Current Health Issue in London Borough of Harrow: Diabetes

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Current Health Issue in London Borough of Harrow
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Diabetes
• It is a condition in which the blood glucose level of the person rises very
high.
• It is very serious metabolic disorder that increases the risk of damaging the
eyes, heart, kidneys and blood vessels.
• There are two types of diabetes that are: Type 1 diabetes and Type 2
diabetes.
Type 1 diabetes
• The body organs can be damaged in this type as the insulin is not produced
and glucose levels are increased.
• It is hereditary and can be diagnosed at very young age.
Type 2 diabetes
• The body don not produce enough insulin or the body cells are unable to
react to insulin.
• Common in older age.
• Linked with obesity.
• Can cause kidney disease, blindness, heart disease and amputation.
• Shortage of the Diabetic Specialist Nurses (DSN).
• Lack in the access to the structured education programmes.
• Lack in the coordination for the appointments.
• Insufficient awareness of diabetes.
How many people have diabetes?
National picture
• 15% of the population is undiagnosed.
• People with high risk of the Type 2 diabetes are supported by the NHS
Diabetes Prevention Programme.
NICE Guidelines (NG28)
Local picture
• Major health problem in Harrow due to low physical activity rates and higher
people with diabetes.
• Number of people diagnosed with diabetes is: 16,927 patients.
Shortcomings of London
Borough of Harrow • It provides standard quality for governing the commissioning of services for
the treatment and care of the adults with the diabetes.
• They set different standards for the children, young people and pregnant
woman.
• The effectiveness of the diabetes healthcare against NICE is measured by
National Diabetes Audit (NDA).