1. Diabetes as a Global Health Problem The IDF meets the Challenge By Prof. Morsi Arab IDF Chairman MENA Region Prof. Morsi Arab IDF Chairman MENA Region

11. MENA

14. Reported Incidence of Type1 Diabetes at the MENA Region per 100.000 population under 15 yrs ( Diabetes Atlas 2006) Afghanistan1.2 Algeria8.6 Bahrain2.5 Egypt8.0 Iran3.7 Iraq3.7 Jordan3.2 Kuwait 22.3 Lebanon 3.2 Libya 9.0 Morocco 8.6 Palestine 3.2 Oman 2.5 Pakistan 0.5 Qatar 11.4 Saudi Arabia 12.3 Sudan10.1 Tunisia 7.3 Emirates 2.5 Yemen 2.5

16. ِ At The MENA Region Prevalence of Diabetes is 9.2 % (age 20 -79) Prevalence of IGT …….is 8.1 % 24.5 millions with Diabetes & 22.4 with IGT out of the top 10 highest diabetes prevalence rate countries 6 are MENA countries Estimated death due to DM as % of all deaths is 11.5% ( 11.1% in Europe and 11.8 % in MENA )

17. Diabetes Mortality World wide = 3.2 millions die from complications associated with diabetes In the ME : ( with high prev. of diab.) one in 4 deaths in adults 35-64 years is related to diabetes

18. MENA

19. The pyramidal structure of the Egyptian population > 60 -60 -50 - 40 -30 -20 -10

23. Age Group 10 20 30 40 50 60

25. Western desert Eastern desert Saini Nubia

29. DIABETES IS PART OF THE WIDER HEALTH PROBLEM : THE METABOLIC SYNDROME 20-25 % of the world adult population have the metabolic syndrome ( MTS), and these are : - 5 times at risk to develop diabetes type 2 - 3 times likely to have a heart attack or stroke - twice likely to die

30. “Obesity” is always involved, or associated with all elements of the Metabolic Syndrome : But Which type of Obesity ?

32. “ Abdominal Obesity “ as measured by waist circumference is more indicative of the Metabolic Syndrome profile than increased BMI