Advancing diabetes care, prevention and a cure worldwide Professor Martin Silink IDF President

Advancing diabetes care, prevention and a cure worldwide Since 1950 Associated with the United Nations Department of Public Information In official relations with the World Health Organization and Pan-American Health Organization IDF championed the UN Resolution on Diabetes (UN Resolution 61/225)

International Diabetes Federation What is the IDF? NGO with HQ in Brussels 203 national diabetes associations, 162 countries, over 2 million members Voice of diabetes globally (250 million) In official relations with WHO, UN (DPI) IDF championed the UN Resolution on Diabetes (UN Resolution 61/225)

A Federation of 203 national diabetes associations, 162 countries, over 2 million members Voice of diabetes globally (250 million)

International Diabetes Federation Since 1950 Associated with the United Nations Department of Public Information In official relations with the World Health Organization and Pan-American Health Organization IDF championed the UN Resolution on Diabetes (UN Resolution 61/225)

IDF Programs IDF Clinical Guidelines IDF Atlas (single congruent data source) IDF Centres of Diabetes Education IDF Life for a Child IDF World Diabetes Congresses UN World Diabetes Day Empower, Educate, Energise (Understand diabetes and take control)

IDF Programs IDF Clinical Guidelines IDF Atlas (single congruent data source) IDF Centres of Diabetes Education IDF Life for a Child IDF World Diabetes Congresses UN World Diabetes Day Empower, Educate, Energise (Understand diabetes and take control)

The UNR Campaign Top Down Bottom Up

The UNR Campaign Top Down Bottom Up

The Diabetes World

Advocacy A United Nations Resolution on diabetes

Diabetes is a chronic, debilitating and costly disease associated with severe complications

Diabetes poses risks to families, member states and the entire world

Diabetes poses challenges to the achievement of agreed development goals, including the MDGs

Increasing threat of NCDs NCDs

Diabetes Prevalence (20-79 yr) Qatar15.2%16.9% Bahrain15.2%17.0% UAE19.5%21.9% Saudi Arabia15.7%18.4% Kuwait14.4%16.4% Oman13.1%14.7% Yemen2.9%3.4% IDF Diabetes Atlas National prevalence estimates

Diabetes Prevalence (20-79 yr) Qatar 15.2% 16.9% Bahrain15.2% 17.0% UAE 19.5% 21.9% Saudi Arabia15.7% 18.4% Kuwait 14.4% 16.4% Oman13.1% 14.7% Yemen 2.9% 3.4% IDF Diabetes Atlas National prevalence estimates

Diabetes Mellitus A disease in its own right A risk factor for CVD

Diabetes Mellitus A disease in its own right A risk factor for CVD

Diabetes Complications Risk Blood Glucose Duration Blindness Kidney failure Neuropathy Cardio- Vascular disease Pregnancy complications Foetal complications Death Infections Amputations Diagnosis Of Diabetes

Diabetes Complications Risk Blood Glucose Duration Blindness Kidney failure Neuropathy Cardio- Vascular disease Pregnancy complications Foetal complications Death Infections Amputations Diagnosis Of Diabetes

Type 1Type 2 Insulin DeficiencyInsulin Resistance GDM

Diabetes Type 1Type 2 Insulin DeficiencyInsulin Resistance GDM 3% per year

Facts Diabetes is a chronic, debilitating and costly disease associated with severe complications, which poses severe risks for families, Member States and the entire world. UN Resolution 61/225. World Diabetes Day Every 5 seconds 1 person develops diabetes Every 10 seconds 1 person dies of diabetes Every 30 seconds a limb is lost to diabetes

Diabetes world has to be part of the solution Not just the problem

Diabetes world has to be part of the solution Not just the problem

Campaigning Over 1100 monuments in blue Extensive grass roots participation More children receiving care National campaigns to tackle DKA Global media coverage Significant involvement online

Jet dEau - Geneva European Parliament - Strasbourg

Jet dEau - Geneva European Parliament - Strasbourg

Aspire Tower, DohaKuwait Towers

Aspire Tower, DohaKuwait Towers

Q1Role of NGOs in Prevention and Control of NCDs Support for the WHO NCD Action Plan Global and regional networks of champions NGOs provide the link with the grass roots Empowering/educating/energizing the patient as part of treatment team Providing supporting programs – IDF Atlas for data – IDF Centres of Diabetes Education – IDF Clinical Guidelines IDF World Diabetes Congress (2011 in Dubai)

Q1- Role of NGOs in Prevention and Control of NCDs Support for the WHO NCD Action Plan Global and regional networks of champions NGOs provide the link with the grass roots Empowering/educating/energizing the patient as part of treatment team Providing supporting programs – IDF Atlas for data – IDF Centres of Diabetes Education – IDF Clinical Guidelines IDF World Diabetes Congress (2011 in Dubai)

Q2Role of Developmental Assistance in Prevention and Control of NCDs Provide multisectoral approach to obesity Control of tobacco, alcohol, trans-fat, energy- dense foods, salt, childrens soft drinks… Support partnerships with accredited NGOs Provide support for UN Special Session on NCDs Promote UNITAID-like approach to make essential NCD drugs available to all Support a comprehensive Global Fund for Health

Q2- Role of Developmental Assistance in Prevention and Control of NCDs Provide multisectoral approach to obesity Control of tobacco, alcohol, trans-fat, energy-dense foods, salt, childrens soft drinks… Support partnerships with accredited NGOs Provide support for UN Special Session on NCDs Promote UNITAID-like approach to make essential NCD drugs available to all Support a comprehensive Global Fund for Health

Q3Role of Primary Care in Prevention and Control of NCDs Systems change to Primary Care pivotal Primary Care needs to be supported by centres of expertise (diabetes in pregnancy, children, eye, kidney..) Integration of vertical programs into enhanced model of primary care IDF offers to assist in NCD education, standard setting and guideline development

Q3- Role of Primary Care in Prevention and Control of NCDs Systems change to Primary Care pivotal Primary Care needs to be supported by centres of expertise (diabetes in pregnancy, children, eye, kidney..) Integration of vertical programs into enhanced model of primary care IDF offers to assist in NCD education, standard setting and guideline development

Thank you

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