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In. Caribbean Public Health Agency. Caribbean Public Health Agency: 60th Annual Scientific Meeting. Kingston, The University of the West Indies. Faculty of Medical Sciences, 2015. p.[1-75]. (West Indian Medical Journal Supplement).
Monografia em Inglês | MedCarib | ID: med-18019


OBJECTIVE: To provide a Diabetes (DM) in-school support system; to enable peer education in a general setting without discrimination. DESIGN AND METHODS: 200 student leaders aged 10-14 were chosen from 18 schools. We used the Novo Nordisk “Changing Diabetes in Children” presentations to teach about DM and Nutrition. 162 questionnaires were given to assess the students’ knowledge of type 1 DM. RESULTS: 22 (13.5%) students said in type 1 DM the body makes insulin but more insulin is needed, while 67 (41.4%) said the body does not make insulin and the treatment is pills and plenty water only. 33 (20.4%) said Diabetes affects only old people, 126 (77.8%) said all children can get DM. 157 (96.9%) said eating a variety of vegetables, legumes and some fruits are important in Diabetes management. 11 (6.8%) and 9 (5.6%) respectively, said if their friend had Diabetes they should not play or talk with them anymore and 142 (87.7%) said they should show love and support. 147 (90.7%) said if they learnt about Diabetes, everyone should learn too, 15 (9.3%) said they should keep it to themselves, share with family or “their secret keepers” only. 96 (59.3%) said children with Diabetes can take part in all activities and 23 (14.2%) said if they have DM they cannot go to school. CONCLUSION: Diabetes and nutrition education is necessary for understanding the illness and to facilitate students with DM. Good teaching aids are needed and the “Changing Diabetes in Children” tools were beneficial.

Educação , Apoio Social , Diabetes Mellitus Tipo 1 , Ciências da Nutrição/educação , Serviços de Saúde Escolar , Jamaica
Journal of the National Medical Association ; 97(2): 250-252, Feb. 2005. tab
Artigo em Inglês | MedCarib | ID: med-17380


AIM: To determine the incidence, prevalence of type-1 diabetes mellitus (DM) and the presence of islet-cell antibodies (ICAs) in people of African ancestry in the Bahamas. METHOD: Hospital records of type-1 DM were reviewed. Seventeen consecutive patients had postmeal C-peptide and ICA determined. RESULTS: The incidence and prevalence of type-1 DM in the Bahamas were: incidence:- 10.1/100 000, age 0-14 years; and prevalence- 31/100 000, age 0-24 years. Only two out of 17 (11.8 per cent) patients had ICAs. CONCLUSION: Type -1 DM is common in children of African ancestry in the Bahamas. ICAs were absent in the majority of patients.

Humanos , Diabetes Mellitus Tipo 1/diagnóstico , Diabetes Mellitus Tipo 1/epidemiologia , Diabetes Mellitus Tipo 1/patologia , Ilhotas Pancreáticas/imunologia
Caribbean Health ; 4(5): 12-13, Oct. 2001. tab
Artigo em Inglês | MedCarib | ID: med-17075


For the past 20 years, diabetes mellitus has been among the leading causes of death in the Caribbean. Its prevalence is set to double within the next two decades. Its potential to cause incapacity and premature death in individuals in the prime of their economic life has serious implications for the Caribbean and for developing countries throughout the world. From an epidemiological viewpoint, type 2 diabetes mellitus contributes the major burden, accounting for up to 90 percent of caseload. Not surprisingly, much more data are available for this form of diabetes. Most of the remaining 10 percent of cases are of type 1 diabetes but also part of the picture is J-type diabetes, which was originally introduced to the world literature from Jamaica in the 1950s. It represents an unusual and interesting form of diabetes that has since been recognised outside the region. Increased awareness, improved diagnosis, screening of high-risk individuals and groups, and strategies aimed at prevention of obesity are all crucial. At the same time, there is a need to address the huge gaps in the availability of care, as well as the quality of the care itself. We must face up to a situation which involves increasing disease burden, scarce resources, inaequate services, and poor attention to the quality of care. Cost-effective systems are required that are specific to Caribbean needs. Recent elucidation of the pivotal influence of the in-utero environment in programming future cardiovascular risk offers a strategic leverage point for intervention. Close attention to maternal health, ensuring a healthy fetal environment, could positively influence the next generation (AU)

Humanos , Diabetes Mellitus , Região do Caribe , Diabetes Mellitus Tipo 1/epidemiologia , Diabetes Mellitus Tipo 2 , Prevalência
Mona; s.n; Oct. 1999. ii,63 p. maps, tab, gra.
Tese em Inglês | MedCarib | ID: med-17212


This cross sectional survey of diabetics on insulin therapy sought to identify the level of knowledge of patients on insulin regarding diabetes and insulin therapy and to ascertain the preception, attitudinal and behavioural practices of these clients as it relates to insulin therapy and self administration in St. Thomas, Jamaica. A total of 107 clients were interviewed using a structured questionnaire which was administered as an interview schedule. Three focus group discussions were also conducted. Knowledge was high in the area of responses to whether or not insulin lowers the blood sugar, what is to be done if the respondents felt bad after taking insulin and also where insulin is injected. The highest percentage response to the question assessing knowledge was found in clients who used insulin between 5-9 years. There was poor knowledge in the questions addressing identification of insulin by type and brand and in addition most persons felt it was alright to miss insulin for a day. This could influence the practices being carried out by diabetics and quite likely place them at high risk for hypoglycaemia and hyperglycaemia. Most respondents had a fair attitude towards insulin therapy when compared to the length of use of insulin. Most persons also showed a fair attitude towards their treatment particularly those with over ten years of use. The role of health education and other types of support for diabetics on insulin therapy were identified among factors that could facilitate better as it impacts readily on these clients especially the elderly and the indignet in their ability to care for themselves (AU)

Humanos , Conhecimento , Insulina/uso terapêutico , Diabetes Mellitus/tratamento farmacológico , Diabetes Mellitus Tipo 1 , Diabetes Mellitus Tipo 1/terapia , Jamaica , Região do Caribe
Caribbean health ; 2(2): 9-10, July 1999. ilus
Artigo em Inglês | MedCarib | ID: med-17329


The dawn of the 21st century will see a 51 percent increase in the prevalence of diabetes mellitus in the Caribbean. In 1994 there were 105,000 cases of Type 1 diabetes (IDDM), and 913,000 cases of Type 2 (NIDDM). By the year 2010, it is estimated there will be 184,000 and 1,597,000 cases respectively. These trends are thought to be a result of rapid cultural change with a consequent impact on diet and lifestyle, which is further compounded by an ageing population. The role of diabetes education is well recognised and healthcare workers are helped by influential community members who are empowered as 'lay diabetes facilitators' and who will help to manage the condition in the community. More epidemiological studies are being made as these small island nations undertake an assessment of the burden diabetes places on their society and economy (AU)

Humanos , Diabetes Mellitus Tipo 1/tratamento farmacológico , Diabetes Mellitus Tipo 2/dietoterapia , Farmacologia Clínica/educação , Organizações , Terapias Complementares , Região do Caribe
Mona; s.n; Sept. 1998. i,67 p. tab, gra.
Tese em Inglês | MedCarib | ID: med-17155


In the Caribbean diabetes is a leading cause of chronic ill health. It is rated between the fourth and fifth cause of mortality. The prevalence and incidence continue to rise. Insulin Dependent Diabetes (IDDM) is not as prevalent as non insulin dependent diabetes (NIDDM) but the mortality risk of IDDM is higher than of NIDDM. The quantitative cross sectional study was conducted from February to April 1998 to determine the knowledge, attitudes, and practices of young persons with diabetes, and their caregivers. The data was collected by telephone survey which were used as interviews to 27 young diabetics and 27 caregivers. Respondents were members of the Junior Diabetes Association and Camp Yellow Bird, as well as out-patients of the University Hospital and Bustamante Hospital for Children. The survey showed that the majority of caregivers and young diabetics had fairly good knowledge, attitudes and practices. The scores ranged from 51 percent for young diabetics to 70.3 percent for caregivers. The majority of young diabetics and their caregivers were concerned about the future of young diabetics. There were some areas which needed strengthening, such as education of self monitioring of blood glucose, insulin administration and the problems often seen as young diabetics (AU)

Humanos , Criança , Diabetes Mellitus Tipo 1/enfermagem , Jamaica/epidemiologia , Região do Caribe/epidemiologia , Diabetes Mellitus Tipo 1/terapia