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Call to Action on Diabetes - International Diabetes Federation

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FOREWORD by IDF President, Jean Claude Mbanya<br />

No country is immune <str<strong>on</strong>g>to</str<strong>on</strong>g> diabetes. No country has all the answers <str<strong>on</strong>g>to</str<strong>on</strong>g> this comm<strong>on</strong> enemy.<br />

No country has yet managed <str<strong>on</strong>g>to</str<strong>on</strong>g> reverse the rising prevalence. Defeating diabetes will take<br />

every ounce of commitment and ingenuity that we can summ<strong>on</strong>.<br />

<strong>Diabetes</strong> is <strong>on</strong>e of the four priority n<strong>on</strong>communicable<br />

diseases (NCDs) identified by<br />

the World Health Organizati<strong>on</strong> (WHO), al<strong>on</strong>g<br />

with cardiovascular disease, cancer and chr<strong>on</strong>ic<br />

respira<str<strong>on</strong>g>to</str<strong>on</strong>g>ry diseases. It is a chr<strong>on</strong>ic, incurable,<br />

costly, and increasing but largely preventable<br />

NCD which is resp<strong>on</strong>sible for milli<strong>on</strong>s of deaths<br />

annually, debilitating complicati<strong>on</strong>s, and<br />

incalculable human misery.<br />

Over 300 milli<strong>on</strong> people worldwide have<br />

diabetes now. If nothing is d<strong>on</strong>e, this will rise <str<strong>on</strong>g>to</str<strong>on</strong>g><br />

500 milli<strong>on</strong> within a generati<strong>on</strong>. Failure <str<strong>on</strong>g>to</str<strong>on</strong>g> act<br />

now c<strong>on</strong>demns our children and their children<br />

<str<strong>on</strong>g>to</str<strong>on</strong>g> a future of ill-health and poverty. Yet there is<br />

no sense of urgency or public outrage. Future<br />

generati<strong>on</strong>s will demand an explanati<strong>on</strong> for why<br />

we sleepwalked in<str<strong>on</strong>g>to</str<strong>on</strong>g> this global catastrophe.<br />

This <str<strong>on</strong>g>Call</str<strong>on</strong>g> <str<strong>on</strong>g>to</str<strong>on</strong>g> <str<strong>on</strong>g>Acti<strong>on</strong></str<strong>on</strong>g> brings four headline<br />

messages <str<strong>on</strong>g>to</str<strong>on</strong>g> the world from the global<br />

diabetes community:<br />

<strong>Diabetes</strong> is a major global threat<br />

<str<strong>on</strong>g>to</str<strong>on</strong>g> human security and prosperity.<br />

<strong>Diabetes</strong> kills and disables, impoverishes<br />

families, imposes a huge ec<strong>on</strong>omic<br />

burden <strong>on</strong> governments and business,<br />

and overwhelms health systems. It affects<br />

rich and poor, young and old. The majority<br />

of people with diabetes are in low- and<br />

middle-income countries and have<br />

limited access <str<strong>on</strong>g>to</str<strong>on</strong>g> affordable treatment.<br />

The global failure <str<strong>on</strong>g>to</str<strong>on</strong>g> invest in<br />

diabetes has led <str<strong>on</strong>g>to</str<strong>on</strong>g> the current crisis.<br />

The evidence of the magnitude of diabetes<br />

and acceptance that acti<strong>on</strong> is necessary<br />

has been largely ignored by policy<br />

makers. Serious investment is needed<br />

now in essential diabetes medicines and<br />

technologies, proven diabetes management<br />

and care, and research in<str<strong>on</strong>g>to</str<strong>on</strong>g> the causes of<br />

diabetes and a cure.<br />

2 | A <str<strong>on</strong>g>Call</str<strong>on</strong>g> <str<strong>on</strong>g>to</str<strong>on</strong>g> <str<strong>on</strong>g>Acti<strong>on</strong></str<strong>on</strong>g> <strong>on</strong> <strong>Diabetes</strong><br />

The news is bad but we have the<br />

soluti<strong>on</strong>s.<br />

Most diabetes can be prevented or<br />

delayed. Investment in preventi<strong>on</strong> makes<br />

ec<strong>on</strong>omic sense. Effective, low-cost<br />

treatments and care exist for diabetes that<br />

cannot be prevented. With early diagnosis<br />

and effective management, people<br />

with diabetes can live l<strong>on</strong>g, healthy and<br />

productive lives, and health systems can<br />

save <strong>on</strong> expensive complicati<strong>on</strong>s such as<br />

kidney failure, blindness and amputati<strong>on</strong>s.<br />

<strong>Diabetes</strong> affects every<strong>on</strong>e and<br />

requires a collective resp<strong>on</strong>se.<br />

<strong>Diabetes</strong> is not just a health issue. Its causes<br />

are diverse. Its impact is felt by all of society.<br />

The soluti<strong>on</strong>s and resp<strong>on</strong>se must therefore<br />

be multi-sec<str<strong>on</strong>g>to</str<strong>on</strong>g>ral and coordinated.<br />

The Internati<strong>on</strong>al <strong>Diabetes</strong> Federati<strong>on</strong> (IDF)<br />

invites governments, business, the United<br />

Nati<strong>on</strong>s and internati<strong>on</strong>al bodies, civil society,<br />

health professi<strong>on</strong>als, researchers, philanthropic<br />

organisati<strong>on</strong>s and the general public <str<strong>on</strong>g>to</str<strong>on</strong>g> join<br />

<str<strong>on</strong>g>to</str<strong>on</strong>g>gether in a coordinated movement <str<strong>on</strong>g>to</str<strong>on</strong>g> defeat<br />

diabetes and related NCDs. This <str<strong>on</strong>g>Call</str<strong>on</strong>g> <str<strong>on</strong>g>to</str<strong>on</strong>g> <str<strong>on</strong>g>Acti<strong>on</strong></str<strong>on</strong>g><br />

outlines the case for investing in diabetes. It<br />

aims <str<strong>on</strong>g>to</str<strong>on</strong>g> complement and build <strong>on</strong> existing<br />

plans such as the WHO 2008-2013 <str<strong>on</strong>g>Acti<strong>on</strong></str<strong>on</strong>g> Plan<br />

for the Global Strategy for the Preventi<strong>on</strong> and<br />

C<strong>on</strong>trol of N<strong>on</strong>communicable Diseases.<br />

With the right policies, commitment<br />

and investment, and relentless<br />

determinati<strong>on</strong>, we can and will make a<br />

difference <str<strong>on</strong>g>to</str<strong>on</strong>g> diabetes for current and<br />

future generati<strong>on</strong>s. This is a battle we<br />

cannot afford <str<strong>on</strong>g>to</str<strong>on</strong>g> lose. We must unite <str<strong>on</strong>g>to</str<strong>on</strong>g><br />

take acti<strong>on</strong> NOW.<br />

Internati<strong>on</strong>al <strong>Diabetes</strong> Federati<strong>on</strong>

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