Dr. Devina Nand, Head of Wellness at the Ministry of Health and Medical Services, called for urgent action to address the rising incidence of diabetes mellitus (DM) and lower limb amputations in Fiji. She shared insights from two studies that examined the demographics of patients with diabetes who required amputations, highlighting the urgent need for a strategic response to this health crisis.
Between 2010 and 2012, a study recorded a staggering total of 938 amputations performed on patients with diabetes. A subsequent study ranging from 2012 to 2015 examined first-time amputations and revealed that approximately 648 patients underwent their first amputation as a result of diabetes complications. Dr. Nand expressed concern over these statistics, underscoring the impact of diabetes on Fiji’s public health and noting that many of the affected individuals are in their productive years.
Dr. Nand pointed out that non-communicable diseases (NCDs) account for nearly 80 percent of deaths in Fiji, with diabetes being a significant contributor. Alarmingly, 30 to 40 percent of these deaths occur prematurely, contributing to a lower life expectancy for many Fijians. She noted that the age range of patients undergoing amputations spans from just 30 to 91 years, with many being far younger than expected.
She urged the community to reflect on their dietary and lifestyle choices, emphasizing that the foods we consume can have serious consequences for our health. This call to action encourages both individuals and healthcare professionals to take a more proactive stance in preventing diabetes and its severe complications.
In a hopeful outlook, an increased awareness and education about diabetes management and healthy lifestyles can potentially reduce the number of amputations and improve overall community health. Through coordinated efforts, it is possible to foster a culture of health that could significantly enhance the quality of life for many Fijians.
As we consider this pressing health issue, there is potential for change and improvement if individuals and policymakers commit to addressing the root causes of diabetes and supporting those affected.
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