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LATEST NEWS UPDATES | Malnourished but diabetic: An Atypical Form of ‘The Rich Man’s Disease’ is Spreading Among Chhattisgarh’s Tribals - Taran Deol

Malnourished but diabetic: An Atypical Form of ‘The Rich Man’s Disease’ is Spreading Among Chhattisgarh’s Tribals - Taran Deol

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published Published on Apr 6, 2023   modified Modified on Apr 6, 2023

Down to Earth

Nirasiya Bai’s three sons are used to their mother fainting every other week. Small pieces of shakkar (brown sugar) are now kept handy and placed swiftly under her tongue every time she is on the verge of collapsing. In March alone, three such incidents have occurred. The 52-year-old resident of Shivtarai village in Chattisgarh’s Bilaspur district is a diabetes patient. Nearly every other family in the village houses a diabetes patient like Nirasiya. ‘Sugar ki bimari’, what diabetes is colloquially referred to as, no longer has a unique ring to it.

The rise of non-communicable diseases (NCD), including diabetes, has been recognised as a problem area by the Indian government. What often remains amiss from this discourse is the penetration of such NCDs, typically argued to be lifestyle disorders of the affluent, in India’s tribal population. Case in point being Nirasiya Bai, belonging to the Gond community, a scheduled tribe recognised by the Union Ministry of Tribal Affairs.

In urban areas, diabetes mellitus is often associated with being overweight or obese. With a body mass index (BMI) of 17.1 kilogram / square metre — below what is considered to be the healthy range of 18.5-24.9 kg / m2 — Nirasiya does not fall in either of these categories. She has lean diabetes — a term first coined in 1965 by researchers from Odisha who described it as the “dual stress of intermittent starvation and overload on carbohydrate metabolism may be related to the atypical patterns of clinical diabetes”. This is the subset patients like Nirasiya belong to.

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Taran Deol, Down to Earth, 6 April, 2023, https://www.downtoearth.org.in/news/health/malnourished-but-diabetic-an-atypical-form-of-the-rich-man-s-disease-is-spreading-among-chhattisgarh-s-tribals-88601


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