• Back to basics for diabetes
    http://download.thelancet.com/pdfs/journals/lancet/PIIS0140673614609375.pdf?id=iaaJfyeNxgj2N6FNYGVzu

    Driving the increase in prevalence of type 2 diabetes is a change in human societies that has altered food production worldwide. Resource-intensive animal husbandry has increased, as has the further refinement of grains. Other changes in society have promoted urbanisation with greater access to highly processed, energy-dense foods and decreased physical activity.

    An inevitable consequence of the resulting obesogenic environment is the rapid increase in diabetes, which now affects 382 million people (a worldwide adult prevalence of 8·3%), the majority of whom are in low-income and middle-income countries. The number of individuals affected is predicted to approach 600 million by 2035. #Prevention is fundamental to managing the diabetes crisis.

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    The prevention of type 2 diabetes presents a complex challenge that involves both individual actions and external forces. Without a concerted society-wide effort to reduce risk factors and support individuals at risk, the burden of diabetes, health-care costs, and adverse population outcomes will inevitably increase. Like climate change, the rampage of type 2 diabetes challenges a society’s priorities: just how bad do things need to get before effective action is taken, knowing full well that each year’s delay condemns another 10 million people to diabetes?

    #diabète_sucré #santé #choix #société #alimentation #obésité