Deprecated (16384): The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead. - /home/brlfuser/public_html/src/Controller/ArtileDetailController.php, line: 73 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php. [CORE/src/Core/functions.php, line 311]Code Context
trigger_error($message, E_USER_DEPRECATED);
}
$message = 'The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead. - /home/brlfuser/public_html/src/Controller/ArtileDetailController.php, line: 73 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php.' $stackFrame = (int) 1 $trace = [ (int) 0 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ServerRequest.php', 'line' => (int) 2421, 'function' => 'deprecationWarning', 'args' => [ (int) 0 => 'The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead.' ] ], (int) 1 => [ 'file' => '/home/brlfuser/public_html/src/Controller/ArtileDetailController.php', 'line' => (int) 73, 'function' => 'offsetGet', 'class' => 'Cake\Http\ServerRequest', 'object' => object(Cake\Http\ServerRequest) {}, 'type' => '->', 'args' => [ (int) 0 => 'catslug' ] ], (int) 2 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Controller/Controller.php', 'line' => (int) 610, 'function' => 'printArticle', 'class' => 'App\Controller\ArtileDetailController', 'object' => object(App\Controller\ArtileDetailController) {}, 'type' => '->', 'args' => [] ], (int) 3 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ActionDispatcher.php', 'line' => (int) 120, 'function' => 'invokeAction', 'class' => 'Cake\Controller\Controller', 'object' => object(App\Controller\ArtileDetailController) {}, 'type' => '->', 'args' => [] ], (int) 4 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ActionDispatcher.php', 'line' => (int) 94, 'function' => '_invoke', 'class' => 'Cake\Http\ActionDispatcher', 'object' => object(Cake\Http\ActionDispatcher) {}, 'type' => '->', 'args' => [ (int) 0 => object(App\Controller\ArtileDetailController) {} ] ], (int) 5 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/BaseApplication.php', 'line' => (int) 235, 'function' => 'dispatch', 'class' => 'Cake\Http\ActionDispatcher', 'object' => object(Cake\Http\ActionDispatcher) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 6 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 65, 'function' => '__invoke', 'class' => 'Cake\Http\BaseApplication', 'object' => object(App\Application) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {}, (int) 2 => object(Cake\Http\Runner) {} ] ], (int) 7 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Routing/Middleware/RoutingMiddleware.php', 'line' => (int) 162, 'function' => '__invoke', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 8 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 65, 'function' => '__invoke', 'class' => 'Cake\Routing\Middleware\RoutingMiddleware', 'object' => object(Cake\Routing\Middleware\RoutingMiddleware) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {}, (int) 2 => object(Cake\Http\Runner) {} ] ], (int) 9 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Routing/Middleware/AssetMiddleware.php', 'line' => (int) 88, 'function' => '__invoke', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 10 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 65, 'function' => '__invoke', 'class' => 'Cake\Routing\Middleware\AssetMiddleware', 'object' => object(Cake\Routing\Middleware\AssetMiddleware) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {}, (int) 2 => object(Cake\Http\Runner) {} ] ], (int) 11 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Middleware/ErrorHandlerMiddleware.php', 'line' => (int) 96, 'function' => '__invoke', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 12 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 65, 'function' => '__invoke', 'class' => 'Cake\Error\Middleware\ErrorHandlerMiddleware', 'object' => object(Cake\Error\Middleware\ErrorHandlerMiddleware) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {}, (int) 2 => object(Cake\Http\Runner) {} ] ], (int) 13 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 51, 'function' => '__invoke', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 14 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Server.php', 'line' => (int) 98, 'function' => 'run', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\MiddlewareQueue) {}, (int) 1 => object(Cake\Http\ServerRequest) {}, (int) 2 => object(Cake\Http\Response) {} ] ], (int) 15 => [ 'file' => '/home/brlfuser/public_html/webroot/index.php', 'line' => (int) 39, 'function' => 'run', 'class' => 'Cake\Http\Server', 'object' => object(Cake\Http\Server) {}, 'type' => '->', 'args' => [] ] ] $frame = [ 'file' => '/home/brlfuser/public_html/src/Controller/ArtileDetailController.php', 'line' => (int) 73, 'function' => 'offsetGet', 'class' => 'Cake\Http\ServerRequest', 'object' => object(Cake\Http\ServerRequest) { trustProxy => false [protected] params => [ [maximum depth reached] ] [protected] data => [[maximum depth reached]] [protected] query => [[maximum depth reached]] [protected] cookies => [[maximum depth reached]] [protected] _environment => [ [maximum depth reached] ] [protected] url => 'latest-news-updates/69-million-and-counting-d-prabhakaran-4679069/print' [protected] base => '' [protected] webroot => '/' [protected] here => '/latest-news-updates/69-million-and-counting-d-prabhakaran-4679069/print' [protected] trustedProxies => [[maximum depth reached]] [protected] _input => null [protected] _detectors => [ [maximum depth reached] ] [protected] _detectorCache => [ [maximum depth reached] ] [protected] stream => object(Zend\Diactoros\PhpInputStream) {} [protected] uri => object(Zend\Diactoros\Uri) {} [protected] session => object(Cake\Http\Session) {} [protected] attributes => [[maximum depth reached]] [protected] emulatedAttributes => [ [maximum depth reached] ] [protected] uploadedFiles => [[maximum depth reached]] [protected] protocol => null [protected] requestTarget => null [private] deprecatedProperties => [ [maximum depth reached] ] }, 'type' => '->', 'args' => [ (int) 0 => 'catslug' ] ]deprecationWarning - CORE/src/Core/functions.php, line 311 Cake\Http\ServerRequest::offsetGet() - CORE/src/Http/ServerRequest.php, line 2421 App\Controller\ArtileDetailController::printArticle() - APP/Controller/ArtileDetailController.php, line 73 Cake\Controller\Controller::invokeAction() - CORE/src/Controller/Controller.php, line 610 Cake\Http\ActionDispatcher::_invoke() - CORE/src/Http/ActionDispatcher.php, line 120 Cake\Http\ActionDispatcher::dispatch() - CORE/src/Http/ActionDispatcher.php, line 94 Cake\Http\BaseApplication::__invoke() - CORE/src/Http/BaseApplication.php, line 235 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Routing\Middleware\RoutingMiddleware::__invoke() - CORE/src/Routing/Middleware/RoutingMiddleware.php, line 162 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Routing\Middleware\AssetMiddleware::__invoke() - CORE/src/Routing/Middleware/AssetMiddleware.php, line 88 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Error\Middleware\ErrorHandlerMiddleware::__invoke() - CORE/src/Error/Middleware/ErrorHandlerMiddleware.php, line 96 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Http\Runner::run() - CORE/src/Http/Runner.php, line 51 Cake\Http\Server::run() - CORE/src/Http/Server.php, line 98
Deprecated (16384): The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead. - /home/brlfuser/public_html/src/Controller/ArtileDetailController.php, line: 74 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php. [CORE/src/Core/functions.php, line 311]Code Context
trigger_error($message, E_USER_DEPRECATED);
}
$message = 'The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead. - /home/brlfuser/public_html/src/Controller/ArtileDetailController.php, line: 74 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php.' $stackFrame = (int) 1 $trace = [ (int) 0 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ServerRequest.php', 'line' => (int) 2421, 'function' => 'deprecationWarning', 'args' => [ (int) 0 => 'The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead.' ] ], (int) 1 => [ 'file' => '/home/brlfuser/public_html/src/Controller/ArtileDetailController.php', 'line' => (int) 74, 'function' => 'offsetGet', 'class' => 'Cake\Http\ServerRequest', 'object' => object(Cake\Http\ServerRequest) {}, 'type' => '->', 'args' => [ (int) 0 => 'artileslug' ] ], (int) 2 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Controller/Controller.php', 'line' => (int) 610, 'function' => 'printArticle', 'class' => 'App\Controller\ArtileDetailController', 'object' => object(App\Controller\ArtileDetailController) {}, 'type' => '->', 'args' => [] ], (int) 3 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ActionDispatcher.php', 'line' => (int) 120, 'function' => 'invokeAction', 'class' => 'Cake\Controller\Controller', 'object' => object(App\Controller\ArtileDetailController) {}, 'type' => '->', 'args' => [] ], (int) 4 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ActionDispatcher.php', 'line' => (int) 94, 'function' => '_invoke', 'class' => 'Cake\Http\ActionDispatcher', 'object' => object(Cake\Http\ActionDispatcher) {}, 'type' => '->', 'args' => [ (int) 0 => object(App\Controller\ArtileDetailController) {} ] ], (int) 5 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/BaseApplication.php', 'line' => (int) 235, 'function' => 'dispatch', 'class' => 'Cake\Http\ActionDispatcher', 'object' => object(Cake\Http\ActionDispatcher) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 6 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 65, 'function' => '__invoke', 'class' => 'Cake\Http\BaseApplication', 'object' => object(App\Application) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {}, (int) 2 => object(Cake\Http\Runner) {} ] ], (int) 7 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Routing/Middleware/RoutingMiddleware.php', 'line' => (int) 162, 'function' => '__invoke', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 8 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 65, 'function' => '__invoke', 'class' => 'Cake\Routing\Middleware\RoutingMiddleware', 'object' => object(Cake\Routing\Middleware\RoutingMiddleware) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {}, (int) 2 => object(Cake\Http\Runner) {} ] ], (int) 9 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Routing/Middleware/AssetMiddleware.php', 'line' => (int) 88, 'function' => '__invoke', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 10 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 65, 'function' => '__invoke', 'class' => 'Cake\Routing\Middleware\AssetMiddleware', 'object' => object(Cake\Routing\Middleware\AssetMiddleware) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {}, (int) 2 => object(Cake\Http\Runner) {} ] ], (int) 11 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Middleware/ErrorHandlerMiddleware.php', 'line' => (int) 96, 'function' => '__invoke', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 12 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 65, 'function' => '__invoke', 'class' => 'Cake\Error\Middleware\ErrorHandlerMiddleware', 'object' => object(Cake\Error\Middleware\ErrorHandlerMiddleware) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {}, (int) 2 => object(Cake\Http\Runner) {} ] ], (int) 13 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 51, 'function' => '__invoke', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 14 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Server.php', 'line' => (int) 98, 'function' => 'run', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\MiddlewareQueue) {}, (int) 1 => object(Cake\Http\ServerRequest) {}, (int) 2 => object(Cake\Http\Response) {} ] ], (int) 15 => [ 'file' => '/home/brlfuser/public_html/webroot/index.php', 'line' => (int) 39, 'function' => 'run', 'class' => 'Cake\Http\Server', 'object' => object(Cake\Http\Server) {}, 'type' => '->', 'args' => [] ] ] $frame = [ 'file' => '/home/brlfuser/public_html/src/Controller/ArtileDetailController.php', 'line' => (int) 74, 'function' => 'offsetGet', 'class' => 'Cake\Http\ServerRequest', 'object' => object(Cake\Http\ServerRequest) { trustProxy => false [protected] params => [ [maximum depth reached] ] [protected] data => [[maximum depth reached]] [protected] query => [[maximum depth reached]] [protected] cookies => [[maximum depth reached]] [protected] _environment => [ [maximum depth reached] ] [protected] url => 'latest-news-updates/69-million-and-counting-d-prabhakaran-4679069/print' [protected] base => '' [protected] webroot => '/' [protected] here => '/latest-news-updates/69-million-and-counting-d-prabhakaran-4679069/print' [protected] trustedProxies => [[maximum depth reached]] [protected] _input => null [protected] _detectors => [ [maximum depth reached] ] [protected] _detectorCache => [ [maximum depth reached] ] [protected] stream => object(Zend\Diactoros\PhpInputStream) {} [protected] uri => object(Zend\Diactoros\Uri) {} [protected] session => object(Cake\Http\Session) {} [protected] attributes => [[maximum depth reached]] [protected] emulatedAttributes => [ [maximum depth reached] ] [protected] uploadedFiles => [[maximum depth reached]] [protected] protocol => null [protected] requestTarget => null [private] deprecatedProperties => [ [maximum depth reached] ] }, 'type' => '->', 'args' => [ (int) 0 => 'artileslug' ] ]deprecationWarning - CORE/src/Core/functions.php, line 311 Cake\Http\ServerRequest::offsetGet() - CORE/src/Http/ServerRequest.php, line 2421 App\Controller\ArtileDetailController::printArticle() - APP/Controller/ArtileDetailController.php, line 74 Cake\Controller\Controller::invokeAction() - CORE/src/Controller/Controller.php, line 610 Cake\Http\ActionDispatcher::_invoke() - CORE/src/Http/ActionDispatcher.php, line 120 Cake\Http\ActionDispatcher::dispatch() - CORE/src/Http/ActionDispatcher.php, line 94 Cake\Http\BaseApplication::__invoke() - CORE/src/Http/BaseApplication.php, line 235 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Routing\Middleware\RoutingMiddleware::__invoke() - CORE/src/Routing/Middleware/RoutingMiddleware.php, line 162 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Routing\Middleware\AssetMiddleware::__invoke() - CORE/src/Routing/Middleware/AssetMiddleware.php, line 88 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Error\Middleware\ErrorHandlerMiddleware::__invoke() - CORE/src/Error/Middleware/ErrorHandlerMiddleware.php, line 96 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Http\Runner::run() - CORE/src/Http/Runner.php, line 51 Cake\Http\Server::run() - CORE/src/Http/Server.php, line 98
Warning (512): Unable to emit headers. Headers sent in file=/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Debugger.php line=853 [CORE/src/Http/ResponseEmitter.php, line 48]Code Contextif (Configure::read('debug')) {
trigger_error($message, E_USER_WARNING);
} else {
$response = object(Cake\Http\Response) { 'status' => (int) 200, 'contentType' => 'text/html', 'headers' => [ 'Content-Type' => [ [maximum depth reached] ] ], 'file' => null, 'fileRange' => [], 'cookies' => object(Cake\Http\Cookie\CookieCollection) {}, 'cacheDirectives' => [], 'body' => '<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd"> <html xmlns="http://www.w3.org/1999/xhtml"> <head> <link rel="canonical" href="https://im4change.in/<pre class="cake-error"><a href="javascript:void(0);" onclick="document.getElementById('cakeErr67f7c5cdb4e3a-trace').style.display = (document.getElementById('cakeErr67f7c5cdb4e3a-trace').style.display == 'none' ? '' : 'none');"><b>Notice</b> (8)</a>: Undefined variable: urlPrefix [<b>APP/Template/Layout/printlayout.ctp</b>, line <b>8</b>]<div id="cakeErr67f7c5cdb4e3a-trace" class="cake-stack-trace" style="display: none;"><a href="javascript:void(0);" onclick="document.getElementById('cakeErr67f7c5cdb4e3a-code').style.display = (document.getElementById('cakeErr67f7c5cdb4e3a-code').style.display == 'none' ? '' : 'none')">Code</a> <a href="javascript:void(0);" onclick="document.getElementById('cakeErr67f7c5cdb4e3a-context').style.display = (document.getElementById('cakeErr67f7c5cdb4e3a-context').style.display == 'none' ? '' : 'none')">Context</a><pre id="cakeErr67f7c5cdb4e3a-code" class="cake-code-dump" style="display: none;"><code><span style="color: #000000"><span style="color: #0000BB"></span><span style="color: #007700"><</span><span style="color: #0000BB">head</span><span style="color: #007700">> </span></span></code> <span class="code-highlight"><code><span style="color: #000000"> <link rel="canonical" href="<span style="color: #0000BB"><?php </span><span style="color: #007700">echo </span><span style="color: #0000BB">Configure</span><span style="color: #007700">::</span><span style="color: #0000BB">read</span><span style="color: #007700">(</span><span style="color: #DD0000">'SITE_URL'</span><span style="color: #007700">); </span><span style="color: #0000BB">?><?php </span><span style="color: #007700">echo </span><span style="color: #0000BB">$urlPrefix</span><span style="color: #007700">;</span><span style="color: #0000BB">?><?php </span><span style="color: #007700">echo </span><span style="color: #0000BB">$article_current</span><span style="color: #007700">-></span><span style="color: #0000BB">category</span><span style="color: #007700">-></span><span style="color: #0000BB">slug</span><span style="color: #007700">; </span><span style="color: #0000BB">?></span>/<span style="color: #0000BB"><?php </span><span style="color: #007700">echo </span><span style="color: #0000BB">$article_current</span><span style="color: #007700">-></span><span style="color: #0000BB">seo_url</span><span style="color: #007700">; </span><span style="color: #0000BB">?></span>.html"/> </span></code></span> <code><span style="color: #000000"><span style="color: #0000BB"> </span><span style="color: #007700"><</span><span style="color: #0000BB">meta http</span><span style="color: #007700">-</span><span style="color: #0000BB">equiv</span><span style="color: #007700">=</span><span style="color: #DD0000">"Content-Type" </span><span style="color: #0000BB">content</span><span style="color: #007700">=</span><span style="color: #DD0000">"text/html; charset=utf-8"</span><span style="color: #007700">/> </span></span></code></pre><pre id="cakeErr67f7c5cdb4e3a-context" class="cake-context" style="display: none;">$viewFile = '/home/brlfuser/public_html/src/Template/Layout/printlayout.ctp' $dataForView = [ 'article_current' => object(App\Model\Entity\Article) { 'id' => (int) 31002, 'title' => '…69 million and counting -D Prabhakaran', 'subheading' => '', 'description' => '<div align="justify"> -The Hindu<br /> <br /> <em>In all this, more than 90 per cent of cases of diabetes are lifestyle-induced<br /> </em><br /> India is now in the midst of a diabetes epidemic, with an adult prevalence rate of nine per cent and almost 69 million people living with diabetes. In another 15 years, the figure is expected to rise to 101 million. In all this, more than 90 per cent of cases are lifestyle-induced.<br /> <br /> Individuals with diabetes do not have any symptoms for long periods of time and may have complications at the time of diagnosis. Common examples such as retinopathy (blindness), nephropathy (kidney disease), neuropathy (nerve damage) and diabetic foot (gangrene and amputations in extreme cases) affect a large proportion of individuals with diabetes. Approximately a third of those with diabetes are known to develop retinopathy. Diabetes is also known to increase the risk of cardiovascular diseases (heart attack and stroke); nearly half of those with diabetes die of heart attack. <br /> <br /> A bad lifestyle is what propels this epidemic while an inadequate response from the health system results in debilitating complications. The staggering increase of cases of diabetics and prediabetics has been attributed to lifestyle changes as a result of rapid and unplanned urbanisation, an ageing population, a sedentary lifestyle and increasing consumption of unhealthy food, especially modern processed foods. Lack of opportunistic screening delays diagnosis while poor access to care and medicines, information asymmetry between doctors and patients, and a paucity of well-trained human resource, impede evidence-based management of diabetes.<br /> <br /> <em>Health promotion strategies <br /> </em><br /> Prevention remains central in halting the current pace of the diabetes epidemic. Our focus should be on both individual and policy-level interventions. Health promotion strategies should be aimed at maintaining normal body weight by improving physical activity and following a balanced and healthy diet. Evidence from the [international] Diabetes Prevention Program (DPP) shows that small reductions in weight by moderate-intensity activity of at least 150 minutes per week and reduced fat consumption on most days prevented progression to diabetes by 58 per cent among those with prediabetes.<br /> <br /> In general, brisk walking for at least 30 minutes a day and following a healthy diet every day which has at least 3-5 servings of locally available and inexpensive fruits and vegetables, and less refined sugar and saturated fat can prevent or postpone the occurrence of diabetes. Doing yoga may also help prevent diabetes; in individuals with diabetes, it may even help them have better control of blood sugar. In addition, every adult above 30 years should be screened for diabetes and hypertension during a planned or unplanned visit to a physician or hospital.<br /> <br /> Policy measures also call for reinforcement of health systems. Higher taxation on sugar-sweetened beverages and high fat junk foods and planning urban infrastructure to promote physical activity have become all the more imperative now.<br /> <br /> Diabetes is no longer a disease predominantly affecting the rich and is fast spreading to rural communities. The poor are even more vulnerable. Thus India has: a population where the number of people with diabetes has increased substantially over time and is set to continuously grow; a large number of people disabled by complications, and an equivalent number who are unaware of the condition.<br /> <br /> Early diagnosis and prevention is the key to control the disease and minimise the risk of disability. In this, we need a multi-pronged approach that involves collaboration among national leaders, clinicians, public health researchers and allied health professionals.<br /> <em><br /> Dr. D. Prabhakaran is an epidemiologist by training and the Vice-President, Research and Policy at the Public Health Foundation of India. </em><br /> </div>', 'credit_writer' => 'The Hindu, 10 April, 2016, http://www.thehindu.com/opinion/op-ed/about-90-per-cent-of-cases-of-diabetes-are-lifestyleinduced/article8455678.ece', 'article_img' => '', 'article_img_thumb' => '', 'status' => (int) 1, 'show_on_home' => (int) 1, 'lang' => 'EN', 'category_id' => (int) 16, 'tag_keyword' => '', 'seo_url' => '69-million-and-counting-d-prabhakaran-4679069', 'meta_title' => null, 'meta_keywords' => null, 'meta_description' => null, 'noindex' => (int) 0, 'publish_date' => object(Cake\I18n\FrozenDate) {}, 'most_visit_section_id' => null, 'article_big_img' => null, 'liveid' => (int) 4679069, 'created' => object(Cake\I18n\FrozenTime) {}, 'modified' => object(Cake\I18n\FrozenTime) {}, 'edate' => '', 'tags' => [ [maximum depth reached] ], 'category' => object(App\Model\Entity\Category) {}, '[new]' => false, '[accessible]' => [ [maximum depth reached] ], '[dirty]' => [[maximum depth reached]], '[original]' => [[maximum depth reached]], '[virtual]' => [[maximum depth reached]], '[hasErrors]' => false, '[errors]' => [[maximum depth reached]], '[invalid]' => [[maximum depth reached]], '[repository]' => 'Articles' }, 'articleid' => (int) 31002, 'metaTitle' => 'LATEST NEWS UPDATES | …69 million and counting -D Prabhakaran', 'metaKeywords' => 'Lifestyle diseases,Non-Communicable Diseases (NCDs),Cardiovascular Diseases,diabetes', 'metaDesc' => ' -The Hindu In all this, more than 90 per cent of cases of diabetes are lifestyle-induced India is now in the midst of a diabetes epidemic, with an adult prevalence rate of nine per cent and almost 69 million people living with...', 'disp' => '<div align="justify">-The Hindu<br /><br /><em>In all this, more than 90 per cent of cases of diabetes are lifestyle-induced<br /></em><br />India is now in the midst of a diabetes epidemic, with an adult prevalence rate of nine per cent and almost 69 million people living with diabetes. In another 15 years, the figure is expected to rise to 101 million. In all this, more than 90 per cent of cases are lifestyle-induced.<br /><br />Individuals with diabetes do not have any symptoms for long periods of time and may have complications at the time of diagnosis. Common examples such as retinopathy (blindness), nephropathy (kidney disease), neuropathy (nerve damage) and diabetic foot (gangrene and amputations in extreme cases) affect a large proportion of individuals with diabetes. Approximately a third of those with diabetes are known to develop retinopathy. Diabetes is also known to increase the risk of cardiovascular diseases (heart attack and stroke); nearly half of those with diabetes die of heart attack. <br /><br />A bad lifestyle is what propels this epidemic while an inadequate response from the health system results in debilitating complications. The staggering increase of cases of diabetics and prediabetics has been attributed to lifestyle changes as a result of rapid and unplanned urbanisation, an ageing population, a sedentary lifestyle and increasing consumption of unhealthy food, especially modern processed foods. Lack of opportunistic screening delays diagnosis while poor access to care and medicines, information asymmetry between doctors and patients, and a paucity of well-trained human resource, impede evidence-based management of diabetes.<br /><br /><em>Health promotion strategies <br /></em><br />Prevention remains central in halting the current pace of the diabetes epidemic. Our focus should be on both individual and policy-level interventions. Health promotion strategies should be aimed at maintaining normal body weight by improving physical activity and following a balanced and healthy diet. Evidence from the [international] Diabetes Prevention Program (DPP) shows that small reductions in weight by moderate-intensity activity of at least 150 minutes per week and reduced fat consumption on most days prevented progression to diabetes by 58 per cent among those with prediabetes.<br /><br />In general, brisk walking for at least 30 minutes a day and following a healthy diet every day which has at least 3-5 servings of locally available and inexpensive fruits and vegetables, and less refined sugar and saturated fat can prevent or postpone the occurrence of diabetes. Doing yoga may also help prevent diabetes; in individuals with diabetes, it may even help them have better control of blood sugar. In addition, every adult above 30 years should be screened for diabetes and hypertension during a planned or unplanned visit to a physician or hospital.<br /><br />Policy measures also call for reinforcement of health systems. Higher taxation on sugar-sweetened beverages and high fat junk foods and planning urban infrastructure to promote physical activity have become all the more imperative now.<br /><br />Diabetes is no longer a disease predominantly affecting the rich and is fast spreading to rural communities. The poor are even more vulnerable. Thus India has: a population where the number of people with diabetes has increased substantially over time and is set to continuously grow; a large number of people disabled by complications, and an equivalent number who are unaware of the condition.<br /><br />Early diagnosis and prevention is the key to control the disease and minimise the risk of disability. In this, we need a multi-pronged approach that involves collaboration among national leaders, clinicians, public health researchers and allied health professionals.<br /><em><br />Dr. D. Prabhakaran is an epidemiologist by training and the Vice-President, Research and Policy at the Public Health Foundation of India. </em><br /></div>', 'lang' => 'English', 'SITE_URL' => 'https://im4change.in/', 'site_title' => 'im4change', 'adminprix' => 'admin' ] $article_current = object(App\Model\Entity\Article) { 'id' => (int) 31002, 'title' => '…69 million and counting -D Prabhakaran', 'subheading' => '', 'description' => '<div align="justify"> -The Hindu<br /> <br /> <em>In all this, more than 90 per cent of cases of diabetes are lifestyle-induced<br /> </em><br /> India is now in the midst of a diabetes epidemic, with an adult prevalence rate of nine per cent and almost 69 million people living with diabetes. In another 15 years, the figure is expected to rise to 101 million. In all this, more than 90 per cent of cases are lifestyle-induced.<br /> <br /> Individuals with diabetes do not have any symptoms for long periods of time and may have complications at the time of diagnosis. Common examples such as retinopathy (blindness), nephropathy (kidney disease), neuropathy (nerve damage) and diabetic foot (gangrene and amputations in extreme cases) affect a large proportion of individuals with diabetes. Approximately a third of those with diabetes are known to develop retinopathy. Diabetes is also known to increase the risk of cardiovascular diseases (heart attack and stroke); nearly half of those with diabetes die of heart attack. <br /> <br /> A bad lifestyle is what propels this epidemic while an inadequate response from the health system results in debilitating complications. The staggering increase of cases of diabetics and prediabetics has been attributed to lifestyle changes as a result of rapid and unplanned urbanisation, an ageing population, a sedentary lifestyle and increasing consumption of unhealthy food, especially modern processed foods. Lack of opportunistic screening delays diagnosis while poor access to care and medicines, information asymmetry between doctors and patients, and a paucity of well-trained human resource, impede evidence-based management of diabetes.<br /> <br /> <em>Health promotion strategies <br /> </em><br /> Prevention remains central in halting the current pace of the diabetes epidemic. Our focus should be on both individual and policy-level interventions. Health promotion strategies should be aimed at maintaining normal body weight by improving physical activity and following a balanced and healthy diet. Evidence from the [international] Diabetes Prevention Program (DPP) shows that small reductions in weight by moderate-intensity activity of at least 150 minutes per week and reduced fat consumption on most days prevented progression to diabetes by 58 per cent among those with prediabetes.<br /> <br /> In general, brisk walking for at least 30 minutes a day and following a healthy diet every day which has at least 3-5 servings of locally available and inexpensive fruits and vegetables, and less refined sugar and saturated fat can prevent or postpone the occurrence of diabetes. Doing yoga may also help prevent diabetes; in individuals with diabetes, it may even help them have better control of blood sugar. In addition, every adult above 30 years should be screened for diabetes and hypertension during a planned or unplanned visit to a physician or hospital.<br /> <br /> Policy measures also call for reinforcement of health systems. Higher taxation on sugar-sweetened beverages and high fat junk foods and planning urban infrastructure to promote physical activity have become all the more imperative now.<br /> <br /> Diabetes is no longer a disease predominantly affecting the rich and is fast spreading to rural communities. The poor are even more vulnerable. Thus India has: a population where the number of people with diabetes has increased substantially over time and is set to continuously grow; a large number of people disabled by complications, and an equivalent number who are unaware of the condition.<br /> <br /> Early diagnosis and prevention is the key to control the disease and minimise the risk of disability. In this, we need a multi-pronged approach that involves collaboration among national leaders, clinicians, public health researchers and allied health professionals.<br /> <em><br /> Dr. D. 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In another 15 years, the figure is expected to rise to 101 million. In all this, more than 90 per cent of cases are lifestyle-induced.<br /><br />Individuals with diabetes do not have any symptoms for long periods of time and may have complications at the time of diagnosis. Common examples such as retinopathy (blindness), nephropathy (kidney disease), neuropathy (nerve damage) and diabetic foot (gangrene and amputations in extreme cases) affect a large proportion of individuals with diabetes. Approximately a third of those with diabetes are known to develop retinopathy. Diabetes is also known to increase the risk of cardiovascular diseases (heart attack and stroke); nearly half of those with diabetes die of heart attack. <br /><br />A bad lifestyle is what propels this epidemic while an inadequate response from the health system results in debilitating complications. The staggering increase of cases of diabetics and prediabetics has been attributed to lifestyle changes as a result of rapid and unplanned urbanisation, an ageing population, a sedentary lifestyle and increasing consumption of unhealthy food, especially modern processed foods. Lack of opportunistic screening delays diagnosis while poor access to care and medicines, information asymmetry between doctors and patients, and a paucity of well-trained human resource, impede evidence-based management of diabetes.<br /><br /><em>Health promotion strategies <br /></em><br />Prevention remains central in halting the current pace of the diabetes epidemic. Our focus should be on both individual and policy-level interventions. Health promotion strategies should be aimed at maintaining normal body weight by improving physical activity and following a balanced and healthy diet. Evidence from the [international] Diabetes Prevention Program (DPP) shows that small reductions in weight by moderate-intensity activity of at least 150 minutes per week and reduced fat consumption on most days prevented progression to diabetes by 58 per cent among those with prediabetes.<br /><br />In general, brisk walking for at least 30 minutes a day and following a healthy diet every day which has at least 3-5 servings of locally available and inexpensive fruits and vegetables, and less refined sugar and saturated fat can prevent or postpone the occurrence of diabetes. Doing yoga may also help prevent diabetes; in individuals with diabetes, it may even help them have better control of blood sugar. In addition, every adult above 30 years should be screened for diabetes and hypertension during a planned or unplanned visit to a physician or hospital.<br /><br />Policy measures also call for reinforcement of health systems. Higher taxation on sugar-sweetened beverages and high fat junk foods and planning urban infrastructure to promote physical activity have become all the more imperative now.<br /><br />Diabetes is no longer a disease predominantly affecting the rich and is fast spreading to rural communities. The poor are even more vulnerable. Thus India has: a population where the number of people with diabetes has increased substantially over time and is set to continuously grow; a large number of people disabled by complications, and an equivalent number who are unaware of the condition.<br /><br />Early diagnosis and prevention is the key to control the disease and minimise the risk of disability. In this, we need a multi-pronged approach that involves collaboration among national leaders, clinicians, public health researchers and allied health professionals.<br /><em><br />Dr. D. Prabhakaran is an epidemiologist by training and the Vice-President, Research and Policy at the Public Health Foundation of India. </em><br /></div>' $lang = 'English' $SITE_URL = 'https://im4change.in/' $site_title = 'im4change' $adminprix = 'admin'</pre><pre class="stack-trace">include - APP/Template/Layout/printlayout.ctp, line 8 Cake\View\View::_evaluate() - CORE/src/View/View.php, line 1413 Cake\View\View::_render() - CORE/src/View/View.php, line 1374 Cake\View\View::renderLayout() - CORE/src/View/View.php, line 927 Cake\View\View::render() - CORE/src/View/View.php, line 885 Cake\Controller\Controller::render() - CORE/src/Controller/Controller.php, line 791 Cake\Http\ActionDispatcher::_invoke() - CORE/src/Http/ActionDispatcher.php, line 126 Cake\Http\ActionDispatcher::dispatch() - CORE/src/Http/ActionDispatcher.php, line 94 Cake\Http\BaseApplication::__invoke() - CORE/src/Http/BaseApplication.php, line 235 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Routing\Middleware\RoutingMiddleware::__invoke() - CORE/src/Routing/Middleware/RoutingMiddleware.php, line 162 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Routing\Middleware\AssetMiddleware::__invoke() - CORE/src/Routing/Middleware/AssetMiddleware.php, line 88 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Error\Middleware\ErrorHandlerMiddleware::__invoke() - CORE/src/Error/Middleware/ErrorHandlerMiddleware.php, line 96 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Http\Runner::run() - CORE/src/Http/Runner.php, line 51</pre></div></pre>latest-news-updates/69-million-and-counting-d-prabhakaran-4679069.html"/> <meta http-equiv="Content-Type" content="text/html; charset=utf-8"/> <link href="https://im4change.in/css/control.css" rel="stylesheet" type="text/css" media="all"/> <title>LATEST NEWS UPDATES | …69 million and counting -D Prabhakaran | Im4change.org</title> <meta name="description" content=" -The Hindu In all this, more than 90 per cent of cases of diabetes are lifestyle-induced India is now in the midst of a diabetes epidemic, with an adult prevalence rate of nine per cent and almost 69 million people living with..."/> <script src="https://im4change.in/js/jquery-1.10.2.js"></script> <script type="text/javascript" src="https://im4change.in/js/jquery-migrate.min.js"></script> <script language="javascript" type="text/javascript"> $(document).ready(function () { var img = $("img")[0]; // Get my img elem var pic_real_width, pic_real_height; $("<img/>") // Make in memory copy of image to avoid css issues .attr("src", $(img).attr("src")) .load(function () { pic_real_width = this.width; // Note: $(this).width() will not pic_real_height = this.height; // work for in memory images. }); }); </script> <style type="text/css"> @media screen { div.divFooter { display: block; } } @media print { .printbutton { display: none !important; } } </style> </head> <body> <table cellpadding="0" cellspacing="0" border="0" width="98%" align="center"> <tr> <td class="top_bg"> <div class="divFooter"> <img src="https://im4change.in/images/logo1.jpg" height="59" border="0" alt="Resource centre on India's rural distress" style="padding-top:14px;"/> </div> </td> </tr> <tr> <td id="topspace"> </td> </tr> <tr id="topspace"> <td> </td> </tr> <tr> <td height="50" style="border-bottom:1px solid #000; padding-top:10px;" class="printbutton"> <form><input type="button" value=" Print this page " onclick="window.print();return false;"/></form> </td> </tr> <tr> <td width="100%"> <h1 class="news_headlines" style="font-style:normal"> <strong>…69 million and counting -D Prabhakaran</strong></h1> </td> </tr> <tr> <td width="100%" style="font-family:Arial, 'Segoe Script', 'Segoe UI', sans-serif, serif"><font size="3"> <div align="justify">-The Hindu<br /><br /><em>In all this, more than 90 per cent of cases of diabetes are lifestyle-induced<br /></em><br />India is now in the midst of a diabetes epidemic, with an adult prevalence rate of nine per cent and almost 69 million people living with diabetes. In another 15 years, the figure is expected to rise to 101 million. In all this, more than 90 per cent of cases are lifestyle-induced.<br /><br />Individuals with diabetes do not have any symptoms for long periods of time and may have complications at the time of diagnosis. Common examples such as retinopathy (blindness), nephropathy (kidney disease), neuropathy (nerve damage) and diabetic foot (gangrene and amputations in extreme cases) affect a large proportion of individuals with diabetes. Approximately a third of those with diabetes are known to develop retinopathy. Diabetes is also known to increase the risk of cardiovascular diseases (heart attack and stroke); nearly half of those with diabetes die of heart attack. <br /><br />A bad lifestyle is what propels this epidemic while an inadequate response from the health system results in debilitating complications. The staggering increase of cases of diabetics and prediabetics has been attributed to lifestyle changes as a result of rapid and unplanned urbanisation, an ageing population, a sedentary lifestyle and increasing consumption of unhealthy food, especially modern processed foods. Lack of opportunistic screening delays diagnosis while poor access to care and medicines, information asymmetry between doctors and patients, and a paucity of well-trained human resource, impede evidence-based management of diabetes.<br /><br /><em>Health promotion strategies <br /></em><br />Prevention remains central in halting the current pace of the diabetes epidemic. Our focus should be on both individual and policy-level interventions. Health promotion strategies should be aimed at maintaining normal body weight by improving physical activity and following a balanced and healthy diet. Evidence from the [international] Diabetes Prevention Program (DPP) shows that small reductions in weight by moderate-intensity activity of at least 150 minutes per week and reduced fat consumption on most days prevented progression to diabetes by 58 per cent among those with prediabetes.<br /><br />In general, brisk walking for at least 30 minutes a day and following a healthy diet every day which has at least 3-5 servings of locally available and inexpensive fruits and vegetables, and less refined sugar and saturated fat can prevent or postpone the occurrence of diabetes. Doing yoga may also help prevent diabetes; in individuals with diabetes, it may even help them have better control of blood sugar. In addition, every adult above 30 years should be screened for diabetes and hypertension during a planned or unplanned visit to a physician or hospital.<br /><br />Policy measures also call for reinforcement of health systems. Higher taxation on sugar-sweetened beverages and high fat junk foods and planning urban infrastructure to promote physical activity have become all the more imperative now.<br /><br />Diabetes is no longer a disease predominantly affecting the rich and is fast spreading to rural communities. The poor are even more vulnerable. Thus India has: a population where the number of people with diabetes has increased substantially over time and is set to continuously grow; a large number of people disabled by complications, and an equivalent number who are unaware of the condition.<br /><br />Early diagnosis and prevention is the key to control the disease and minimise the risk of disability. In this, we need a multi-pronged approach that involves collaboration among national leaders, clinicians, public health researchers and allied health professionals.<br /><em><br />Dr. D. Prabhakaran is an epidemiologist by training and the Vice-President, Research and Policy at the Public Health Foundation of India. </em><br /></div> </font> </td> </tr> <tr> <td> </td> </tr> <tr> <td height="50" style="border-top:1px solid #000; border-bottom:1px solid #000;padding-top:10px;"> <form><input type="button" value=" Print this page " onclick="window.print();return false;"/></form> </td> </tr> </table></body> </html>' } $maxBufferLength = (int) 8192 $file = '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Debugger.php' $line = (int) 853 $message = 'Unable to emit headers. Headers sent in file=/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Debugger.php line=853'Cake\Http\ResponseEmitter::emit() - CORE/src/Http/ResponseEmitter.php, line 48 Cake\Http\Server::emit() - CORE/src/Http/Server.php, line 141 [main] - ROOT/webroot/index.php, line 39
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In another 15 years, the figure is expected to rise to 101 million. In all this, more than 90 per cent of cases are lifestyle-induced.<br /> <br /> Individuals with diabetes do not have any symptoms for long periods of time and may have complications at the time of diagnosis. Common examples such as retinopathy (blindness), nephropathy (kidney disease), neuropathy (nerve damage) and diabetic foot (gangrene and amputations in extreme cases) affect a large proportion of individuals with diabetes. Approximately a third of those with diabetes are known to develop retinopathy. Diabetes is also known to increase the risk of cardiovascular diseases (heart attack and stroke); nearly half of those with diabetes die of heart attack. <br /> <br /> A bad lifestyle is what propels this epidemic while an inadequate response from the health system results in debilitating complications. The staggering increase of cases of diabetics and prediabetics has been attributed to lifestyle changes as a result of rapid and unplanned urbanisation, an ageing population, a sedentary lifestyle and increasing consumption of unhealthy food, especially modern processed foods. Lack of opportunistic screening delays diagnosis while poor access to care and medicines, information asymmetry between doctors and patients, and a paucity of well-trained human resource, impede evidence-based management of diabetes.<br /> <br /> <em>Health promotion strategies <br /> </em><br /> Prevention remains central in halting the current pace of the diabetes epidemic. Our focus should be on both individual and policy-level interventions. Health promotion strategies should be aimed at maintaining normal body weight by improving physical activity and following a balanced and healthy diet. Evidence from the [international] Diabetes Prevention Program (DPP) shows that small reductions in weight by moderate-intensity activity of at least 150 minutes per week and reduced fat consumption on most days prevented progression to diabetes by 58 per cent among those with prediabetes.<br /> <br /> In general, brisk walking for at least 30 minutes a day and following a healthy diet every day which has at least 3-5 servings of locally available and inexpensive fruits and vegetables, and less refined sugar and saturated fat can prevent or postpone the occurrence of diabetes. Doing yoga may also help prevent diabetes; in individuals with diabetes, it may even help them have better control of blood sugar. In addition, every adult above 30 years should be screened for diabetes and hypertension during a planned or unplanned visit to a physician or hospital.<br /> <br /> Policy measures also call for reinforcement of health systems. Higher taxation on sugar-sweetened beverages and high fat junk foods and planning urban infrastructure to promote physical activity have become all the more imperative now.<br /> <br /> Diabetes is no longer a disease predominantly affecting the rich and is fast spreading to rural communities. The poor are even more vulnerable. Thus India has: a population where the number of people with diabetes has increased substantially over time and is set to continuously grow; a large number of people disabled by complications, and an equivalent number who are unaware of the condition.<br /> <br /> Early diagnosis and prevention is the key to control the disease and minimise the risk of disability. In this, we need a multi-pronged approach that involves collaboration among national leaders, clinicians, public health researchers and allied health professionals.<br /> <em><br /> Dr. D. Prabhakaran is an epidemiologist by training and the Vice-President, Research and Policy at the Public Health Foundation of India. </em><br /> </div>', 'credit_writer' => 'The Hindu, 10 April, 2016, http://www.thehindu.com/opinion/op-ed/about-90-per-cent-of-cases-of-diabetes-are-lifestyleinduced/article8455678.ece', 'article_img' => '', 'article_img_thumb' => '', 'status' => (int) 1, 'show_on_home' => (int) 1, 'lang' => 'EN', 'category_id' => (int) 16, 'tag_keyword' => '', 'seo_url' => '69-million-and-counting-d-prabhakaran-4679069', 'meta_title' => null, 'meta_keywords' => null, 'meta_description' => null, 'noindex' => (int) 0, 'publish_date' => object(Cake\I18n\FrozenDate) {}, 'most_visit_section_id' => null, 'article_big_img' => null, 'liveid' => (int) 4679069, 'created' => object(Cake\I18n\FrozenTime) {}, 'modified' => object(Cake\I18n\FrozenTime) {}, 'edate' => '', 'tags' => [ [maximum depth reached] ], 'category' => object(App\Model\Entity\Category) {}, '[new]' => false, '[accessible]' => [ [maximum depth reached] ], '[dirty]' => [[maximum depth reached]], '[original]' => [[maximum depth reached]], '[virtual]' => [[maximum depth reached]], '[hasErrors]' => false, '[errors]' => [[maximum depth reached]], '[invalid]' => [[maximum depth reached]], '[repository]' => 'Articles' }, 'articleid' => (int) 31002, 'metaTitle' => 'LATEST NEWS UPDATES | …69 million and counting -D Prabhakaran', 'metaKeywords' => 'Lifestyle diseases,Non-Communicable Diseases (NCDs),Cardiovascular Diseases,diabetes', 'metaDesc' => ' -The Hindu In all this, more than 90 per cent of cases of diabetes are lifestyle-induced India is now in the midst of a diabetes epidemic, with an adult prevalence rate of nine per cent and almost 69 million people living with...', 'disp' => '<div align="justify">-The Hindu<br /><br /><em>In all this, more than 90 per cent of cases of diabetes are lifestyle-induced<br /></em><br />India is now in the midst of a diabetes epidemic, with an adult prevalence rate of nine per cent and almost 69 million people living with diabetes. In another 15 years, the figure is expected to rise to 101 million. In all this, more than 90 per cent of cases are lifestyle-induced.<br /><br />Individuals with diabetes do not have any symptoms for long periods of time and may have complications at the time of diagnosis. Common examples such as retinopathy (blindness), nephropathy (kidney disease), neuropathy (nerve damage) and diabetic foot (gangrene and amputations in extreme cases) affect a large proportion of individuals with diabetes. Approximately a third of those with diabetes are known to develop retinopathy. Diabetes is also known to increase the risk of cardiovascular diseases (heart attack and stroke); nearly half of those with diabetes die of heart attack. <br /><br />A bad lifestyle is what propels this epidemic while an inadequate response from the health system results in debilitating complications. The staggering increase of cases of diabetics and prediabetics has been attributed to lifestyle changes as a result of rapid and unplanned urbanisation, an ageing population, a sedentary lifestyle and increasing consumption of unhealthy food, especially modern processed foods. Lack of opportunistic screening delays diagnosis while poor access to care and medicines, information asymmetry between doctors and patients, and a paucity of well-trained human resource, impede evidence-based management of diabetes.<br /><br /><em>Health promotion strategies <br /></em><br />Prevention remains central in halting the current pace of the diabetes epidemic. Our focus should be on both individual and policy-level interventions. Health promotion strategies should be aimed at maintaining normal body weight by improving physical activity and following a balanced and healthy diet. Evidence from the [international] Diabetes Prevention Program (DPP) shows that small reductions in weight by moderate-intensity activity of at least 150 minutes per week and reduced fat consumption on most days prevented progression to diabetes by 58 per cent among those with prediabetes.<br /><br />In general, brisk walking for at least 30 minutes a day and following a healthy diet every day which has at least 3-5 servings of locally available and inexpensive fruits and vegetables, and less refined sugar and saturated fat can prevent or postpone the occurrence of diabetes. Doing yoga may also help prevent diabetes; in individuals with diabetes, it may even help them have better control of blood sugar. In addition, every adult above 30 years should be screened for diabetes and hypertension during a planned or unplanned visit to a physician or hospital.<br /><br />Policy measures also call for reinforcement of health systems. Higher taxation on sugar-sweetened beverages and high fat junk foods and planning urban infrastructure to promote physical activity have become all the more imperative now.<br /><br />Diabetes is no longer a disease predominantly affecting the rich and is fast spreading to rural communities. The poor are even more vulnerable. Thus India has: a population where the number of people with diabetes has increased substantially over time and is set to continuously grow; a large number of people disabled by complications, and an equivalent number who are unaware of the condition.<br /><br />Early diagnosis and prevention is the key to control the disease and minimise the risk of disability. In this, we need a multi-pronged approach that involves collaboration among national leaders, clinicians, public health researchers and allied health professionals.<br /><em><br />Dr. D. Prabhakaran is an epidemiologist by training and the Vice-President, Research and Policy at the Public Health Foundation of India. </em><br /></div>', 'lang' => 'English', 'SITE_URL' => 'https://im4change.in/', 'site_title' => 'im4change', 'adminprix' => 'admin' ] $article_current = object(App\Model\Entity\Article) { 'id' => (int) 31002, 'title' => '…69 million and counting -D Prabhakaran', 'subheading' => '', 'description' => '<div align="justify"> -The Hindu<br /> <br /> <em>In all this, more than 90 per cent of cases of diabetes are lifestyle-induced<br /> </em><br /> India is now in the midst of a diabetes epidemic, with an adult prevalence rate of nine per cent and almost 69 million people living with diabetes. In another 15 years, the figure is expected to rise to 101 million. In all this, more than 90 per cent of cases are lifestyle-induced.<br /> <br /> Individuals with diabetes do not have any symptoms for long periods of time and may have complications at the time of diagnosis. Common examples such as retinopathy (blindness), nephropathy (kidney disease), neuropathy (nerve damage) and diabetic foot (gangrene and amputations in extreme cases) affect a large proportion of individuals with diabetes. Approximately a third of those with diabetes are known to develop retinopathy. Diabetes is also known to increase the risk of cardiovascular diseases (heart attack and stroke); nearly half of those with diabetes die of heart attack. <br /> <br /> A bad lifestyle is what propels this epidemic while an inadequate response from the health system results in debilitating complications. The staggering increase of cases of diabetics and prediabetics has been attributed to lifestyle changes as a result of rapid and unplanned urbanisation, an ageing population, a sedentary lifestyle and increasing consumption of unhealthy food, especially modern processed foods. Lack of opportunistic screening delays diagnosis while poor access to care and medicines, information asymmetry between doctors and patients, and a paucity of well-trained human resource, impede evidence-based management of diabetes.<br /> <br /> <em>Health promotion strategies <br /> </em><br /> Prevention remains central in halting the current pace of the diabetes epidemic. Our focus should be on both individual and policy-level interventions. Health promotion strategies should be aimed at maintaining normal body weight by improving physical activity and following a balanced and healthy diet. Evidence from the [international] Diabetes Prevention Program (DPP) shows that small reductions in weight by moderate-intensity activity of at least 150 minutes per week and reduced fat consumption on most days prevented progression to diabetes by 58 per cent among those with prediabetes.<br /> <br /> In general, brisk walking for at least 30 minutes a day and following a healthy diet every day which has at least 3-5 servings of locally available and inexpensive fruits and vegetables, and less refined sugar and saturated fat can prevent or postpone the occurrence of diabetes. Doing yoga may also help prevent diabetes; in individuals with diabetes, it may even help them have better control of blood sugar. In addition, every adult above 30 years should be screened for diabetes and hypertension during a planned or unplanned visit to a physician or hospital.<br /> <br /> Policy measures also call for reinforcement of health systems. Higher taxation on sugar-sweetened beverages and high fat junk foods and planning urban infrastructure to promote physical activity have become all the more imperative now.<br /> <br /> Diabetes is no longer a disease predominantly affecting the rich and is fast spreading to rural communities. The poor are even more vulnerable. Thus India has: a population where the number of people with diabetes has increased substantially over time and is set to continuously grow; a large number of people disabled by complications, and an equivalent number who are unaware of the condition.<br /> <br /> Early diagnosis and prevention is the key to control the disease and minimise the risk of disability. In this, we need a multi-pronged approach that involves collaboration among national leaders, clinicians, public health researchers and allied health professionals.<br /> <em><br /> Dr. D. 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In another 15 years, the figure is expected to rise to 101 million. In all this, more than 90 per cent of cases are lifestyle-induced.<br /><br />Individuals with diabetes do not have any symptoms for long periods of time and may have complications at the time of diagnosis. Common examples such as retinopathy (blindness), nephropathy (kidney disease), neuropathy (nerve damage) and diabetic foot (gangrene and amputations in extreme cases) affect a large proportion of individuals with diabetes. Approximately a third of those with diabetes are known to develop retinopathy. Diabetes is also known to increase the risk of cardiovascular diseases (heart attack and stroke); nearly half of those with diabetes die of heart attack. <br /><br />A bad lifestyle is what propels this epidemic while an inadequate response from the health system results in debilitating complications. The staggering increase of cases of diabetics and prediabetics has been attributed to lifestyle changes as a result of rapid and unplanned urbanisation, an ageing population, a sedentary lifestyle and increasing consumption of unhealthy food, especially modern processed foods. Lack of opportunistic screening delays diagnosis while poor access to care and medicines, information asymmetry between doctors and patients, and a paucity of well-trained human resource, impede evidence-based management of diabetes.<br /><br /><em>Health promotion strategies <br /></em><br />Prevention remains central in halting the current pace of the diabetes epidemic. Our focus should be on both individual and policy-level interventions. Health promotion strategies should be aimed at maintaining normal body weight by improving physical activity and following a balanced and healthy diet. Evidence from the [international] Diabetes Prevention Program (DPP) shows that small reductions in weight by moderate-intensity activity of at least 150 minutes per week and reduced fat consumption on most days prevented progression to diabetes by 58 per cent among those with prediabetes.<br /><br />In general, brisk walking for at least 30 minutes a day and following a healthy diet every day which has at least 3-5 servings of locally available and inexpensive fruits and vegetables, and less refined sugar and saturated fat can prevent or postpone the occurrence of diabetes. Doing yoga may also help prevent diabetes; in individuals with diabetes, it may even help them have better control of blood sugar. In addition, every adult above 30 years should be screened for diabetes and hypertension during a planned or unplanned visit to a physician or hospital.<br /><br />Policy measures also call for reinforcement of health systems. Higher taxation on sugar-sweetened beverages and high fat junk foods and planning urban infrastructure to promote physical activity have become all the more imperative now.<br /><br />Diabetes is no longer a disease predominantly affecting the rich and is fast spreading to rural communities. The poor are even more vulnerable. Thus India has: a population where the number of people with diabetes has increased substantially over time and is set to continuously grow; a large number of people disabled by complications, and an equivalent number who are unaware of the condition.<br /><br />Early diagnosis and prevention is the key to control the disease and minimise the risk of disability. In this, we need a multi-pronged approach that involves collaboration among national leaders, clinicians, public health researchers and allied health professionals.<br /><em><br />Dr. D. Prabhakaran is an epidemiologist by training and the Vice-President, Research and Policy at the Public Health Foundation of India. </em><br /></div>' $lang = 'English' $SITE_URL = 'https://im4change.in/' $site_title = 'im4change' $adminprix = 'admin'</pre><pre class="stack-trace">include - APP/Template/Layout/printlayout.ctp, line 8 Cake\View\View::_evaluate() - CORE/src/View/View.php, line 1413 Cake\View\View::_render() - CORE/src/View/View.php, line 1374 Cake\View\View::renderLayout() - CORE/src/View/View.php, line 927 Cake\View\View::render() - CORE/src/View/View.php, line 885 Cake\Controller\Controller::render() - CORE/src/Controller/Controller.php, line 791 Cake\Http\ActionDispatcher::_invoke() - CORE/src/Http/ActionDispatcher.php, line 126 Cake\Http\ActionDispatcher::dispatch() - CORE/src/Http/ActionDispatcher.php, line 94 Cake\Http\BaseApplication::__invoke() - CORE/src/Http/BaseApplication.php, line 235 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Routing\Middleware\RoutingMiddleware::__invoke() - CORE/src/Routing/Middleware/RoutingMiddleware.php, line 162 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Routing\Middleware\AssetMiddleware::__invoke() - CORE/src/Routing/Middleware/AssetMiddleware.php, line 88 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Error\Middleware\ErrorHandlerMiddleware::__invoke() - CORE/src/Error/Middleware/ErrorHandlerMiddleware.php, line 96 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Http\Runner::run() - CORE/src/Http/Runner.php, line 51</pre></div></pre>latest-news-updates/69-million-and-counting-d-prabhakaran-4679069.html"/> <meta http-equiv="Content-Type" content="text/html; charset=utf-8"/> <link href="https://im4change.in/css/control.css" rel="stylesheet" type="text/css" media="all"/> <title>LATEST NEWS UPDATES | …69 million and counting -D Prabhakaran | Im4change.org</title> <meta name="description" content=" -The Hindu In all this, more than 90 per cent of cases of diabetes are lifestyle-induced India is now in the midst of a diabetes epidemic, with an adult prevalence rate of nine per cent and almost 69 million people living with..."/> <script src="https://im4change.in/js/jquery-1.10.2.js"></script> <script type="text/javascript" src="https://im4change.in/js/jquery-migrate.min.js"></script> <script language="javascript" type="text/javascript"> $(document).ready(function () { var img = $("img")[0]; // Get my img elem var pic_real_width, pic_real_height; $("<img/>") // Make in memory copy of image to avoid css issues .attr("src", $(img).attr("src")) .load(function () { pic_real_width = this.width; // Note: $(this).width() will not pic_real_height = this.height; // work for in memory images. }); }); </script> <style type="text/css"> @media screen { div.divFooter { display: block; } } @media print { .printbutton { display: none !important; } } </style> </head> <body> <table cellpadding="0" cellspacing="0" border="0" width="98%" align="center"> <tr> <td class="top_bg"> <div class="divFooter"> <img src="https://im4change.in/images/logo1.jpg" height="59" border="0" alt="Resource centre on India's rural distress" style="padding-top:14px;"/> </div> </td> </tr> <tr> <td id="topspace"> </td> </tr> <tr id="topspace"> <td> </td> </tr> <tr> <td height="50" style="border-bottom:1px solid #000; padding-top:10px;" class="printbutton"> <form><input type="button" value=" Print this page " onclick="window.print();return false;"/></form> </td> </tr> <tr> <td width="100%"> <h1 class="news_headlines" style="font-style:normal"> <strong>…69 million and counting -D Prabhakaran</strong></h1> </td> </tr> <tr> <td width="100%" style="font-family:Arial, 'Segoe Script', 'Segoe UI', sans-serif, serif"><font size="3"> <div align="justify">-The Hindu<br /><br /><em>In all this, more than 90 per cent of cases of diabetes are lifestyle-induced<br /></em><br />India is now in the midst of a diabetes epidemic, with an adult prevalence rate of nine per cent and almost 69 million people living with diabetes. In another 15 years, the figure is expected to rise to 101 million. In all this, more than 90 per cent of cases are lifestyle-induced.<br /><br />Individuals with diabetes do not have any symptoms for long periods of time and may have complications at the time of diagnosis. Common examples such as retinopathy (blindness), nephropathy (kidney disease), neuropathy (nerve damage) and diabetic foot (gangrene and amputations in extreme cases) affect a large proportion of individuals with diabetes. Approximately a third of those with diabetes are known to develop retinopathy. Diabetes is also known to increase the risk of cardiovascular diseases (heart attack and stroke); nearly half of those with diabetes die of heart attack. <br /><br />A bad lifestyle is what propels this epidemic while an inadequate response from the health system results in debilitating complications. The staggering increase of cases of diabetics and prediabetics has been attributed to lifestyle changes as a result of rapid and unplanned urbanisation, an ageing population, a sedentary lifestyle and increasing consumption of unhealthy food, especially modern processed foods. Lack of opportunistic screening delays diagnosis while poor access to care and medicines, information asymmetry between doctors and patients, and a paucity of well-trained human resource, impede evidence-based management of diabetes.<br /><br /><em>Health promotion strategies <br /></em><br />Prevention remains central in halting the current pace of the diabetes epidemic. Our focus should be on both individual and policy-level interventions. Health promotion strategies should be aimed at maintaining normal body weight by improving physical activity and following a balanced and healthy diet. Evidence from the [international] Diabetes Prevention Program (DPP) shows that small reductions in weight by moderate-intensity activity of at least 150 minutes per week and reduced fat consumption on most days prevented progression to diabetes by 58 per cent among those with prediabetes.<br /><br />In general, brisk walking for at least 30 minutes a day and following a healthy diet every day which has at least 3-5 servings of locally available and inexpensive fruits and vegetables, and less refined sugar and saturated fat can prevent or postpone the occurrence of diabetes. Doing yoga may also help prevent diabetes; in individuals with diabetes, it may even help them have better control of blood sugar. In addition, every adult above 30 years should be screened for diabetes and hypertension during a planned or unplanned visit to a physician or hospital.<br /><br />Policy measures also call for reinforcement of health systems. Higher taxation on sugar-sweetened beverages and high fat junk foods and planning urban infrastructure to promote physical activity have become all the more imperative now.<br /><br />Diabetes is no longer a disease predominantly affecting the rich and is fast spreading to rural communities. The poor are even more vulnerable. Thus India has: a population where the number of people with diabetes has increased substantially over time and is set to continuously grow; a large number of people disabled by complications, and an equivalent number who are unaware of the condition.<br /><br />Early diagnosis and prevention is the key to control the disease and minimise the risk of disability. In this, we need a multi-pronged approach that involves collaboration among national leaders, clinicians, public health researchers and allied health professionals.<br /><em><br />Dr. D. Prabhakaran is an epidemiologist by training and the Vice-President, Research and Policy at the Public Health Foundation of India. </em><br /></div> </font> </td> </tr> <tr> <td> </td> </tr> <tr> <td height="50" style="border-top:1px solid #000; border-bottom:1px solid #000;padding-top:10px;"> <form><input type="button" value=" Print this page " onclick="window.print();return false;"/></form> </td> </tr> </table></body> </html>' } $reasonPhrase = 'OK'header - [internal], line ?? Cake\Http\ResponseEmitter::emitStatusLine() - CORE/src/Http/ResponseEmitter.php, line 148 Cake\Http\ResponseEmitter::emit() - CORE/src/Http/ResponseEmitter.php, line 54 Cake\Http\Server::emit() - CORE/src/Http/Server.php, line 141 [main] - ROOT/webroot/index.php, line 39
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In another 15 years, the figure is expected to rise to 101 million. In all this, more than 90 per cent of cases are lifestyle-induced.<br /> <br /> Individuals with diabetes do not have any symptoms for long periods of time and may have complications at the time of diagnosis. Common examples such as retinopathy (blindness), nephropathy (kidney disease), neuropathy (nerve damage) and diabetic foot (gangrene and amputations in extreme cases) affect a large proportion of individuals with diabetes. Approximately a third of those with diabetes are known to develop retinopathy. Diabetes is also known to increase the risk of cardiovascular diseases (heart attack and stroke); nearly half of those with diabetes die of heart attack. <br /> <br /> A bad lifestyle is what propels this epidemic while an inadequate response from the health system results in debilitating complications. The staggering increase of cases of diabetics and prediabetics has been attributed to lifestyle changes as a result of rapid and unplanned urbanisation, an ageing population, a sedentary lifestyle and increasing consumption of unhealthy food, especially modern processed foods. Lack of opportunistic screening delays diagnosis while poor access to care and medicines, information asymmetry between doctors and patients, and a paucity of well-trained human resource, impede evidence-based management of diabetes.<br /> <br /> <em>Health promotion strategies <br /> </em><br /> Prevention remains central in halting the current pace of the diabetes epidemic. Our focus should be on both individual and policy-level interventions. Health promotion strategies should be aimed at maintaining normal body weight by improving physical activity and following a balanced and healthy diet. Evidence from the [international] Diabetes Prevention Program (DPP) shows that small reductions in weight by moderate-intensity activity of at least 150 minutes per week and reduced fat consumption on most days prevented progression to diabetes by 58 per cent among those with prediabetes.<br /> <br /> In general, brisk walking for at least 30 minutes a day and following a healthy diet every day which has at least 3-5 servings of locally available and inexpensive fruits and vegetables, and less refined sugar and saturated fat can prevent or postpone the occurrence of diabetes. Doing yoga may also help prevent diabetes; in individuals with diabetes, it may even help them have better control of blood sugar. In addition, every adult above 30 years should be screened for diabetes and hypertension during a planned or unplanned visit to a physician or hospital.<br /> <br /> Policy measures also call for reinforcement of health systems. Higher taxation on sugar-sweetened beverages and high fat junk foods and planning urban infrastructure to promote physical activity have become all the more imperative now.<br /> <br /> Diabetes is no longer a disease predominantly affecting the rich and is fast spreading to rural communities. The poor are even more vulnerable. Thus India has: a population where the number of people with diabetes has increased substantially over time and is set to continuously grow; a large number of people disabled by complications, and an equivalent number who are unaware of the condition.<br /> <br /> Early diagnosis and prevention is the key to control the disease and minimise the risk of disability. In this, we need a multi-pronged approach that involves collaboration among national leaders, clinicians, public health researchers and allied health professionals.<br /> <em><br /> Dr. D. 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In another 15 years, the figure is expected to rise to 101 million. In all this, more than 90 per cent of cases are lifestyle-induced.<br /><br />Individuals with diabetes do not have any symptoms for long periods of time and may have complications at the time of diagnosis. Common examples such as retinopathy (blindness), nephropathy (kidney disease), neuropathy (nerve damage) and diabetic foot (gangrene and amputations in extreme cases) affect a large proportion of individuals with diabetes. Approximately a third of those with diabetes are known to develop retinopathy. Diabetes is also known to increase the risk of cardiovascular diseases (heart attack and stroke); nearly half of those with diabetes die of heart attack. <br /><br />A bad lifestyle is what propels this epidemic while an inadequate response from the health system results in debilitating complications. The staggering increase of cases of diabetics and prediabetics has been attributed to lifestyle changes as a result of rapid and unplanned urbanisation, an ageing population, a sedentary lifestyle and increasing consumption of unhealthy food, especially modern processed foods. Lack of opportunistic screening delays diagnosis while poor access to care and medicines, information asymmetry between doctors and patients, and a paucity of well-trained human resource, impede evidence-based management of diabetes.<br /><br /><em>Health promotion strategies <br /></em><br />Prevention remains central in halting the current pace of the diabetes epidemic. Our focus should be on both individual and policy-level interventions. Health promotion strategies should be aimed at maintaining normal body weight by improving physical activity and following a balanced and healthy diet. Evidence from the [international] Diabetes Prevention Program (DPP) shows that small reductions in weight by moderate-intensity activity of at least 150 minutes per week and reduced fat consumption on most days prevented progression to diabetes by 58 per cent among those with prediabetes.<br /><br />In general, brisk walking for at least 30 minutes a day and following a healthy diet every day which has at least 3-5 servings of locally available and inexpensive fruits and vegetables, and less refined sugar and saturated fat can prevent or postpone the occurrence of diabetes. Doing yoga may also help prevent diabetes; in individuals with diabetes, it may even help them have better control of blood sugar. In addition, every adult above 30 years should be screened for diabetes and hypertension during a planned or unplanned visit to a physician or hospital.<br /><br />Policy measures also call for reinforcement of health systems. Higher taxation on sugar-sweetened beverages and high fat junk foods and planning urban infrastructure to promote physical activity have become all the more imperative now.<br /><br />Diabetes is no longer a disease predominantly affecting the rich and is fast spreading to rural communities. The poor are even more vulnerable. Thus India has: a population where the number of people with diabetes has increased substantially over time and is set to continuously grow; a large number of people disabled by complications, and an equivalent number who are unaware of the condition.<br /><br />Early diagnosis and prevention is the key to control the disease and minimise the risk of disability. In this, we need a multi-pronged approach that involves collaboration among national leaders, clinicians, public health researchers and allied health professionals.<br /><em><br />Dr. D. 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The staggering increase of cases of diabetics and prediabetics has been attributed to lifestyle changes as a result of rapid and unplanned urbanisation, an ageing population, a sedentary lifestyle and increasing consumption of unhealthy food, especially modern processed foods. Lack of opportunistic screening delays diagnosis while poor access to care and medicines, information asymmetry between doctors and patients, and a paucity of well-trained human resource, impede evidence-based management of diabetes.<br /> <br /> <em>Health promotion strategies <br /> </em><br /> Prevention remains central in halting the current pace of the diabetes epidemic. Our focus should be on both individual and policy-level interventions. Health promotion strategies should be aimed at maintaining normal body weight by improving physical activity and following a balanced and healthy diet. Evidence from the [international] Diabetes Prevention Program (DPP) shows that small reductions in weight by moderate-intensity activity of at least 150 minutes per week and reduced fat consumption on most days prevented progression to diabetes by 58 per cent among those with prediabetes.<br /> <br /> In general, brisk walking for at least 30 minutes a day and following a healthy diet every day which has at least 3-5 servings of locally available and inexpensive fruits and vegetables, and less refined sugar and saturated fat can prevent or postpone the occurrence of diabetes. Doing yoga may also help prevent diabetes; in individuals with diabetes, it may even help them have better control of blood sugar. In addition, every adult above 30 years should be screened for diabetes and hypertension during a planned or unplanned visit to a physician or hospital.<br /> <br /> Policy measures also call for reinforcement of health systems. Higher taxation on sugar-sweetened beverages and high fat junk foods and planning urban infrastructure to promote physical activity have become all the more imperative now.<br /> <br /> Diabetes is no longer a disease predominantly affecting the rich and is fast spreading to rural communities. The poor are even more vulnerable. Thus India has: a population where the number of people with diabetes has increased substantially over time and is set to continuously grow; a large number of people disabled by complications, and an equivalent number who are unaware of the condition.<br /> <br /> Early diagnosis and prevention is the key to control the disease and minimise the risk of disability. In this, we need a multi-pronged approach that involves collaboration among national leaders, clinicians, public health researchers and allied health professionals.<br /> <em><br /> Dr. D. 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In another 15 years, the figure is expected to rise to 101 million. In all this, more than 90 per cent of cases are lifestyle-induced.<br /><br />Individuals with diabetes do not have any symptoms for long periods of time and may have complications at the time of diagnosis. Common examples such as retinopathy (blindness), nephropathy (kidney disease), neuropathy (nerve damage) and diabetic foot (gangrene and amputations in extreme cases) affect a large proportion of individuals with diabetes. Approximately a third of those with diabetes are known to develop retinopathy. Diabetes is also known to increase the risk of cardiovascular diseases (heart attack and stroke); nearly half of those with diabetes die of heart attack. <br /><br />A bad lifestyle is what propels this epidemic while an inadequate response from the health system results in debilitating complications. The staggering increase of cases of diabetics and prediabetics has been attributed to lifestyle changes as a result of rapid and unplanned urbanisation, an ageing population, a sedentary lifestyle and increasing consumption of unhealthy food, especially modern processed foods. Lack of opportunistic screening delays diagnosis while poor access to care and medicines, information asymmetry between doctors and patients, and a paucity of well-trained human resource, impede evidence-based management of diabetes.<br /><br /><em>Health promotion strategies <br /></em><br />Prevention remains central in halting the current pace of the diabetes epidemic. Our focus should be on both individual and policy-level interventions. Health promotion strategies should be aimed at maintaining normal body weight by improving physical activity and following a balanced and healthy diet. Evidence from the [international] Diabetes Prevention Program (DPP) shows that small reductions in weight by moderate-intensity activity of at least 150 minutes per week and reduced fat consumption on most days prevented progression to diabetes by 58 per cent among those with prediabetes.<br /><br />In general, brisk walking for at least 30 minutes a day and following a healthy diet every day which has at least 3-5 servings of locally available and inexpensive fruits and vegetables, and less refined sugar and saturated fat can prevent or postpone the occurrence of diabetes. Doing yoga may also help prevent diabetes; in individuals with diabetes, it may even help them have better control of blood sugar. In addition, every adult above 30 years should be screened for diabetes and hypertension during a planned or unplanned visit to a physician or hospital.<br /><br />Policy measures also call for reinforcement of health systems. Higher taxation on sugar-sweetened beverages and high fat junk foods and planning urban infrastructure to promote physical activity have become all the more imperative now.<br /><br />Diabetes is no longer a disease predominantly affecting the rich and is fast spreading to rural communities. The poor are even more vulnerable. Thus India has: a population where the number of people with diabetes has increased substantially over time and is set to continuously grow; a large number of people disabled by complications, and an equivalent number who are unaware of the condition.<br /><br />Early diagnosis and prevention is the key to control the disease and minimise the risk of disability. In this, we need a multi-pronged approach that involves collaboration among national leaders, clinicians, public health researchers and allied health professionals.<br /><em><br />Dr. D. Prabhakaran is an epidemiologist by training and the Vice-President, Research and Policy at the Public Health Foundation of India. </em><br /></div>' $lang = 'English' $SITE_URL = 'https://im4change.in/' $site_title = 'im4change' $adminprix = 'admin'</pre><pre class="stack-trace">include - APP/Template/Layout/printlayout.ctp, line 8 Cake\View\View::_evaluate() - CORE/src/View/View.php, line 1413 Cake\View\View::_render() - CORE/src/View/View.php, line 1374 Cake\View\View::renderLayout() - CORE/src/View/View.php, line 927 Cake\View\View::render() - CORE/src/View/View.php, line 885 Cake\Controller\Controller::render() - CORE/src/Controller/Controller.php, line 791 Cake\Http\ActionDispatcher::_invoke() - CORE/src/Http/ActionDispatcher.php, line 126 Cake\Http\ActionDispatcher::dispatch() - CORE/src/Http/ActionDispatcher.php, line 94 Cake\Http\BaseApplication::__invoke() - CORE/src/Http/BaseApplication.php, line 235 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Routing\Middleware\RoutingMiddleware::__invoke() - CORE/src/Routing/Middleware/RoutingMiddleware.php, line 162 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Routing\Middleware\AssetMiddleware::__invoke() - CORE/src/Routing/Middleware/AssetMiddleware.php, line 88 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Error\Middleware\ErrorHandlerMiddleware::__invoke() - CORE/src/Error/Middleware/ErrorHandlerMiddleware.php, line 96 Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65 Cake\Http\Runner::run() - CORE/src/Http/Runner.php, line 51</pre></div></pre>latest-news-updates/69-million-and-counting-d-prabhakaran-4679069.html"/> <meta http-equiv="Content-Type" content="text/html; charset=utf-8"/> <link href="https://im4change.in/css/control.css" rel="stylesheet" type="text/css" media="all"/> <title>LATEST NEWS UPDATES | …69 million and counting -D Prabhakaran | Im4change.org</title> <meta name="description" content=" -The Hindu In all this, more than 90 per cent of cases of diabetes are lifestyle-induced India is now in the midst of a diabetes epidemic, with an adult prevalence rate of nine per cent and almost 69 million people living with..."/> <script src="https://im4change.in/js/jquery-1.10.2.js"></script> <script type="text/javascript" src="https://im4change.in/js/jquery-migrate.min.js"></script> <script language="javascript" type="text/javascript"> $(document).ready(function () { var img = $("img")[0]; // Get my img elem var pic_real_width, pic_real_height; $("<img/>") // Make in memory copy of image to avoid css issues .attr("src", $(img).attr("src")) .load(function () { pic_real_width = this.width; // Note: $(this).width() will not pic_real_height = this.height; // work for in memory images. }); }); </script> <style type="text/css"> @media screen { div.divFooter { display: block; } } @media print { .printbutton { display: none !important; } } </style> </head> <body> <table cellpadding="0" cellspacing="0" border="0" width="98%" align="center"> <tr> <td class="top_bg"> <div class="divFooter"> <img src="https://im4change.in/images/logo1.jpg" height="59" border="0" alt="Resource centre on India's rural distress" style="padding-top:14px;"/> </div> </td> </tr> <tr> <td id="topspace"> </td> </tr> <tr id="topspace"> <td> </td> </tr> <tr> <td height="50" style="border-bottom:1px solid #000; padding-top:10px;" class="printbutton"> <form><input type="button" value=" Print this page " onclick="window.print();return false;"/></form> </td> </tr> <tr> <td width="100%"> <h1 class="news_headlines" style="font-style:normal"> <strong>…69 million and counting -D Prabhakaran</strong></h1> </td> </tr> <tr> <td width="100%" style="font-family:Arial, 'Segoe Script', 'Segoe UI', sans-serif, serif"><font size="3"> <div align="justify">-The Hindu<br /><br /><em>In all this, more than 90 per cent of cases of diabetes are lifestyle-induced<br /></em><br />India is now in the midst of a diabetes epidemic, with an adult prevalence rate of nine per cent and almost 69 million people living with diabetes. In another 15 years, the figure is expected to rise to 101 million. In all this, more than 90 per cent of cases are lifestyle-induced.<br /><br />Individuals with diabetes do not have any symptoms for long periods of time and may have complications at the time of diagnosis. Common examples such as retinopathy (blindness), nephropathy (kidney disease), neuropathy (nerve damage) and diabetic foot (gangrene and amputations in extreme cases) affect a large proportion of individuals with diabetes. Approximately a third of those with diabetes are known to develop retinopathy. Diabetes is also known to increase the risk of cardiovascular diseases (heart attack and stroke); nearly half of those with diabetes die of heart attack. <br /><br />A bad lifestyle is what propels this epidemic while an inadequate response from the health system results in debilitating complications. The staggering increase of cases of diabetics and prediabetics has been attributed to lifestyle changes as a result of rapid and unplanned urbanisation, an ageing population, a sedentary lifestyle and increasing consumption of unhealthy food, especially modern processed foods. Lack of opportunistic screening delays diagnosis while poor access to care and medicines, information asymmetry between doctors and patients, and a paucity of well-trained human resource, impede evidence-based management of diabetes.<br /><br /><em>Health promotion strategies <br /></em><br />Prevention remains central in halting the current pace of the diabetes epidemic. Our focus should be on both individual and policy-level interventions. Health promotion strategies should be aimed at maintaining normal body weight by improving physical activity and following a balanced and healthy diet. Evidence from the [international] Diabetes Prevention Program (DPP) shows that small reductions in weight by moderate-intensity activity of at least 150 minutes per week and reduced fat consumption on most days prevented progression to diabetes by 58 per cent among those with prediabetes.<br /><br />In general, brisk walking for at least 30 minutes a day and following a healthy diet every day which has at least 3-5 servings of locally available and inexpensive fruits and vegetables, and less refined sugar and saturated fat can prevent or postpone the occurrence of diabetes. Doing yoga may also help prevent diabetes; in individuals with diabetes, it may even help them have better control of blood sugar. In addition, every adult above 30 years should be screened for diabetes and hypertension during a planned or unplanned visit to a physician or hospital.<br /><br />Policy measures also call for reinforcement of health systems. Higher taxation on sugar-sweetened beverages and high fat junk foods and planning urban infrastructure to promote physical activity have become all the more imperative now.<br /><br />Diabetes is no longer a disease predominantly affecting the rich and is fast spreading to rural communities. The poor are even more vulnerable. Thus India has: a population where the number of people with diabetes has increased substantially over time and is set to continuously grow; a large number of people disabled by complications, and an equivalent number who are unaware of the condition.<br /><br />Early diagnosis and prevention is the key to control the disease and minimise the risk of disability. In this, we need a multi-pronged approach that involves collaboration among national leaders, clinicians, public health researchers and allied health professionals.<br /><em><br />Dr. D. Prabhakaran is an epidemiologist by training and the Vice-President, Research and Policy at the Public Health Foundation of India. </em><br /></div> </font> </td> </tr> <tr> <td> </td> </tr> <tr> <td height="50" style="border-top:1px solid #000; border-bottom:1px solid #000;padding-top:10px;"> <form><input type="button" value=" Print this page " onclick="window.print();return false;"/></form> </td> </tr> </table></body> </html>' } $cookies = [] $values = [ (int) 0 => 'text/html; charset=UTF-8' ] $name = 'Content-Type' $first = true $value = 'text/html; charset=UTF-8'header - [internal], line ?? Cake\Http\ResponseEmitter::emitHeaders() - CORE/src/Http/ResponseEmitter.php, line 181 Cake\Http\ResponseEmitter::emit() - CORE/src/Http/ResponseEmitter.php, line 55 Cake\Http\Server::emit() - CORE/src/Http/Server.php, line 141 [main] - ROOT/webroot/index.php, line 39
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$viewFile = '/home/brlfuser/public_html/src/Template/Layout/printlayout.ctp' $dataForView = [ 'article_current' => object(App\Model\Entity\Article) { 'id' => (int) 31002, 'title' => '…69 million and counting -D Prabhakaran', 'subheading' => '', 'description' => '<div align="justify"> -The Hindu<br /> <br /> <em>In all this, more than 90 per cent of cases of diabetes are lifestyle-induced<br /> </em><br /> India is now in the midst of a diabetes epidemic, with an adult prevalence rate of nine per cent and almost 69 million people living with diabetes. In another 15 years, the figure is expected to rise to 101 million. In all this, more than 90 per cent of cases are lifestyle-induced.<br /> <br /> Individuals with diabetes do not have any symptoms for long periods of time and may have complications at the time of diagnosis. Common examples such as retinopathy (blindness), nephropathy (kidney disease), neuropathy (nerve damage) and diabetic foot (gangrene and amputations in extreme cases) affect a large proportion of individuals with diabetes. Approximately a third of those with diabetes are known to develop retinopathy. Diabetes is also known to increase the risk of cardiovascular diseases (heart attack and stroke); nearly half of those with diabetes die of heart attack. <br /> <br /> A bad lifestyle is what propels this epidemic while an inadequate response from the health system results in debilitating complications. The staggering increase of cases of diabetics and prediabetics has been attributed to lifestyle changes as a result of rapid and unplanned urbanisation, an ageing population, a sedentary lifestyle and increasing consumption of unhealthy food, especially modern processed foods. Lack of opportunistic screening delays diagnosis while poor access to care and medicines, information asymmetry between doctors and patients, and a paucity of well-trained human resource, impede evidence-based management of diabetes.<br /> <br /> <em>Health promotion strategies <br /> </em><br /> Prevention remains central in halting the current pace of the diabetes epidemic. Our focus should be on both individual and policy-level interventions. Health promotion strategies should be aimed at maintaining normal body weight by improving physical activity and following a balanced and healthy diet. Evidence from the [international] Diabetes Prevention Program (DPP) shows that small reductions in weight by moderate-intensity activity of at least 150 minutes per week and reduced fat consumption on most days prevented progression to diabetes by 58 per cent among those with prediabetes.<br /> <br /> In general, brisk walking for at least 30 minutes a day and following a healthy diet every day which has at least 3-5 servings of locally available and inexpensive fruits and vegetables, and less refined sugar and saturated fat can prevent or postpone the occurrence of diabetes. Doing yoga may also help prevent diabetes; in individuals with diabetes, it may even help them have better control of blood sugar. In addition, every adult above 30 years should be screened for diabetes and hypertension during a planned or unplanned visit to a physician or hospital.<br /> <br /> Policy measures also call for reinforcement of health systems. Higher taxation on sugar-sweetened beverages and high fat junk foods and planning urban infrastructure to promote physical activity have become all the more imperative now.<br /> <br /> Diabetes is no longer a disease predominantly affecting the rich and is fast spreading to rural communities. The poor are even more vulnerable. Thus India has: a population where the number of people with diabetes has increased substantially over time and is set to continuously grow; a large number of people disabled by complications, and an equivalent number who are unaware of the condition.<br /> <br /> Early diagnosis and prevention is the key to control the disease and minimise the risk of disability. In this, we need a multi-pronged approach that involves collaboration among national leaders, clinicians, public health researchers and allied health professionals.<br /> <em><br /> Dr. D. Prabhakaran is an epidemiologist by training and the Vice-President, Research and Policy at the Public Health Foundation of India. </em><br /> </div>', 'credit_writer' => 'The Hindu, 10 April, 2016, http://www.thehindu.com/opinion/op-ed/about-90-per-cent-of-cases-of-diabetes-are-lifestyleinduced/article8455678.ece', 'article_img' => '', 'article_img_thumb' => '', 'status' => (int) 1, 'show_on_home' => (int) 1, 'lang' => 'EN', 'category_id' => (int) 16, 'tag_keyword' => '', 'seo_url' => '69-million-and-counting-d-prabhakaran-4679069', 'meta_title' => null, 'meta_keywords' => null, 'meta_description' => null, 'noindex' => (int) 0, 'publish_date' => object(Cake\I18n\FrozenDate) {}, 'most_visit_section_id' => null, 'article_big_img' => null, 'liveid' => (int) 4679069, 'created' => object(Cake\I18n\FrozenTime) {}, 'modified' => object(Cake\I18n\FrozenTime) {}, 'edate' => '', 'tags' => [ [maximum depth reached] ], 'category' => object(App\Model\Entity\Category) {}, '[new]' => false, '[accessible]' => [ [maximum depth reached] ], '[dirty]' => [[maximum depth reached]], '[original]' => [[maximum depth reached]], '[virtual]' => [[maximum depth reached]], '[hasErrors]' => false, '[errors]' => [[maximum depth reached]], '[invalid]' => [[maximum depth reached]], '[repository]' => 'Articles' }, 'articleid' => (int) 31002, 'metaTitle' => 'LATEST NEWS UPDATES | …69 million and counting -D Prabhakaran', 'metaKeywords' => 'Lifestyle diseases,Non-Communicable Diseases (NCDs),Cardiovascular Diseases,diabetes', 'metaDesc' => ' -The Hindu In all this, more than 90 per cent of cases of diabetes are lifestyle-induced India is now in the midst of a diabetes epidemic, with an adult prevalence rate of nine per cent and almost 69 million people living with...', 'disp' => '<div align="justify">-The Hindu<br /><br /><em>In all this, more than 90 per cent of cases of diabetes are lifestyle-induced<br /></em><br />India is now in the midst of a diabetes epidemic, with an adult prevalence rate of nine per cent and almost 69 million people living with diabetes. In another 15 years, the figure is expected to rise to 101 million. In all this, more than 90 per cent of cases are lifestyle-induced.<br /><br />Individuals with diabetes do not have any symptoms for long periods of time and may have complications at the time of diagnosis. Common examples such as retinopathy (blindness), nephropathy (kidney disease), neuropathy (nerve damage) and diabetic foot (gangrene and amputations in extreme cases) affect a large proportion of individuals with diabetes. Approximately a third of those with diabetes are known to develop retinopathy. Diabetes is also known to increase the risk of cardiovascular diseases (heart attack and stroke); nearly half of those with diabetes die of heart attack. <br /><br />A bad lifestyle is what propels this epidemic while an inadequate response from the health system results in debilitating complications. The staggering increase of cases of diabetics and prediabetics has been attributed to lifestyle changes as a result of rapid and unplanned urbanisation, an ageing population, a sedentary lifestyle and increasing consumption of unhealthy food, especially modern processed foods. Lack of opportunistic screening delays diagnosis while poor access to care and medicines, information asymmetry between doctors and patients, and a paucity of well-trained human resource, impede evidence-based management of diabetes.<br /><br /><em>Health promotion strategies <br /></em><br />Prevention remains central in halting the current pace of the diabetes epidemic. Our focus should be on both individual and policy-level interventions. Health promotion strategies should be aimed at maintaining normal body weight by improving physical activity and following a balanced and healthy diet. Evidence from the [international] Diabetes Prevention Program (DPP) shows that small reductions in weight by moderate-intensity activity of at least 150 minutes per week and reduced fat consumption on most days prevented progression to diabetes by 58 per cent among those with prediabetes.<br /><br />In general, brisk walking for at least 30 minutes a day and following a healthy diet every day which has at least 3-5 servings of locally available and inexpensive fruits and vegetables, and less refined sugar and saturated fat can prevent or postpone the occurrence of diabetes. Doing yoga may also help prevent diabetes; in individuals with diabetes, it may even help them have better control of blood sugar. In addition, every adult above 30 years should be screened for diabetes and hypertension during a planned or unplanned visit to a physician or hospital.<br /><br />Policy measures also call for reinforcement of health systems. Higher taxation on sugar-sweetened beverages and high fat junk foods and planning urban infrastructure to promote physical activity have become all the more imperative now.<br /><br />Diabetes is no longer a disease predominantly affecting the rich and is fast spreading to rural communities. The poor are even more vulnerable. Thus India has: a population where the number of people with diabetes has increased substantially over time and is set to continuously grow; a large number of people disabled by complications, and an equivalent number who are unaware of the condition.<br /><br />Early diagnosis and prevention is the key to control the disease and minimise the risk of disability. In this, we need a multi-pronged approach that involves collaboration among national leaders, clinicians, public health researchers and allied health professionals.<br /><em><br />Dr. D. 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In all this, more than 90 per cent of cases are lifestyle-induced.<br /> <br /> Individuals with diabetes do not have any symptoms for long periods of time and may have complications at the time of diagnosis. Common examples such as retinopathy (blindness), nephropathy (kidney disease), neuropathy (nerve damage) and diabetic foot (gangrene and amputations in extreme cases) affect a large proportion of individuals with diabetes. Approximately a third of those with diabetes are known to develop retinopathy. Diabetes is also known to increase the risk of cardiovascular diseases (heart attack and stroke); nearly half of those with diabetes die of heart attack. <br /> <br /> A bad lifestyle is what propels this epidemic while an inadequate response from the health system results in debilitating complications. The staggering increase of cases of diabetics and prediabetics has been attributed to lifestyle changes as a result of rapid and unplanned urbanisation, an ageing population, a sedentary lifestyle and increasing consumption of unhealthy food, especially modern processed foods. Lack of opportunistic screening delays diagnosis while poor access to care and medicines, information asymmetry between doctors and patients, and a paucity of well-trained human resource, impede evidence-based management of diabetes.<br /> <br /> <em>Health promotion strategies <br /> </em><br /> Prevention remains central in halting the current pace of the diabetes epidemic. Our focus should be on both individual and policy-level interventions. Health promotion strategies should be aimed at maintaining normal body weight by improving physical activity and following a balanced and healthy diet. Evidence from the [international] Diabetes Prevention Program (DPP) shows that small reductions in weight by moderate-intensity activity of at least 150 minutes per week and reduced fat consumption on most days prevented progression to diabetes by 58 per cent among those with prediabetes.<br /> <br /> In general, brisk walking for at least 30 minutes a day and following a healthy diet every day which has at least 3-5 servings of locally available and inexpensive fruits and vegetables, and less refined sugar and saturated fat can prevent or postpone the occurrence of diabetes. Doing yoga may also help prevent diabetes; in individuals with diabetes, it may even help them have better control of blood sugar. In addition, every adult above 30 years should be screened for diabetes and hypertension during a planned or unplanned visit to a physician or hospital.<br /> <br /> Policy measures also call for reinforcement of health systems. Higher taxation on sugar-sweetened beverages and high fat junk foods and planning urban infrastructure to promote physical activity have become all the more imperative now.<br /> <br /> Diabetes is no longer a disease predominantly affecting the rich and is fast spreading to rural communities. The poor are even more vulnerable. Thus India has: a population where the number of people with diabetes has increased substantially over time and is set to continuously grow; a large number of people disabled by complications, and an equivalent number who are unaware of the condition.<br /> <br /> Early diagnosis and prevention is the key to control the disease and minimise the risk of disability. In this, we need a multi-pronged approach that involves collaboration among national leaders, clinicians, public health researchers and allied health professionals.<br /> <em><br /> Dr. D. 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In another 15 years, the figure is expected to rise to 101 million. In all this, more than 90 per cent of cases are lifestyle-induced.<br /><br />Individuals with diabetes do not have any symptoms for long periods of time and may have complications at the time of diagnosis. Common examples such as retinopathy (blindness), nephropathy (kidney disease), neuropathy (nerve damage) and diabetic foot (gangrene and amputations in extreme cases) affect a large proportion of individuals with diabetes. Approximately a third of those with diabetes are known to develop retinopathy. Diabetes is also known to increase the risk of cardiovascular diseases (heart attack and stroke); nearly half of those with diabetes die of heart attack. <br /><br />A bad lifestyle is what propels this epidemic while an inadequate response from the health system results in debilitating complications. The staggering increase of cases of diabetics and prediabetics has been attributed to lifestyle changes as a result of rapid and unplanned urbanisation, an ageing population, a sedentary lifestyle and increasing consumption of unhealthy food, especially modern processed foods. Lack of opportunistic screening delays diagnosis while poor access to care and medicines, information asymmetry between doctors and patients, and a paucity of well-trained human resource, impede evidence-based management of diabetes.<br /><br /><em>Health promotion strategies <br /></em><br />Prevention remains central in halting the current pace of the diabetes epidemic. Our focus should be on both individual and policy-level interventions. Health promotion strategies should be aimed at maintaining normal body weight by improving physical activity and following a balanced and healthy diet. Evidence from the [international] Diabetes Prevention Program (DPP) shows that small reductions in weight by moderate-intensity activity of at least 150 minutes per week and reduced fat consumption on most days prevented progression to diabetes by 58 per cent among those with prediabetes.<br /><br />In general, brisk walking for at least 30 minutes a day and following a healthy diet every day which has at least 3-5 servings of locally available and inexpensive fruits and vegetables, and less refined sugar and saturated fat can prevent or postpone the occurrence of diabetes. Doing yoga may also help prevent diabetes; in individuals with diabetes, it may even help them have better control of blood sugar. In addition, every adult above 30 years should be screened for diabetes and hypertension during a planned or unplanned visit to a physician or hospital.<br /><br />Policy measures also call for reinforcement of health systems. Higher taxation on sugar-sweetened beverages and high fat junk foods and planning urban infrastructure to promote physical activity have become all the more imperative now.<br /><br />Diabetes is no longer a disease predominantly affecting the rich and is fast spreading to rural communities. The poor are even more vulnerable. Thus India has: a population where the number of people with diabetes has increased substantially over time and is set to continuously grow; a large number of people disabled by complications, and an equivalent number who are unaware of the condition.<br /><br />Early diagnosis and prevention is the key to control the disease and minimise the risk of disability. In this, we need a multi-pronged approach that involves collaboration among national leaders, clinicians, public health researchers and allied health professionals.<br /><em><br />Dr. D. 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…69 million and counting -D Prabhakaran |
-The Hindu
In all this, more than 90 per cent of cases of diabetes are lifestyle-induced India is now in the midst of a diabetes epidemic, with an adult prevalence rate of nine per cent and almost 69 million people living with diabetes. In another 15 years, the figure is expected to rise to 101 million. In all this, more than 90 per cent of cases are lifestyle-induced. Individuals with diabetes do not have any symptoms for long periods of time and may have complications at the time of diagnosis. Common examples such as retinopathy (blindness), nephropathy (kidney disease), neuropathy (nerve damage) and diabetic foot (gangrene and amputations in extreme cases) affect a large proportion of individuals with diabetes. Approximately a third of those with diabetes are known to develop retinopathy. Diabetes is also known to increase the risk of cardiovascular diseases (heart attack and stroke); nearly half of those with diabetes die of heart attack. A bad lifestyle is what propels this epidemic while an inadequate response from the health system results in debilitating complications. The staggering increase of cases of diabetics and prediabetics has been attributed to lifestyle changes as a result of rapid and unplanned urbanisation, an ageing population, a sedentary lifestyle and increasing consumption of unhealthy food, especially modern processed foods. Lack of opportunistic screening delays diagnosis while poor access to care and medicines, information asymmetry between doctors and patients, and a paucity of well-trained human resource, impede evidence-based management of diabetes. Health promotion strategies Prevention remains central in halting the current pace of the diabetes epidemic. Our focus should be on both individual and policy-level interventions. Health promotion strategies should be aimed at maintaining normal body weight by improving physical activity and following a balanced and healthy diet. Evidence from the [international] Diabetes Prevention Program (DPP) shows that small reductions in weight by moderate-intensity activity of at least 150 minutes per week and reduced fat consumption on most days prevented progression to diabetes by 58 per cent among those with prediabetes. In general, brisk walking for at least 30 minutes a day and following a healthy diet every day which has at least 3-5 servings of locally available and inexpensive fruits and vegetables, and less refined sugar and saturated fat can prevent or postpone the occurrence of diabetes. Doing yoga may also help prevent diabetes; in individuals with diabetes, it may even help them have better control of blood sugar. In addition, every adult above 30 years should be screened for diabetes and hypertension during a planned or unplanned visit to a physician or hospital. Policy measures also call for reinforcement of health systems. Higher taxation on sugar-sweetened beverages and high fat junk foods and planning urban infrastructure to promote physical activity have become all the more imperative now. Diabetes is no longer a disease predominantly affecting the rich and is fast spreading to rural communities. The poor are even more vulnerable. Thus India has: a population where the number of people with diabetes has increased substantially over time and is set to continuously grow; a large number of people disabled by complications, and an equivalent number who are unaware of the condition. Early diagnosis and prevention is the key to control the disease and minimise the risk of disability. In this, we need a multi-pronged approach that involves collaboration among national leaders, clinicians, public health researchers and allied health professionals. Dr. D. Prabhakaran is an epidemiologist by training and the Vice-President, Research and Policy at the Public Health Foundation of India. |