher the Universidad Técnica
de Manabí, Portoviejo, Ecuador. Bachelor’s in education, Specialization: Physics
and Astronomy, Master in Spatial Planning and Development in Renewable
Sources of Energy, Doctor of the Strategies and Planning of the Territory Program
in Renewable Energy Sources in the Pablo De Olavide University, Seville, Spain,
PhD in Geographical Sciences. National Commission of Scientific Degree in the
República de Cuba.
Email: maria.rodriguez@utm.edu.ec
Tihnov Koldoris (Editor)
He is a professor at Queen Mary University of London, London, United Kingdom. It
is a public research university in London, England, and a constituent college of the
federal University of London. It dates back to the foundation of London Hospital
Medical College in 1785. He really interested in medical sciences and health
sciences.
Email: ijhms@sloap.org
Suryasa, I. W., Rodríguez-Gámez, M., & Koldoris, T. (2021). Health and treatment of diabetes mellitus.
International Journal of Health Sciences, 5(1), i-v.
https://doi.org/10.53730/ijhs.v5n1.2864