Advancing diabetes care, prevention and a cure worldwide

Professor Martin Silink

IDF President

A Federation of

203 national diabetes associations, 162 countries,

over 2 million members

Voice of diabetes globally (250 million)

International Diabetes Federation

Since 1950

Associated with the United Nations Department of

Public Information

In official relations with the World Health

Organization and Pan-American Health Organization

IDF championed the UN Resolution on Diabetes (UN

Resolution 61/225)

IDF ProgramsIDF Clinical Guidelines

IDF Atlas (single congruent data source)

IDF Centres of Diabetes Education

IDF Life for a Child

IDF World Diabetes Congresses

UN World Diabetes Day

Empower, Educate, Energise

(Understand diabetes and take control)

The UNR Campaign

Top Down

Bottom Up

“The Diabetes World”

AdvocacyAdvocacy

A United Nations Resolution on A United Nations Resolution on diabetesdiabetes

“Diabetes is a chronic, debilitating and costly disease associated with severe complications”

“Diabetes poses risks to families, member states and the entire world”

“Diabetes poses challenges to the achievement of agreed development goals, including the MDGs”

Increasing threat of NCDsIncreasing threat of NCDs

NCDsNCDs

Diabetes Prevalence (20-79 yr)

2007 2025

Qatar 15.2% 16.9%

Bahrain 15.2% 17.0%

UAE 19.5% 21.9%

Saudi Arabia 15.7% 18.4%

Kuwait 14.4% 16.4%

Oman 13.1% 14.7%

Yemen 2.9% 3.4%

IDF Diabetes Atlas- 2006- National prevalence estimates

Diabetes Mellitus

A disease in its own right

A risk factor for CVD

Diabetes Complications

Risk

Blood GlucoseDuration

BlindnessKidney failureNeuropathy

Cardio-Vascular disease

Pregnancy complicationsFoetal complications

DeathInfectionsAmputations

DiagnosisOf

Diabetes

Diabetes

Type 1 Type 2

Insulin Deficiency Insulin Resistance

GDM

Facts

“Diabetes is a chronic, debilitating and costly disease associated with severe complications, which poses severe risks for families, Member States and the entire world.”

UN Resolution 61/225. World Diabetes Day

Every 5 seconds 1 person develops diabetes

Every 10 seconds 1 person dies of diabetes

Every 30 seconds a limb is lost to diabetes

Diabetes world has to be part of the solution

Not just the problem

CampaigningCampaigning

Over 1100 monuments in blueOver 1100 monuments in blue

Extensive grass roots participationExtensive grass roots participation

More children receiving careMore children receiving care

National campaigns to tackle DKANational campaigns to tackle DKA

Global media coverageGlobal media coverage

Significant involvement onlineSignificant involvement online

Jet d’Eau - Geneva European Parliament - Strasbourg

Aspire Tower, Doha Kuwait Towers

Q1 Role of NGOs in Prevention and Control of NCDs

• Support for the WHO NCD Action Plan • Global and regional networks of champions• NGOs provide the link with the grass roots • Empowering/educating/energizing the patient as

part of treatment team• Providing supporting programs

– IDF Atlas for data– IDF Centres of Diabetes Education– IDF Clinical Guidelines

• IDF World Diabetes Congress (2011 in Dubai)

Q2 Role of Developmental Assistance in Prevention and Control of NCDs

• Provide multisectoral approach to obesity• Control of tobacco, alcohol, trans-fat, energy-

dense foods, salt, children’s soft drinks… • Support partnerships with accredited NGOs• Provide support for UN Special Session on NCDs • Promote UNITAID-like approach to make essential

NCD drugs available to all• Support a comprehensive Global Fund for Health

Q3 Role of Primary Care in Prevention and Control of NCDs

• Systems change to Primary Care pivotal• Primary Care needs to be supported by centres of

expertise (diabetes in pregnancy, children, eye, kidney..)

• Integration of vertical programs into enhanced model of primary care

• IDF offers to assist in NCD education, standard setting and guideline development

Thank you