Tropical Diabetes

A type of diabetes found primarily in many tropical areas of the world has characteristics of both type I and type II. The clinical profile involves the following: (1) a different genetic pattern of diabetes than in temperate regions; (2) a low prevalence rate of type I DM; (3) a younger age of onset of type II; (4) a sex ratio with male predominance in India and Africa, but female predominance in the West Indies; (5) an association of low calorie and protein intake with underweight diabetic individuals in Old World areas but overweight individuals in the Western Hemisphere; (6) the predominance of diabetes in urban areas, with the exception of rural populations in the West Indies; and (7) intermittent need for insulin therapy.

Information is relatively sparse on the genetics of diabetes in tropical countries. Recent studies have shown great population variability in increased susceptibility to diabetes. Genetic studies of Indian populations suggest a stronger familial factor among them compared to diabetics in other populations.

Risk factors for tropical diabetes involve unique dietary items. For example, some types of cassava (manioc) may be toxic and produce pancreatic damage. However, many areas show high rates of diabetes in populations that do not consume cassava, and some populations have high cassava consumption and low rates of diabetes. In Kenya, a local alcohol called changaa is implicated in causing the disease. Finally, in most tropical areas carbohydrates constitute 70-80 percent of total calories, and such a diet is implicated in classic malnutrition diabetes because of low nutrient density and high fiber content.

Keep Your Weight In Check During The Holidays

Keep Your Weight In Check During The Holidays

A time for giving and receiving, getting closer with the ones we love and marking the end of another year and all the eating also. We eat because the food is yummy and plentiful but we don't usually count calories at this time of year. This book will help you do just this.

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