Tag: Diabetes

  • FG backs private sector innovation as hypertension, diabetes, heart disease climb

    FG backs private sector innovation as hypertension, diabetes, heart disease climb

    The federal government has reaffirmed that private sector–led health initiatives remain central to tackling Nigeria’s rapidly rising burden of hypertension, diabetes, and heart disease, conditions now undermining productivity and overwhelming households across the country.

    Speaking in Abuja on Thursday at the 9th Abuja Cardiovascular Symposium on Thursday, the Coordinating Minister of Health and Social Welfare, Prof. Ali Pate, warned that the surge in non-communicable diseases is both a medical and economic emergency.

    He said global evidence shows non-communicable diseases now account for 75 percent of non-pandemic-related deaths worldwide, a trend already reflected in Nigeria’s health indicators.

    Represented by Dr Ahmed Mohammad, the Director of Non-Communicable Diseases at the Ministry, Pate said turning the tide requires a combination of government reforms and strong private-sector innovation.

    He noted that while Nigeria continues to fight infectious diseases, non-communicable conditions are “taking centre stage globally,” with hypertension, diabetes, and heart disease driving widespread disability, financial hardship, and premature mortality.

    Citing World Health Organization (WHO) data, he said non-communicable diseases cause an estimated 43 million deaths globally each year, including 19 million from cardiovascular diseases and 10 million from cancer.

    He added that 82 percent of premature deaths occur in low- and middle-income countries, underscoring why Nigeria must act urgently.

    By 2018, he said non-communicable diseases accounted for 29 percent of all deaths in Nigeria, with cardiovascular diseases responsible for the largest share.

    Pate said the government is prioritising prevention as the country’s most effective line of defence, paired with stronger diagnostics, improved primary health care, and local manufacturing of essential health tools.

    He outlined active national policies, including updated hypertension and diabetes treatment guidelines, the National Tobacco Control Act, the National Alcohol Policy, sodium reduction guidelines, and fiscal measures discouraging harmful consumption.

    He said public awareness campaigns encouraging Nigerians to check their blood pressure, blood sugar, and cholesterol regularly are also being expanded nationwide.

    Commending the Limi Cardiovascular and Multi-Specialty Hospital for hosting the symposium, Pate stressed the importance of deeper public-private collaboration.

    “The role of the private health sector is pivotal. And together, we will continue to jointly build a health care and more prosperous Nigeria,” he said.

    Consultant physician and cardiologist, Dr. Mariam Inuwa of Cardiocare Multispecialty Hospital, said the symposium was organised to bridge critical knowledge gaps within the health workforce.

    “We want to reach out to the nurses, the doctors, anybody in the healthcare system. We want to let them understand what hypertension is all about, what diabetes is all about, and heart diseases,” she said.

    She lamented that too many Nigerians remain unaware of their health status, and even those diagnosed often struggle to access proper care.

    “A lot of people don’t know their numbers… Even those who know how to get good care, how to be investigated properly, and be on the right medications, knowing how to manage them is another thing,” she said.

    She warned that uncontrolled hypertension can result in stroke, heart failure, and kidney disease, conditions that are difficult and expensive to treat.

    She urged Nigerians to prioritise prevention, saying, “Let’s control hypertension. Let’s control diabetes. Let’s control cholesterol. Let’s have a good lifestyle, diet, lifestyle modification, and exercise.

    Dr. Inuwa also noted that several advanced cardiovascular procedures Nigerians often travel abroad for, such as coronary angiography, device implantation, and interventions for peripheral arterial disease, are now available locally.

    “You don’t have to travel outside the country to get these procedures done,” she said.

    She called for more financial support for indigent patients, noting that medical missions and philanthropists have helped fund many life-saving surgeries. “We need more help, especially for those who really can’t afford it,” she said.

    Chief Executive of the Limi Hospital Group and consultant interventional cardiologist, Dr. Iseko Iseko, said Nigeria’s life expectancy will not improve without decisive action on cardiovascular disease.

    “Nigeria currently sits at the lower rungs of the ladder in terms of life expectancy worldwide. But this can change because cardiovascular disease plays a very big role,” he noted.

    He described the symposium as the largest medical gathering of its kind in Nigeria, saying, “It gathers over 1,000 healthcare workers who are committed to the healthcare of Nigerians, especially in cardiovascular health. This year, we are looking at hypertension, diabetes, and heart disease.

    Dr. Iseko added that the symposium equips health workers with critical life-saving skills, from improved diagnosis to advanced cardiac life support.

    He said Nigeria must adopt global best practices adapted to local realities. “We are trying to make what is happening globally… local, easy to access,” he said.

    He stressed that every Nigerian, regardless of income or location, must be able to access timely cardiovascular care.

    “We want to see that for the common man around the village, if they have a heart attack, they can get diagnosed, they can get care, and they can get access to the highest level of care,” he said.

  • Delivering diabetes care to the underserved in Ondo

    Delivering diabetes care to the underserved in Ondo

    World Diabetes Day may have come and gone, but for residents of Bolorunduro, Owena, Fagbo, Kajola, and surrounding villages in Ondo East Local Government of Ondo State, the memory lingers like a warm glow. On that day, quality healthcare—often an unreachable luxury—arrived at their doorstep through a free medical outreach organised by the youth-led Medical Aid and Advocacy for the Vulnerables Foundation (MAAVF).

    Founded three years ago by Dr. Modesire Akinbogun, then just 18, and her co-founder Mofeoluwa Akinbogun, now a medical student at the University of Wisconsin, MAAVF has quickly grown from a small idea into a force for good. With more than ten medical outreaches and over 3,000 beneficiaries so far, the organisation remains steadfast in its mission to expand healthcare access to underserved Nigerian communities.

    Rural healthcare in Ondo faces stark challenges: few facilities, scarce health workers, and unaffordable treatment. Fully aware of these realities, Dr. Modesire and her team left Akure on World Diabetes Day for Bolorunduro, a 35-minute journey. Days earlier, radio jingles had invited villagers, who responded enthusiastically, trooping to the Civic Centre for what many described as a rare opportunity.

    Partnering with medical students from the Federal University of Technology, Akure, the team screened all participants, dispensed medications, offered consultations, and arranged referrals for critical cases. “We are here to commemorate World Diabetes Day with a free outreach focusing on early detection,” Dr. Modesire explained. “This isn’t just a one-day programme. Patients with dangerously high blood sugar will receive continuous care, including medications and tests for at least six months.”

    Funding for the outreach comes largely from donors, particularly her parents, Prof. Tolulope and Dr. Olubukola Akinbogun, as well as supportive partners and community elders. Past outreaches revealed startling realities: many participants had dangerously high blood sugar without knowing it, while others could not afford treatment. One patient supported last year died before follow-up, a loss that shaped this year’s strategy. “This programme is intentional—carefully planned and driven by passion and purpose,” she said.

    Read Also: Nigerian scientist charts fast-track for herbal diabetes treatment

    The outreach extended beyond medical care. Secondary school students were invited as “change agents”, receiving health education on diabetes, encouraged to share knowledge with their families, and given motivational talks on career aspirations. “Many students here drop out, believing education has no future. We want to challenge that mindset,” Dr. Modesire said. An essay competition with cash prizes—N150,000 for first place, N100,000 for second, and N75,000 for third—was also announced to raise diabetes awareness. This year, MAAVF aims to reach up to 500 people. Bolorunduro was chosen for its central location, surrounded by multiple villages, ensuring broad access. Follow-up programmes in schools and communities are planned to sustain the momentum.

    For Prof. Tolulope Akinbogun, the initiative reflects both charity and cultural grounding. “We are here to give back. Ignorance is a big disease, and many die for lack of knowledge. Detecting diabetes early should be seen as an opportunity, not a death sentence,” he said. The Executive Chairman of Ondo East LGA, Fola Joshua Ogunduyilemi, described the programme as “laudable and humanitarian,” promising government support for patients needing follow-up care. Prof. Sunday Robert Ogunduyile, former Vice Chancellor of OAUSTECH, commended the turnout and urged communities to embrace such initiatives while calling on government to address the ongoing healthcare workforce crisis exacerbated by the “japa” phenomenon.

  • Internal Medicine Specialist warns of rare diabetes complication linked to SGLT2 inhibitors

    Internal Medicine Specialist warns of rare diabetes complication linked to SGLT2 inhibitors

    Nigerian internal medicine specialist Dr. Jerry Adeyemo, based in Germany, has warned about a rare but serious complication associated with SGLT2 inhibitors, a widely used class of drugs for managing Type 2 diabetes.

    Dr. Adeyemo’s study focuses on a 63-year-old male patient with Type 2 diabetes and cardiovascular disease who developed euglycemic diabetic ketoacidosis, euDKA, a life-threatening condition that can occur even when blood sugar levels appear normal.

    Dr. Adeyemo explains: “Diabetic ketoacidosis, DKA, is a dangerous condition where the body, unable to properly utilize glucose due to insufficient insulin, starts breaking down fats for energy.

    “This process leads to an excessive buildup of ketones, making the blood acidic and causing severe metabolic imbalances.”

    “Unlike typical DKA, which is associated with extremely high blood sugar levels, euDKA can develop even when glucose levels appear normal, making diagnosis more challenging.

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    “The patient, who had been prescribed empagliflozin, an SGLT2 inhibitor, experienced nausea, abdominal pain, fatigue, and mild shortness of breath. Despite well-controlled blood sugar levels, lab tests revealed severe metabolic acidosis (pH 7.22) and elevated ketone levels, confirming euDKA.”

    Dr. Adeyemo warns: “The absence of extreme hyperglycemia delayed diagnosis, emphasizing the need for heightened clinical awareness.

    SGLT2 inhibitors, such as empagliflozin, have revolutionized diabetes treatment by lowering blood sugar and providing cardiovascular and kidney benefits. However, as Dr. Adeyemo’s report highlights, they also carry the risk of euDKA, a complication that can be easily overlooked.

    He advised: “Clinicians must maintain a high index of suspicion for metabolic acidosis in patients on these medications.”

    He also urges healthcare providers to educate patients on recognizing early symptoms, such as nausea, excessive thirst, confusion, and rapid breathing, to prevent severe complications.

    Also, Dr. Adeyemo is actively working to bridge the knowledge gap between diabetes and heart disease. His published book, “Diabetes and Cardiovascular Diseases: Your Guide to Health and Wellness,” co-authored with a Nigerian cardiologist in Germany, offers comprehensive insights into diabetes management and associated risks.

    Additionally, his book, “The ABC of Hypertension,” simplifies high blood pressure management for the general public, addressing a condition that disproportionately affects diabetic and heart disease patients.

    Recognizing EuDKA: Symptoms like nausea, abdominal pain, and fatigue in diabetic patients on SGLT2 inhibitors should raise concern.

    Risk factors: Dehydration, infections, surgery, and reduced insulin doses can trigger euDKA.

    Balancing benefits and risks: While SGLT2 inhibitors offer cardiovascular and renal benefits, patients must be carefully selected and monitored.

    Dr. Adeyemo’s work continues to ensure better health outcomes by raising awareness of potential diabetes complications and the need for careful medication management.

  • Foundation holds free Diabetes screening in Iba

    Foundation holds free Diabetes screening in Iba

    • By Rofiat Aderounmu

    The Gokeville Diabetes Foundation (GDF) has held a free screening in Iba Local Council Development Area, Lagos to mark the World Diabetes Day.

    According to its President, Goke Adesanya, Isashi Town was venue for this year’s event.

    Adesanya said it was to improve the lives of people living with diabetes by providing free access to doctors, medication, education, A1C testing, and support groups.

    “The foundation’s vision is to increase life expectancy for individuals affected by diabetes and to reach 5,000 people by the end of 2025. GDF focuses on creating programmes for the uninsured or the underinsured, offering short-term and long-term medication assistance,” he said.

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    GDF Secretary Damilola Balogun said: “We launched our very first outreach on November 14, at Isashi Town Hall, connecting with hundreds of people to test and educate them about diabetes. This will be the first of many outreaches and I’m looking forward to many more in the near future.”

    The foundation’s Vice President for Market and Operations, Ayoola Nana, assured Lagosians of more outreaches in the coming months.

  • Lagos warns against late detection of diabetes

    Lagos warns against late detection of diabetes

    In commemoration of World Diabetes day, the Lagos State Health District IV has organised a free medical outreach for residents aged 18 and above across Yaba, Lagos Island, Lagos Mainland and Surulere local government areas.

    This initiative is in continuation of Project 10 million, a medical outreach project organised by the Nigerian Governors Forum, to screen 10 million Nigerians for diabetes, hypertension and body mass index.

    The Permanent Secretary, Lagos State Health District IV, Dr Abimbola Bowale, while discussing the risks of late detection of Diabetes, urged the participants to know their status and take proactive steps.

    “World Diabetes Day is to bring attention to one of the chronic diseases that can damage a human body, especially if not detected early. The aim of this awareness we are doing today is to offer free treatment and get people to check their blood sugar levels. It is important that we all check our blood sugar levels at least once in a year,” he said

    At the event held at Yaba Local Government area and other health districts in Lagos State, participants were educated about the different types of diabetes, the significance of knowing their health status and the common misconceptions about the disease. They also received on-the-spot testing for their diabetes status.

    Read Also: Senate passes Bill to empower RMAFC to monitor Federation Account

    While addressing the attendees, the Director of Medical Disease Control, Lagos State Health District IV, Dr Oludolapo Sotunde, noted that the outreach is an effort of the Lagos State government’s effort to help resident understand their diabetes status.

    “This is an effort of Lagos State Government to commemorate the World Diabetes Day, an annual event of the World Health Organization (WHO) to create awareness about diabetes, We are helping people be in the know of their health status, and keeping their sugar level in the normal range,” she said.

    Dr Sotunde implored attendees to attend similar events in the nearest future.

    Ayoade Olusola, a registered dietician who led an educational segment during the program, recommended that Nigerians seek professional help when they are sick rather than self-medicate.

    “I want to encourage people to see the right professionals before taking any treatment step. Self-diagnosis might take long or forever before one notices that they have the ailment, and it might be too late. I also want to urge everyone to eat healthy; diabetes can arise as a result of poor lifestyle choices,” she advised.

    A participant,  Basirat Adaranijo, said: “This event is an eye opener for many people here today, a lot of us live with the ailment are unaware. We have realised that diabetes is not just for old people. Even a toddler can get it”, she said.

  • World Diabetes Day: Advocates seek urgent equal treatment, cost management federal action

    World Diabetes Day: Advocates seek urgent equal treatment, cost management federal action

    The Network of Persons Living with Diabetes in Nigeria (NPLDN) has urged the government to prioritise diabetes management, equating its importance to that of malaria, tuberculosis, and HIV. 

    The group has also called for immediate government intervention to tackle the alarming rise in diabetes cases across the country, by increasing the tax on sugar-sweetened beverages (SSBs), with the generated revenue directed towards addressing diabetes-related challenges, among other steps.

    Speaking during a World Diabetes Day 2024 advocacy march in Abuja, Comrade Bernard Enyia, Vice President II of the Diabetes Association of Nigeria and National Coordinator of NPLDN, emphasized the urgency of providing equitable, affordable, and quality treatment for diabetes patients. 

    Enyia, a Type 2 diabetes patient, highlighted the theme for this year’s World Diabetes Day, ‘Diabetes and Wellbeing’, as a rallying cry to improve the prevention, diagnosis, and management of diabetes.

    While condemning the inequity in healthcare policies, Enyia pointed out that while patients with HIV, tuberculosis, and malaria receive free medical services, diabetes patients face catastrophic out-of-pocket expenses. 

    According to him, diabetes impacts both the physical and mental well-being of millions of people with diabetes and this segment of the population faces daily challenges managing their condition at home, workplaces and school.

    Decrying a situation where persons with diabetes suffer stigma and discrimination with ignominy and are treated like inferior citizens of the country, he said: “Those living with HIV, Leprosy, Tuberculosis, neglected tropical diseases to mention a few received free medical services including free test and drugs, mosquitoes treated bed nets are distributed to citizens at the comfort of their homes but those of us with diabetes suffer untold economic hardship, paying catastrophic out of pockets expenditures to the last kobo.

    “This is unfair and totally against SDGs Goal 3, there is no equity and until the government balances the equation we will continue to remain marginalized and underserved against SDG goals 3 and 10”.

    He stressed that prioritising the physical and mental health of Nigerians living with the condition requires effective implementation of fiscal health policies, noting that the International Diabetes Federation (IDF), reported over 11.2 million Nigerians living with diabetes, more than half of whom are undiagnosed.

    In 2021 alone, the condition caused 48,375 deaths and incurred $1.81 billion in healthcare costs with Non-communicable diseases (NCDs), including diabetes, accounting for 29% of all deaths in Nigeria annually. 

    Excessive sugar-sweetened beverages (SSBs) consumption is strongly linked to obesity, Type 2 diabetes, hypertension, and cardiovascular diseases, even as Nigeria ranks as Africa’s top consumer of SSBs and the seventh-highest globally.

    “Diabetes doesn’t only affect physical health; it also impacts mental well-being.

    “More than one in three people with diabetes experience distress, while over 60% report anxiety, depression, or fear of complications. The focus of care often remains on blood sugar control, leaving many patients feeling overwhelmed,” he pointed out.

    While lamenting the soaring costs of diabetes management, which have pushed many patients to the brink of financial ruin, Enyia said insulin prices have skyrocketed, with Lantus insulin increasing from ₦3,500 in 2022 to ₦75,000 in 2024.

    Noting that glucometers, test strips, and blood sugar tests have become prohibitively expensive, he said, “The current insulin crisis has forced many patients to resort to substandard alternatives, increasing their risk of complications and avoidable deaths. 

    “Despite this, Nigeria’s current SSB tax is only 1.67% of the retail price, far below the World Health Organization’s (WHO) recommended 20%”. 

    In their call to action, the advocates urged the government to raise the SSB tax to 39% (₦130 per litre), stressing that the measure could generate ₦729 billion annually, which could be channelled into healthcare interventions. 

    “This SSB tax, if channelled into diabetes care can lead to the attainment of the five global diabetes coverage targets by 2030 whereby 80 percent of people living with diabetes are diagnosed; 80 percent of people with diagnosed diabetes have good control of glycaemia; 80 percent of people with diagnosed diabetes have good control of blood pressure; 60 percent of people with diabetes of 40 years or older receive statins; and 100 percent of people with diabetes have access to affordable insulin and blood glucose self-monitoring.

    “The Federal Government of Nigeria has the potential to improve the well-being of people living with diabetes and other NCDs by raising sugar drinks tax from N10:00 per litre to N130:00 per litre as an appropriate strategy of discouraging excessive SSB consumption, reducing loss of productivity from chronic illnesses, generating revenue for the government and lowering healthcare costs.

    “Urgent action is needed to prioritise the well-being of Nigerians living with diabetes. This is not just about numbers; it’s about saving lives and securing our nation’s future.” 

    “The federal government must act decisively to prevent further economic and social fallout from this growing health crisis”.

  • WHO calls for urgent action against rising diabetes in Africa

    WHO calls for urgent action against rising diabetes in Africa

    …as continental prevalence surges towards 54 million

    As Africa faces a significant rise in diabetes cases, the World Health Organization (WHO) has issued a warning about the urgent need for action to combat this “silent killer.”

    According to the Global Health Organization, over 24 million adults in Africa are currently living with diabetes, with half of them unaware of their condition.

    The situation is becoming increasingly urgent, as diabetes prevalence is projected to more than double to 54 million by 2045.

    The growth, according to reports is the highest projected increase worldwide, stemming from multiple factors such as rapid urbanization, sedentary lifestyles, and poor diet.

    WHO stated that notably, Africa has the lowest rate of investment in diabetes care worldwide, with just 1% of the region’s health expenditure allocated to addressing the chronic disease.

    If unchecked, the disease could bring devastating health and economic impacts to the region, straining health systems and resulting in catastrophic out-of-pocket costs for individuals.

    The WHO Regional Director for Africa, Matshidiso Moeti, noted that African health systems traditionally focused on combating infectious diseases thereby ill-equipped to manage the complexities of chronic conditions like diabetes, which require continuous care, medication, and lifestyle adjustments.

    In a statement to mark this year’s World Diabetes Day theme ‘Breaking Barriers, Bridging Gaps’, Moeti underscored the urgent need for health system reforms by African governments and global development partners to address the growing diabetes burden in Africa with a push for innovative, community-based solutions.

    She stated that, in August 2024, the WHO Regional Committee for Africa endorsed the Framework for the Implementation of the Global Diabetes Compact (GDC) to support this objective.

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    The framework provides a roadmap for African nations to enhance diabetes care and prevention within their primary health care systems, aiming to strengthen early diagnosis, increase access to essential medications, and prioritize community outreach, she said.

    Stressing the need for a holistic response, involving individuals, communities, and governments alike, she said: “On World Diabetes Day today, I urge individuals, communities, governments, health workers, policymakers, and civil society organizations to join hands and act now.

    “For individuals, prioritize healthy lifestyle, and if you’re already living with diabetes, have regular medical check-ups.

    “Communities can play their role by creating supportive environments that promote healthy living, reduce stigma, and provide access to affordable diabetes care and education.

    “For governments, we commit our full support to your efforts to implement policies that enhance access to essential medicines, strengthen primary health care systems, and foreground investment in diabetes prevention and care.

    “Strengthening diabetes control in the African region demands that we address key gaps, including myths and misconceptions about diabetes, fragile primary health care systems, and insufficient capacity and training of health care workers. 

    “Together, let us all commit to breaking down the barriers and addressing the gaps, by raising awareness, spreading knowledge, and creating lasting change for everyone in Africa affected by diabetes.

  • Revolutionary drugs

    Revolutionary drugs

    The United States has developed new classes of drugs that could change civilisation, and Nigeria should not be left out.

    What is regarded as a miracle in one age is simply a routine in another. Medicine and technology have guaranteed this fact. For instance, the ability to fly across continents in an aircraft was a marvel for supernatural witchcraft until the 20th century. The discovery of penicillin and other antibiotics tackled infections, syphilis, meningitis, wounds and eased surgeries, many of which were death sentences. Hence some philosophers have asserted that many of the world’s problems were within the reach of humans to solve.

    As humanity evolves with disruptive inventions and discoveries, idealists think up new worlds. We are experiencing one today by way of new classes of drugs known as GLP-1 receptor agonists. The development of these classes of drugs has been in the works for about two decades, but the world, beginning with the United States, is beginning to see the effects of these drugs that medics are describing as the everything drugs.

    They began with the treatment of diabetes; then they are shrinking the obese. Now they are known to treat cardiovascular and kidney diseases. There is hope that they will defeat Alzheimer’s and addiction. One of the drugs in these classes is known as Semaglutide and it has been doing wonders against obesity. One in eight Americans are on the drug. One of the pharma companies, Novo Nordisk, makes Semaglutide. It also has Ozempic for diabetes and Wegovy for weight loss. Eli Lilly, another firm, sells tirzepatide, also for weight loss.

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    According to the Economist magazine, just these two firms and their drugs accounted for about $1 trillion in market value in 2021. With these everything drugs, we may be on the cusp of a revolutionary time for human triumph not only over diseases, but over the definition of the good life. For instance, its handling of obesity, diabetes, Alzheimer’s and addiction could redefine the meaning of addiction. Addiction may attract derision as a moral weakness or collapse but just a biological and curable condition. No more cocaine addict, opioid addict, alcohol addict, but conditions that require a pill and a time with a doctor or a monitoring nurse.

    It is a call to our ministry of health and top medical experts in the country to tap into this trend. It had been a United States phenomenon for years. Now other countries are joining. China, the United Kingdom and even Brazil are opening up to enjoy this refreshing medical facility.

    But it is not the exclusive of the west to develop this sort of medical revolution. Their advantage is their ability to create conducive environment for ingenuity, including a reward system. In the southwest of Nigeria, there has been a herbal mixture named ‘Gbogbonse’, which also means everything drug. It is known to cure a wide range of human illnesses. But it has remained on the fringes of medical discourse and even application.

    When the white man came to West Africa, especially after they came to settle for colonialism, many of them died from malaria, so much so that the region was called “the white man’s grave.” Then one Doctor Baikie developed quinine in the 19th century, and that made life easy for his folks. But the locals had been tackling mosquitoes for ages with local herbs. It is those herbs that the doctor manipulated to develop his quinine, which is the root of malaria treatments today. For instance, many Nigerians treated malaria with ‘dogonyaro’ leaves, which was boiled and drunk without a standard of dosage.

    Just like ‘Gbogbonse’, the new classes of drugs are not plucked from the American sky. They were extracted from herbs. The GLP-1 drugs, for instance, have shown from statistics to chasten the chances of opioid overdose and cannabis and alcohol abuse. One of the downsides to the drugs, like most medications, is that they have side effects. Another weakness is that patients may have to use them their whole lives. Three, it is also expensive to get any of them. Tirzepatide costs a whopping $500 a month. Another failing is what sociologists call the medicalisation of everyday life, which means permissive lifestyle may be normalised because there is always a medication to return the person to good health. The side effects include nausea, pancreatitis, diarrhoea and muscle loss. Diabetes, Alzheimer’s, heart disease and kidney disease have ranked among the top killers. Hence these classes of drugs have started the whispers about their ability for longevity. As the Economist, wrote, “as the contraceptive pill encouraged women to stay in education and work, so GLP-1 drugs could lead to profound economic and social change by enhancing productivity and freedom.”

    Our policy makers ought to key into this new medical development, although much of the work is still going on and the range of its applicability is still speculative. What is known already is stunning. As the drugs get cheaper, and they will eventually, our people should benefit from them. Time to start work on having them in this country is now, while we investigate how we can domesticate this genius and make our own variants for our own people.

  • Lagos launches free screening exercise to tackle hypertension, diabetes

    Lagos launches free screening exercise to tackle hypertension, diabetes

    The Lagos State Government has launched a state-wide free screening for hypertension and diabetes for residents, an initiative under the Nigeria Governors’ Forum nationwide ‘10 Million Project’ campaign aimed at addressing the silent killers of hypertension and diabetes.

    The campaign tagged: ‘Know Your Numbers, Control Your Numbers,’ is set to run from Monday, October 28 to Sunday, November 3, 2024, and will provide free screenings for blood pressure and blood sugar across all local government areas in the state, to screen 800,000 Lagosians within the one-week window, as part of the Lagos quota of the 10 million Nigeria project.

    At a media briefing held at the Folarin Coker Staff Clinic in Alausa-Ikeja, the State Commissioner for Health, Prof. Akin Abayomi, highlighted the campaign’s objective to make health screening accessible to every resident in Lagos State, underscoring the commitment to proactive health-seeking behaviours among residents.

    Abayomi introduced the public to what he termed the ‘Silent Killers,’ diabetes, obesity, and hypertension.

    He elaborated on how these conditions often progress without symptoms, quietly causing damage to organs like the heart, eyes, and kidneys.

    Read Also: FG launches policies to combat hypertension, sickle cell, mental health disorder, other NCDs

    He emphasised the importance of regular health checks and encouraged residents to participate actively in the campaign to ‘Know their numbers.”

    During his presentation, he explained that a significant portion of the city’s 30 million residents population are living with hypertension, diabetes, and obesity – yet many remain unaware of their dire situations.

    “With a hypertension prevalence rate of 30%, a staggering 8.67 million people in Lagos are affected by high blood pressure. Even more concerning, 70% of those living with hypertension, which amounts to over 6 million individuals, are completely unaware of their condition. Hypertension is a leading cause of heart disease, strokes, and kidney failure, making this lack of awareness particularly dangerous”, he said.

  • Diabetes experts lament escalating care costs 

    Diabetes experts lament escalating care costs 

    The Federal government has been urged to initiate a comprehensive Sugar-Sweetened  Beverages (SSB) tax legislation. 

    Bernard Enyia, Vice President of the Diabetes Association of Nigeria, said the health implications of excessive consumption of SSBs on individuals, the nation’s health security efforts and the economy have made the legislation inevitable.

    According to the World Health Organization (WHO), the consumption of sugary drinks has led to increased risks of type 2 diabetes and other health issues. 

    An estimated 38.6 million litres of sugar-sweetened beverages are sold annually in a market that accounted for a staggering  $16.87bn in 2023, with a projected annual growth rate of 16.63 percent. 

    With 11.2 million Nigerians living with diabetes, the country ranks among the highest consumers of sugary drinks globally, with 38.6 million litres sold annually. 

    Advocates against excessive consumption of sugary drinks argued that increased consumption of SSBs, despite the lack of nutritional value and harmful health effects, is linked to their accessibility and affordability.

    In response to calls by the advocates for legislative measures to curb SSBs consumption, Nigeria introduced a tax on sugary drinks in 2021, currently at N10 per litre.

    However, with the prevailing Nigeria’s economic downturn, which has led some diabetics to ration their insulin doses or turn to traditional remedies, risking severe health consequences, the advocates have been agitating that the extant tax rate is insufficient, calling for higher rates of up to 30%  to further reduce consumption and generate revenue for diabetes care.

    As co-chair of the National Action for Sugar Reduction (NASR) coalition and a victim of diabetes, Enyia said the need for higher tax rates, yearly inflation adjustments, and a fund to subsidize diabetes testing and insulin costs for vulnerable groups has become inevitable considering the prevailing economic realities and the ballooning health implications of excessive consumption of sugary drink.

    Given the escalating costs of diabetes care, Enyia stressed that effective policy measures backed by law to support millions of Nigerians struggling with the illness by the government is the most effective solution to the issue.

    Citing his personal experience, Enyia lamented, “Life is not worth living when you are living with diabetes”, believing that a robust SSB tax policy could generate the necessary revenue to fund diabetes care and save lives.

    Enyia whose personal and professional life has been significantly affected by his condition, lost his job as a health worker in 2017 due to frequent hospital visits and facing financial strain that affects his family. 

    Diagnosed in 2008, Enyia relies on twice-daily insulin injections to control his blood sugar but the recent price surge has forced him to spend more than N180,000 monthly on insulin and other medical expenses, up from N70,000. 

    Highlighting the challenges faced by the people living with diabetes, Enyi cited an instance of lack of transportation that often forced him to cancel doctor’s appointments, and sometimes skip insulin doses due to financial constraints.

    He said: “Without regular insulin treatments, my condition would deteriorate.

    “If I have to choose between food and drugs, I often prioritize food because I need to eat before taking my medication.

    “To cope with these changes, some have turned to traditional herbal options; others ration their insulin dosage or forgo treatment altogether, risking severe health consequences. 

    “Diabetes is a disease that affects every organ in the body but for people living with the disease, it can mean extreme changes to every part of their lives”. 

    Enyia lamented the challenges he and others face, noting that the chronic illness often places a heavy burden on households and can catapult families from a middle-class existence into poverty.

    He noted that without regular insulin treatments, the condition would inevitably deteriorate, making this a harsh reality for many due to damaged blood vessels that can lead to heart attacks, stroke, and problems with the kidneys, eyes and feet and, or if poorly managed, can ultimately produce harrowing complications – kidney failure, blindness and amputations. 

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    He, however, believed that given the prevailing economic realities, which have caused insulin prices to more than double recently, the government’s response with the introduction of a sugary drinks tax of N10 per litre in 2021 has become grossly ineffective.

    Noting that the tax rate falls below global standards, Enyia said pro-health taxes are essential to reduce sugary beverage consumption and generate revenue that can be allocated to cover treatment costs and lessen the burden on people living with diabetes. 

    The pro-health tax will be most effective when the rate is sufficiently high to both deter consumption and raise revenue, with the rate periodically adjusted for inflation, he added.