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Type 2 diabetes is considered to be an epidemic in the Gulf States
especially in Saudi Arabia. Recent studies have shown a rapid increase in
the prevalence of this disease due to medical and cultural reasons. A
country-wide epidemiological study (i.e. national survey) looked in detail
at the different risk factors associated with this disease namely genetics,
obesity and physical activity.
In type 2 diabetes, the most common form of diabetes, the body either does
not produce enough insulin or the cells are less sensitive to the insulin. Insulin is
necessary for the body to be able to use glucose for energy production. When you eat
food, the body breaks down all of the sugars and starches into glucose,
which is the basic fuel for the cells in the body. Insulin takes the sugar
from the blood into the cells. When glucose builds up in the blood instead
of going into cells, it can lead to diabetes complications.
Dr. Khalid Al-Rubeaan, the Director of the University Diabetes Center at
King Saud University, and Consultant Endocrinologist at King Khalid
University Hospital discussed the results of an epidemiological study during
a Research Colloquium presentation entitled “Why do we have more diabetes?:
A gold mine for research”. This seminar was held at Alfaisal University on
Wednesday 23 December 2009 and was well attended by more than three dozen
faculty, staff, students and external guests.
Based on a national investigation, the younger population aged from 7 to 18
showed a prevalence for type 2 diabetes of 7.6% out of which 94.7% was
discovered during the survey. This means that Saudi Arabia has the highest
occurrence of type 2 diabetes among children at the global level. Due to
both genetics and ethnicity, Saudis, for example, develop type 2 diabetes
19.7 years earlier when compared with the Caucasian ethnic group. It was
also observed that genetically predisposed diabetics are more likely to be
obese and to show the disease 15 years earlier than slender Saudi subjects
with a negative diabetic history. A lack of physical activity and poor
nutrition were also found to have a major impact on disease development.
Dr. Theo Goosen, the Associate Vice President for Research & Graduate
Studies at Alfaisal University noted that “as the life expectancy of the
average person increases, the secondary complications associated with
diabetes, such as cardiovascular disease and eye cataract development, also
increase. This puts an additional burden on a country’s health care system.
The work reported by Dr. Khalid Al-Rubeaan is extremely important for
improving public awareness that type 2 diabetes disease can be treated in part by
better exercise and a healthier diet.”
Dr. Al-Rubeaan obtained his MBBS from King Saud University in KSA in 1980.
He holds a Master Degree in Epidemiology from the University of Alberta in
Canada, and an FRCP(C) from the Royal College of Physicians and Surgeons of
Canada. In addition to his current positions, his professional experience
includes Chief Editor of Al Sukhari Magazines, Chairman of Diabetes Science
International, Chief Editor of International Journal of Diabetes Mellitus,
Head of Saudi National Diabetes Registry, and former President (Saudi Arabia) of
Pan Arab Group for the Study of Endocrinology and Diabetes.