Dr. Devina Nand, the Head of Wellness at the Ministry of Health and Medical Services, has urged a critical reassessment of strategies to combat the rising incidence of diabetes mellitus (DM) and subsequent lower limb amputations in Fiji. She highlighted the alarming findings from two studies that examined the characteristics of individuals with diabetes who underwent amputations.
From 2010 to 2012, a staggering 938 amputations were performed, while 648 first-time extremity amputations occurred from 2012 to 2015 due to diabetes. Dr. Nand expressed grave concern over these statistics, noting the significant number of people facing disabilities as a result of diabetes-related amputations.
Furthermore, she emphasized the broader context of non-communicable diseases (NCDs) in Fiji, with 80 percent of deaths attributed to these ailments, of which 30 to 40 percent are premature, significantly impacting the population’s longevity. The data showed that patients requiring amputations due to diabetes ranged from ages 30 to 91, with many still in their productive years, underscoring the urgent need for intervention.
Dr. Nand remarked that lifestyle and dietary choices play a critical role in managing diabetes, advocating for a more thoughtful approach to nutrition and overall health habits.
This call to action highlights a significant and growing public health challenge. On a hopeful note, it also serves as an opportunity for community engagement and education. By fostering awareness and encouraging healthier lifestyle choices, Fijians can work collectively to reverse these troubling trends and improve health outcomes. Addressing diabetes proactively may help reduce the prevalence of amputations and enhance the quality of life for many.
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