Hamdan Medical Journal (previously the Journal of Medical Sciences)
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Nauru and Mauritius: Barometers of a Global Diabetes Epidemic
Our studies of the secular rises in type 2 diabetes in the Pacific island of Nauru and Indian Ocean island of Mauritius have provided a barometer to predict the
There has been an almost 6-fold increase in the number of people with diabetes in the last few decades. The International Diabetes Federation (IDF) has reported that the number of people with diabetes will escalate from 285 million to 438 million between 2010 and 2030 and the number of persons with IGT will grow from 344 to 472 million. This means that by 2030, there will be over 900 million people globally with or at high risk of diabetes and its associated 2 to 3-fold cardiovascular risk. Diabetes is now a global epidemic with devastating health, social and economic consequences and one of the largest epidemics in human history. This is now imposing a huge burden on health-care systems and national economies.
IDF Diabetes Atlas. The Global Burden. International Diabetes Federation. 4th Edition Brussels 2009; 21-7.
Zimmet P, Alberti K, Shaw J. Global and societal implications of the diabetes epidemic. Nature 2001; 414: 782-7.
Zimmet P, Taft P, Guinea A, Guthrie W, Thoma K. The high prevalence of diabetes mellitus on a Central Pacific island. Diabetologia 1977; 13: 111-5.
Bennett PH, Burch TA, Miller M. Diabetes mellitus in American (Pima) Indians. Lancet 1971; 2: 125-8.
Zimmet P. Diabetes epidemiology as a trigger to diabetes research. Diabetologia 1999; 42: 499-518.
Amos A, McCarty D, Zimmet P. The rising global burden of diabetes and its complications: Estimates and projections to the year 2010. Diabetic Med 1997; 14: S1- S85.
Koestler A. The Call Girls. Pan Books, London and Sydney 1976.
Saadi H, Carruthers SG, Nagelkerke N, Al-Maskari F, Afandi B, Reed R, et al. Prevalence of diabetes mellitus and its complications in a population-based sample in Al Ain, UAE. Diabetes Res Clin Pract 2007; 78: 369-77.
Bener A, Zirie M, Janahi IM, Al-Hamaq AOAA, Musallam M, Wareham N. Prevalence of diagnosed and undiagnosed diabetes mellitus and its risk factors in a population-based study of Qatar. Diabetes Res Clin Pract 2009; 84: 99-106.
O'Dea K. Westernisation, insulin resistance and diabetes in Australian Aborigines. Med J Aust 1991; 155: 258-64.
Ramachandran A, Ma RC, Snehalatha C. Diabetes in Asia. Lancet 2010; 375: 408-18.
Dowse GK, Gareeboo H, Zimmet PZ, Alberti KG, Tuomilehto J, Fareed D, et al. High prevalence of NIDDMand impaired glucose tolerance in Indian, Creole, and Chinese Mauritians. Mauritius Noncommunicable Disease Study Group. Diabetes 1990; 39: 390-6.
Söderberg S, Zimmet P, Tuomilehto J, de Courten M, Dowse GK, Chitson P, et al . High incidence of type 2 diabetes and increasing conversion rates from impaired fasting glucose and impaired glucose tolerance to diabetes in Mauritius. J Intern Med 2004; 256: 37-47.
Söderberg S, Zimmet P, Tuomilehto J, de Courten M, Dowse GK, Chitson P, et al. Increasing prevalence of type 2 diabetes mellitus in all ethnic groups in Mauritius. Diabetic Med 2005; 22: 61-8.
Chen KT, Gregg EW, Williamson DF, Narayan KMV. High prevalence of impaired fasting glucose and type 2 diabetes in Pehghu Islets, Taiwan: evidence of a rapidly emerging epidemic? Diabetes Res Clin Pract 1999; 44: 59- 69.
Yoon KH, Lee JH, Kim JW, Cho JH, Choi YH, Ko SH, et al. Epidemic obesity and type 2 diabetes in Asia. Lancet 2006; 368: 1681-8.
Ning F, Pang ZC, Dong YH, Gao WG, Nan HR, Wang SJ, et al. Risk factors associated with the dramatic increase in the prevalence of diabetes in the adult Chinese population in Qingdao, China. Diabetic Med 2009; 9: 855-63.
Ramachandran A, Snehalatha C, Kapur A, Vijay V, Mohan V, Das AK, et al. Diabetes Epidemiology Study Group in India (DESI). High prevalence of diabetes and impaired glucose tolerance in India: National Urban Diabetes Survey. Diabetologia 2001; 44: 1094-101.
Ramachandran A, Simon M, Yamuna A, Murugesan M, Snehalatha C. High prevalence of diabetes and cardiovascular risk factors associated with urbanization in India. Diabetes Care 2008; 31: 893-8.
Tuomilehto J, Lindström J, Eriksson JG, Valle TT, Hämäläinen H, Ilanne-Parikka P, et al. Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. N Engl J Med 2001; 344: 1343-50.
Kitagawa T, Owada M, Urakami T, Yamauchi K. Increased incidence of non-insulin dependent diabetes mellitus among Japanese school children correlates with an increased intake of animal protein and fat. Clin Pediatr (Phila) 1998; 37: 111-5.
Alberti KGMM, Zimmet P, Shaw J, Bloomgarden Z, Kaufman F, Silink M for the Consensus Workshop Group. Type 2 diabetes in the young: the evolving epidemic. Diabetes Care 2004; 27: 1798-811.