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As a premed student I'm in the coolest class in the world: physiology. I sincerely apologize to all you who are unfortunate to not enjoy the glory that is the systems of the human body. Since we're at the end of the course, I've already had an introduction to the circulatory system, respiratory system, neurology, digestion, urinary, etc.
Right now we're studying endocrinology, and something struck a chord in me today in class (not many noticed, thank goodness). We were discussing the pancreas and diabetes and the differences between Type I and Type II diabetes mellitus. Type I is when a persons body doesn't produce insulin for one reason or another, and requires insulin injections in order for the individual to survive. Type II occurs when an individual's body becomes resistant to its own insulin, which can occur for myriad reasons, but one of most rising causes is obesity.
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That got me to thinking. Because I'm Navajo, I researched into the prevalence of diabetes on the Navajo Nation, since heard so much of it growing up in reference to the Navajos, and found (here) that as of 1997 on the rez 22.9% of people over 20 years old have diabetes mellitus, 4 times higher than the U.S. estimate. That's almost one out of every 4 people! And even more shocking is that 70 years ago diabetes mellitus was considered a rare phenomenon among the Navajo Indians. The number may be higher considering that report was done over 10 years ago.
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Haha. Or not.
4 comments:
well. congratulations on your blog..? I don't think you should be so worried about peer pressure, I think it's just a wonderful way to keep in contact with people who don't live with you! so do it for the family!
In my opinion, the rise of DM is a social and even a cultural one. Most people have a tendency to develop DM if the environment is correct, ie overeating starches and sugar while being sedentary. In the old days it was considered a mark of success to be fat ("Fat Cat"). Nowadays, poor people cannot afford complex carb and protein diets. Economics forces them into starchey diets. The culture on the rez (barrio, hood, slum...) does not encourage fitness/exercise. There you go.
Poppa Doc
I've heard from friends who live in St. Johns, AZ that playing basketball is huge with the navajo kids on the rez. That's something, right? Ironically, Nate and I have a problem with out diets due to money as well, but here's a third factor; time. ramen is what we're all about. well, it will be what we're all about when i don't have time to cook the oven baked fried chicken, whole grain fried rice, and green beans that i'm eating right now. But working single moms don't have the time either.
It's amazing what I have found this evening by goggling "navajos". I came across your blog entry concerning T2DM. I am a podiatric medical student and have seen one TMA (transverse metatarsal amputation) done on a Navajo diabetic patient while shadowing in Shiprock, NM. Though I also watched other lower extremity surgeries that day, the TMA affected me the most. BTW, I am also Navajo. I hope to return to the Rez to work there when I am done. Keep up the writing.
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