In 2019, Pakistan ranked sixth globally for the prevalence of diabetes. The recent increase in the prevalence of diabetes in Pakistan is associated with lifestyle changes. Citizens have been adapting their diets due to the industrialization and economic development within the country.
Diabetes in Pakistan
Obesity increases the likelihood of developing diabetes. Experts at the Pakistan Diabetes Leadership Forum in 2014 cited dietary changes that include consuming more saturated fats and less fiber as a cause of increased obesity and diabetes. Physical inactivity associated with economic changes in the country also contributes to the increased pervasiveness of diabetes. These diabetic risk factors decrease both insulin sensitivity and glucose tolerance.
Estimates believe that more than 6.7 million people in Pakistan have diabetes, which equates to 7.6% of the overall population. Despite its prevalence, diagnosis and treatment of diabetes in Pakistan is still limited. Only half of the estimated cases have been formally diagnosed and half of those diagnosed receive treatment. Recognizing the need for better, more accessible treatment options, organizations are combatting diabetes in Pakistan.
Diabetic’s Institute of Pakistan
Diabetic’s Institute of Pakistan (DIP) was founded in 1996. It has become the “leading organization for diabetes management, treatment, education and counseling” in the country. DIP focuses on three main aspects of fighting diabetes: prevention, treatment and management. To date, DIP has helped more than 100,000 patients.
The facility runs a diabetes awareness program and publishes educational materials in both English and Urdu. DIP also provides counseling and consultation services. The organization focuses heavily on psychological services due to its belief in emotional strength and the importance of “hope and happiness” for successful prevention and treatment of diabetes. Mental health services include an all-day helpline and counseling services that deal with stress and anger management. More traditional counseling is also available through DIP.
World Diabetes Foundation Project WDF15-947
The World Diabetes Foundation (WDF) started Project WDF15-947 to make diabetes treatment more widely accessible, especially focused on helping low-income individuals and areas. WDF supports three treatment clinics in Islamabad and Rawalpindi through training and education initiatives.
Between 2015 and 2018, WDF trained more than 300 nurses, doctors and paramedics in proper prevention, diagnostic and treatment practices in order to better serve the needs of the communities. In the same three years, nearly 13,000 screening tests were conducted. Individuals diagnosed with diabetes were referred to diabetes specialists for proper treatment. WDF also undertook an awareness campaign that included billboards, media programs for both TV and newspapers and the distribution of educational materials about diabetes in Pakistan.
The Diabetes Centre
The Diabetes Centre (TDC) is a nonprofit organization in Islamabad. It aims to improve access to diagnostic screenings and treatment for diabetes in Pakistan by providing these services for free to low-income individuals. The organization has 12 clinics that respond to specific complications of the disease, such as kidney, cardiac and eye care facilities. Since 2014, TDC treated almost 112,000 patients, of which only around 30% had to pay for treatment.
Diabetes in Pakistan remains an issue with low awareness and limited access to diagnosis and treatment services. However, these three organizations as well as many others, are working to increase educational initiatives and make treatments more accessible to combat diabetes.
– Sydney Leiter