02 Dec 2010

2010 World Diabetes Day

Theme: Eat Healthy – Join the Parade, Walk Diabetes Out!
Time: 7am

Date: Saturday, 13th November, 2010

Locality: Mobil, ring road through Liberty Stadium road, Ibadan Nigeria.

Organizers: Strategies for Improving Diabetes Care In Nigeria {SIDCAIN}
Aim: To join the global diabetes walk to create awareness in about diabetes, commemorating the 2010 world diabetes day
Details: The Ibrahim Babangida high way, Ring Road, Ibadan, Nigeria leading to the Liberty stadium (from the Mobil filling station opposite the Tantalizers), was set aglow with blue circles during the hours of 8 to 11 am that the road walk lasted. The day was November 13th, 2010 and the event was the Health walk organised by the SIDCAIN Project team, in collaboration with the Ministry of Health. The blue rings inscribed on small white flags kept flying high in the air, with many people wearing branded T-shirts and banners with different information on how to prevent diabetes. Liberty stadium Ibadan was the destination; there a light physical fitness exercise took place, led by the ex-shooting stars football player namedMr Sola Akinwale.  The organisers gave health talk on how to live a healthy life style. Adding spice to the walk were two local champions in Nollywood – Chief Koko (Olumide Bakare) and Mrs Moji Olayiwola.

The event recorded a turnout of about 500 people from all nook and crannies of Ibadan town. The walk was a jolly and interesting one as it was accompanied with drums from the brigade team, dance from the royal dancers and music from a DJ, with men from the Nigerian Federal Road Safety Corps and the Nigerian Police providing necessary support. Two ambulances, one from the Oyo state Ministry of Health and a private hospital, LAD Medical Center were on standby. This is one of many activities to celebrate the World Diabetes Day. But how should a person with diabetes prepare for a diabetes walk? How safe is it?

Preparing for Global Diabetes Walk
Preparing the individual with diabetes for a safe and enjoyable physical activity program is as important as physical activity itself. The young individual in good glucose control can safely participate in most activities. The middle-aged and older individual with diabetes should be encouraged to be physically active. Before beginning any physical activity program, the individual with diabetes should be screened thoroughly for any underlying complications.
A standard recommendation for people with diabetes, as for nondiabetic individuals, is that physical activity includes a proper warm-up and cool-down period. A warm-up should consist of 5–10 min of activities such as walking, cycling, etc. at a low-intensity level. The warm-up session is to prepare the skeletal muscles, heart, and lungs for a progressive increase in exercise intensity. After a short warm-up, muscles should be gently stretched for another 5–10 minutes. The active warm-up can either take place before or after stretching. After the activity session, a cool-down should be structured similarly to the warm-up. The cool-down should last about 5–10 min and gradually bring the heart rate down to its pre-exercise level.
Although aerobic physical activity should be recommended, taking precautionary measures for physical activity involving the feet is essential for many patients with diabetes. The use of cotton-polyester socks to prevent blisters and keep the feet dry is important for minimizing trauma to the feet. Proper footwear is essential and must be emphasized for all diabtics. Individuals must be taught to monitor closely for blisters and other potential damage to their feet, both before and after physical activity. Proper hydration is essential, as dehydration can affect blood glucose levels and heart function adversely. Physical activity in heat requires special attention to maintaining hydration. Adequate hydration prior to physical activity is recommended (e.g., about one liter of fluid consumed 2 h before physical activity). During physical activity, fluid should be taken early and frequently in an amount sufficient to compensate for losses in sweat reflected in body weight loss, or the maximal amount of fluid tolerated. Precautions should be taken when exercising in extremely hot or cold environments.

The recommendation is that individuals accumulate 30 min of moderate physical activity on most days of the week. In the context of diabetes, it is becoming increasingly clear that the epidemic of type 2 diabetes worldwide is associated with decreasing levels of activity and an increasing prevalence of obesity. Thus, the importance of promoting physical activity as a vital component of the prevention as well as management of type 2 diabetes must be viewed as a high priority. For people with type 1 diabetes, the emphasis must be on adjusting the therapeutic regimen to allow safe participation in all forms of physical activity consistent with an individual’s desires and goals. Ultimately, all patients with diabetes should have the opportunity to benefit from the many valuable effects of physical activity.

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