Friday, November 20, 2009

Impact of the diabetes epidemic is enormous

Last Updated Aug 2007



As I write my first article of 2007, the future does not look too bright for world health, according to results presented at the World Diabetes Conference in South Africa in December 2006. It was projected that worldwide incidence of type 2 diabetes will rise to 380 million by 2025. The current total of worldwide diabetes stands at 246 million and was only 30 million 20 years ago. More than 80 percent of the 2025 total will be in poor and middle-income countries that simply don't have the wealth to pay for the massive costs that come with diabetes. For example, in the United States each patient costs about $6,000 per year to treat. Nearly 50 percent of the worldwide treatment costs of diabetes are expended in the United States even though it has only 8 percent of the world's population. Currently there are about 20 million people with diabetes in the United States, but the 80 million diabetics in India and China dwarf this number. The World Health Organization reports that diabetes and the associated heart disease and strokes that come with it will be a major drag on world economic growth. It is estimated that by 2025, China will lose $500 billion in national income, and Russia will lose nearly $300 billion. These are costs that neither country is prepared to pay. Even more striking is the fact that the annual death toll related to diabetes is now estimated at 3.8 million. This is more than the worldwide death toll of HIV and malaria combined. As Martin Silink, the incoming president of the International Diabetes Federation, said, "This is an epidemic that seems to have crept up on people. The enormity of the epidemic has suddenly become apparent."

The irony is that this epidemic can be rapidly reversed by diet, specifically the Zone Diet. The most logical application of the Zone Diet in developing countries would be to use newly invented Zone rice and pasta that have the appropriate protein to carbohydrate ratio to reverse the hormonal cause (insulin resistance) of diabetes in the most cost-effective way. Our first clinical trials of this radical new dietary approach will start this year in the United States, and I hope the technology will go worldwide by the end of the decade.
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