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academies
Nov 22-23, 2018 | Paris, France
Joint Event
Nutrition and Health
16th International Conference on 26th International Conference on
Diabetes and Endocrinology &
Journal of Insights in Nutrition and Metabolism | Volume 2
Diabetes mellitus in developing country, in the era of high HIV prevalence
Daniel Azmeraw Workluel
ALL African Leprosy, Tuberculosis, Rehabilitation Training Center (ALERT Center) | Ethiopia
Diabetes mellitus (DM) is a chronic disease with wide
spectrum etiology, risk factors, pathophysiology, and
clinical presentations, as well variety of armamentarium
employed for management of patients with DM nutritional,
non-pharmacological and pharmacological recommendations
applied for mitigating the effect of DM on morbidity and
mortality. I was thought that Type I DMwas the most prevalent
from types of DM, however with advent of urbanization,
decrease physical activities and sedentary life style the trend
of DM is changing in developing countries. Currently from the
place where I came from, Ethiopia the prevalence of DM is
nearly 6 % and there is a rise in prevalence and incidence of
DM attributed to urbanization, decrease physical activities,
sedentary life style, increment in prevalence of obesity
especially in urban areas, as well increase in life expectancy as a
result of decrease inprevalence and incidence of communicable
disease (malaria, relapsing fever..) which translates as aging
of population with increasing the prevalence and risk of non-
communicable disease like DM. Ethiopia is a country with
high prevalence of HIV with estimated prevalence of 1.8%,
with 1.2 million individuals living with HIV and more than
70 % currently on antiretroviral therapy (ART). Besides the
traditional risk factors for DM, 40-70% of patients with HIV are
estimated to have dyslipidemia, and ART incurs additional risk
factor for atherosclerosis, dyslipidemia and DM. On top of this
as ART prolong the life of patients, and the prevalence of DM
especially Type II is logically expected to increase and treatment
of both HIV and DM may complicate the life style of patients
and create difficulty for clinician managing the patients. With
respect am asking the participants of this conference to give
emphasis on DM in developing country especially in area where
HIV is prevalent, by conducting research, providing training on
management of combined chronic illnesses communicable and
non-communicable, support this counties todevelopguidelines.
Speaker Biography
Daniel Azmeraw Workluel has completed MD, and internist at the age of 36 from
Jimma University and University of Gondar, Ethiopia, currently working as leader of internal
medicine case team and senior medical specialist (internist/public health specialist),
clinician at ALERT center, with 3 published research and more than 3 ongoing research
at ALERT center and Armaur Haunssen research institute (AHRI) one of the renowned in
Ethiopia and worldwide.
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