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| Biography |
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Biography:
Prof. Morsi Arab , born 1932 , Alexandria , Egypt.
Currently Emeritus Professor of Medicine , university of Alexandria . Ex-Chairman of the Department of Internal Medicine. President of the Egyptian Diabetes Association. Regional Chairman of EMME Region International Diabetes Federation (IDF). Author of several books in internal medicine , history of medicine and Poetry .
Member of the American , Arab, Pan African and Mediterranean groups for the study of Diabetes . Member of the Egyptian Academy of Sciences and Technology . Member of the Egyptian Union of Writers . Founder of The Morsi Arab Social and Cultural Foundation
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| Abstract |
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The East Mediterranean and Middle East ( EMME) Region extends from Pakistan on the east to Morocco on the west. Diabetes and IGT prevalence rates in this region are among the highest three prevalences in the IDF regions. In 2003, the mean prevalence of DM was 7.0% and IGT 6.8% . It is estimated that by the year 2005 these rates will rise to 8.0% and 7.4% respectively .
Within the region , prevalence of DM varies quite widely .It ranges between 20.1% up and 3.1% down ,and is highest at the gulf oil producing countries .
It is also expected that the prevalence of diabetes will be appreciably increased by 2005 in all individual countries .
The high prevalence of DM and its progressive increase is certainly related to the dominant type of life style and the changes occurring in it. Epidemiological studies revealed an appreciably higher prevalence among urban compared to rural communities, especially in the rural desert , with a Bedouin life style .
The general structure of population has a pyramidal form, with about half of it below age 20.
While DM prevalence is much lower below age 20 it progressively increases with age
The effect of change of life Style on diabetes and other metabolic dysfunctions was demonstrated by the study on the Egyptian Nubians migrating to urban communities This led to about three fold increase in diabetes and other metabolic parameters.
Studies in the region also revealed that the state of glycaemic control, body weight, blood pressure and other metabolic parameters are much less than the accepted levels according to WHO recommendations. ( For example, only 19.8% of fasting and 13.5 % of post prandial blood sugar, 53% of Systolic and 64% % of diastolic blood pressure , and 18.8% of BMI levels were within the accepted levels ). |
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