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LATEST NEWS UPDATES | Diabetic due to poverty -Maitri Porecha

Diabetic due to poverty -Maitri Porecha

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published Published on Oct 24, 2018   modified Modified on Oct 24, 2018
-The Hindu Business Line

How malnourished tribal adults come to have the ‘rich man’s disease’

About 50 km from Bilaspur town, a narrow road to the left leads to the Achanakmar Tiger Reserve in neighbouring Lormi district of Chhattisgarh. The Reserve is also home to 13,568 tribals in 40 hamlets inside the protected area.

As one ventures deeper into the jungles, paintings across walls of tribals’ homes hailing Chief Minister Raman Singh’s benevolence stare back at us. Painted in bold font beside the BJP’s lotus symbol are the words: “Ek Rupaiya Kilo Chaawal, Shauchalaya Ki Saugaat, Dr Raman Singh Zindabaad,” (One rupee a kilo rice and the blessing of a toilet, hail Dr Raman Singh). Singh is fondly referred to as Chaawal Wale Baba, in the region. The question is whether this has led to a rise in diabetes.

Sixty-year-old Bechain has walked 7 km barefoot from his hamlet Jakadbandha through thick forest to seek treatment for his soaring sugar levels at Jan Swasthya Sahyog’s sub-centre in Bamni village, inside Achanakmar Tiger Reserve; 3 km away, the government-run dispensary lies locked. Bechain looks scrawny and withered. He has been diabetic since he was 50. After he fainted suddenly, he sought to find out what was wrong, trying, in the bargain, Ayurvedic medicines too. Getting nowhere, he finally trekked to JSS’ hospital in Ganiyari, upto 60 km away from his home, where he was given a prick, his blood was tested and he was termed ‘diabetic.’ Since then he has been on insulin jabs. He knows how to take a jab on his own and comes to the Bamni sub-centre to collect his monthly dose. But he is not regular with his insulin. His sugar often hovers at 600 mg/dL, a dangerous threshold.

Diabetes of poverty

Economist and PDS researcher Reetika Khera, now at IIMA, says that it is hard to establish the correlation between subsidised rice and diabetes, as there is little data to suggest that the monthly consumption of 10 kg per capita has increased. Under the food security Act, the entitlement is 5 kg. “However, there can be no denying the need to supplement rice with coarse grains,” she says. The issue is not the incidence of diabetes per se, but the difficulties posed in terms of diagnosis and treatment in regions where health systems are abysmal.

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The Hindu Business Line, 22 October, 2018, https://www.thehindubusinessline.com/specials/india-file/diabetic-due-to-poverty/article25290200.ece


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