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{
    "id": 882644,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/882644/?format=api",
    "text_counter": 172,
    "type": "speech",
    "speaker_name": "Rangwe, ODM",
    "speaker_title": "Hon. (Dr.) Lilian Gogo",
    "speaker": {
        "id": 13464,
        "legal_name": "Lilian Achieng Gogo",
        "slug": "lilian-achieng-gogo"
    },
    "content": "I also want to bring forth the use of processed foods and lifestyle diseases. Food is processed mainly for it to be used when there is no glut, to increase its value and also to be used where such food does not exist. It not in the processed foods that we get diseases, but on the amount we take that can bring about diseases. So, sausages are not bad and they do not cause diabetes neither do potato chips. I want to talk about neonatal diabetes mellitus and its consequences especially in the later ages. When we do not diagnose diabetes in the neonates, it can bring about morbidity and diabetes among adults in later ages. It is important we have health audits especially that are community based. It is also important that we have health audits at places of work targeting many other diseases other than diabetes. Diabetes is literally coming to replace HIV and AIDS. We find that communities that were earlier on not predisposed to diabetes are currently high diabetic sufferers. Management of diabetes in communities is very important. As a country, it is high time we came up with proper guidelines which I believe have been established by people in the heath profession for the management and care of diabetes but the challenge we have as a nation is that we have the guidelines but following them is a big issue. We have various community interventions which we could follow or look at. As it has been earlier mentioned and I want to overemphasise it, there is need for education especially among poor communities because up to now there are people who do not know what to do when they are diagnosed with diabetes. We need to have education on self-management, which is a problem, and change our lifestyles especially when we are already diagnosed. We need to improve early screening and management of diabetes because many people have lived with diabetes for very many years. If management is not done properly, then complications are bound to come up. We also need to assess the impact of social support networks. On this, I propose that we probably code sufferers so that we are able to follow in time and give them proper medical care. We also need to look at the nature of doctor and patient relationship. Often times, and with the devolved health system that we have, we do not have doctors to move to where the communities are. It is, probably, because of the shortage of doctors. Doctors and others in the medical fraternity, that is, nurses, health workers and health support staff do not want to move down to communities because of, probably, poor payment. We have had several nurses’ strikes in this country. These are the people who would help with management and care of diseases like diabetes. It is important that we look at the patient and his or her medical needs. Other than suffering from the conditions that they have, they also face food insecurity. One of the best ways of managing diabetes is through nutrition, but you cannot manage nutrition if you are not food secure. As we address the issue of screening and management, it is also important that we look at the issue of food security with regard to the management of diabetes."
}