Kwadwo Dickson

Diabetes on the rise in Dormaa Ahenkro – Nutritionists revealed Diabetes on the rise in Dormaa Ahenkro – Nutritionists revealed

Diabetes on the rise in Dormaa Ahenkro – Nutritionists revealed

The Nutrition Officer at Dormaa Ahenkro Presbyterian Hospital, Christian Abi, has revealed that the global incidence of diabetes is alarmingly high, affecting over 580 million individuals.

He emphasized that diabetes ranks among the top ten killer diseases worldwide, necessitating urgent attention.

Detailing the situation, he noted that, on average, 4 to 5 out of every 10 individuals in Ghana are diagnosed with diabetes. Focusing on the Bono Region, he highlighted that it is one of the areas in Ghana most susceptible to diabetes, with 6 to 7 out of every 10 individuals diagnosed with the condition.

In Dormaa Ahenkro and its neighboring communities, the figure rises to 8 to 9 out of every 10 individuals.

He underscored that diabetes lacks a definitive cure, but there are strategies to manage it, thereby extending the affected individual’s healthy state.

He noted that diabetic patients often experience fluctuating sugar levels, and thus, the optimal approach to managing diabetes is to exercise caution in their dietary choices to stabilize these levels.

He stressed that diet, alongside prescribed medications, serves only to regulate and manage the condition but cannot completely eradicate it.

Therefore, we must dismiss any assertions by herbalists and other conventional practitioners regarding their purported capability to cure diabetes.

The New Weight Loss Drugs and the Role of Dietitians in LMICs

Obesity is a growing concern worldwide, including in low- and middle-income countries (LMICs). Addressing this issue involves various strategies, including dietary and lifestyle changes, medical treatments, and professional support. Recently, some weight loss drugs have emerged as a potential tool in managing obesity.

This article offers basic explanation of how these drugs work, their potential in LMICs, associated risks, and how dietitians can ensure their safe and effective use.

How Do Weight Loss Drugs Work?

Many modern weight loss medications are GLP-1 receptor agonists, such as semaglutide (marketed as Ozempic and Wegovy) and tirzepatide (eg Mounjaro and Zepbound). These drugs mimic the action of the natural hormone GLP-1 (glucagon-like peptide-1). This hormone plays a role in regulating appetite and blood sugar levels. In very simple terms, GLP-1 receptor agonists function in three main ways.

  1. Reduces appetite: It sends signals to the brain, making you feel full after eating smaller amounts.
  2. Slows down digestion: Food stays in the stomach longer, keeping you feeling satisfied for extended periods.
  3. Improves insulin function: It helps regulate blood sugar levels, which is particularly beneficial for people with type 2 diabetes.

Potential of the New Weight Loss Drugs in LMICs

These new weight loss drugs have shown promising results in reducing obesity and related complications like type 2 diabetes and cardiovascular disease. If made accessible and affordable, these medications could be a game-changer in LMICs, where obesity often coexists with undernutrition. Their use could reduce the healthcare burden associated with obesity-related diseases, ultimately benefiting communities and economies. However, the high cost of these drugs and limited healthcare infrastructure in LMICs present significant challenges. For example, semaglutide-based drugs can cost hundreds of dollars per month, putting them out of reach for most people in LMICs. Also, while GLP-1 receptor agonists can be effective, they are associated with potential side effects, primarily gastrointestinal issues such as nausea, vomiting, diarrhea, and constipation. These side effects are usually mild and tend to decrease over time. More serious adverse effects have been reported, though they are less common. Furthermore, the long-term effects of these medications on the body are not yet fully understood. Thus, it is crucial to use these medications under proper medical supervision.

How Can Dietitians Help?

There is limited research available on the use of the new weight loss drugs in LMICs. Dietitians in LMICs can however play a vital role in ensuring the safe use of the new weight loss drugs for patients who may be using them in the following ways;

  1. Assessing Suitability: Dietitians can help determine if weight loss medications are appropriate for an individual, considering factors like nutritional status and potential drug-nutrient interactions.
  2. Providing Nutrition Education: Dietitians can offer guidance on balanced diets and healthy eating habits, which are essential to complement the effects of weight loss drugs.
  3. Monitoring Side Effects: Dietitians can monitor patients for adverse reactions and work with healthcare teams to manage any issues that arise.
  4. Promoting Sustainable Lifestyle Changes: Dietitians can emphasize the importance of combining medication with dietary and lifestyle modifications, such as increased physical activity and behavioural changes, to achieve long-term weight management.

In summary

Weight loss drugs hold great potential for managing obesity in LMICs, but their success depends on more than just availability. Understanding how these medications work, addressing the risks, and ensuring their safe use are critical. Dietitians in LMICs are key players in this process, guiding individuals toward safe and effective weight management.

Birthright citizenship: Why the ‘right of soil’ is so big in the Americas

When US President Donald Trump signed a recent executive order that would deny citizenship to the children of undocumented immigrants living in the United States, he took aim at what he suggested was a peculiarly American principle: Birthright citizenship.

“It’s ridiculous. We are the only country in the world that does this with the birthright, as you know, and it’s just absolutely ridiculous,” said the 47th president of the United States as he questioned a principle that some of his opponents say lies at the very heart of what it means to be called an American. For more than 150 years, the 14th Amendment of the Constitution has granted automatic citizenship to any person born on US soil.

As the courts moved to temporarily block his order, various media outlets pointed out that the president’s remarks were not entirely accurate. According to the Law Library of Congress, more than 30 countries across the world recognize birthright citizenship on an unrestricted basis – in which children born on their soil automatically acquire the right regardless of their parents’ immigration status.

Strikingly, nearly all of those countries recognizing unrestricted birthright citizenship are in the Western Hemisphere, in North, South, and Central America.

The vast majority of countries in the rest of the world either do not recognize the jus soli (Latin for ‘right of soil’) principle on which unrestricted birthright citizenship is based or, if they do, do so only under certain circumstances – often involving the immigration status of the newborn child’s parents.

Brits to blame?

In North America, the ‘right of soil’ was introduced by the British via their colonies, according to “The Evolution of Citizenship” study by Graziella Bertocchi and Chiara Strozzi.

The principle had been established in English law in the early 17th century by a ruling that anyone born in a place subject to the king of England was a “natural-born subject of England.”

When the US declared independence, the idea endured and was used – ironically for the departing Brits – to keep out foreign influence, such as in the Constitution’s requirement that the president be a “natural-born citizen” of the US.

Still, it was not until the 1820s that a movement led by Black Americans – whose citizenship was not explicitly guaranteed at the time – forced the country to think seriously about the issue, according to Martha Jones, a professor of history at Johns Hopkins University.

“They land on birthright in part because the US Constitution of 1787 requires that the president of the United States be a natural-born citizen. So, they hypothesize that if there is such a thing as a natural-born citizen, they, just like the president, must be natural-born citizens of the United States.”

The principle would be debated for decades until it was finally made law in 1868 after the Civil War, which resulted in the freedom of enslaved Black Americans, and formalized by the 14th Amendment, which states: “All persons born or naturalized in the United States and subject to the jurisdiction thereof, are citizens of the United States and of the State wherein they reside.”

The economic incentive

But it wasn’t just the Brits in North America. Other European colonial powers introduced the idea in countries across Central and South America, too.

Driving the practice in many of these areas was an economic need. Populations in the Western Hemisphere were at the time much smaller than in other parts of the world that had been colonized and settlers often saw bestowing citizenship as a way to boost their labor forces.

“You had these Europeans coming and saying: ‘This land is now our land, and we want more Europeans to come here and we want them to be citizens of these new countries.’ So, it’s a mixture of colonial domination and then the idea of these settler states they want to populate,” said sociologist John Skrentny, a professor at the University of California, San Diego.

Later, just as the idea of ‘right of soil’ was turned against the Brits in North America, a similar reversal of fortunes took place in the European colonies to the south.

In Latin America, many newly formed countries that had gained independence in the 19th century saw ‘right of soil’ citizenship as a way to build national identity and thus further break from their former colonial rulers, according to the study by Bertocchi and Strozzi.

Without that principle, they reasoned, Spain could have claimed jurisdiction over people with Spanish ancestry who were born in former colonies like Argentina, said Bertocchi, a professor of economics at Universita’ di Modena e Reggio Emilia.

Right of soil to right of blood

So what about all those countries in other parts of the world that were also colonized by Europeans but today do not recognize the ‘right of soil’?

Many of them – particularly those in Asia and Africa – also turned to citizenship laws to send their former rulers a message.

However, in most cases these countries turned toward a different type of birthright citizenship that has its roots in European law: jus sanguinis (‘right of blood’), which is generally based on one’s ancestry, parentage, marriage or origins.

In some cases, this system was transplanted to Africa by European powers that practiced it, Strozzi and Bertocchi wrote in their study. But in other cases newly independent countries adopted it on their own accord to build their nations on an ethnic and cultural basis.

Doing so was a relatively easy change. As Skrentny points out, in many of these places the ‘right of soil’ had never become as ingrained as it had in the Americas, partly because their large native populations had meant the colonizers did not need to boost their workforces.

Jettisoning the ‘right of soil’ sent a message to the former colonists that “they didn’t want to hear any more of it,” said Bertocchi, while embracing the ‘right of blood’ ensured descendants of colonizers who remained in Africa would not be considered citizens.

“They all switched to jus sanguinis,” said Bertocchi. “It seems paradoxical, right? This time, to build a national identity, you needed to adopt this principle.”

Product has been added to your cart