Costs of diabetes remain struggle for youth

Among the different types of diabetes, type one diabetes is the most common type among young people and although specific data on annual diagnoses among young Namibians is limited, the International Diabetes Federation estimates that approximately one in 5 000 children under 19 years have type one diabetes in Namibia.

According to healthcare professional Mariska van Wyk at the Blue Care Health and Lifestyle Coaching Center, type one diabetes is an autoimmune condition where the immune system attacks and destroys insulin-producing cells in the pancreas. This prevents insulin production that makes the body unable to digest glucose, which is a what most sugars consist of.

“Type one diabetes is commonly diagnosed in youth but can occur at any age. Treatment includes insulin therapy, blood glucose monitoring, and dietary management,” says Van Wyk.



Lack of health services

Van Wyk stated that Namibia's Ministry of Health and Social Services do provide healthcare services to support people living with diabetes, however access to basic diabetic care in Namibia is still a challenge.

“Despite these services, access to insulin, glucometers and glucose strips [that measure blood sugar], and diabetes care remains a challenge, particularly in rural areas where healthcare infrastructure is limited. The need for additional support systems is critical, especially for young people who may struggle to afford insulin and related healthcare,” says Van Wyk.

She continues to say that there still remains a pressing need for further national support systems and targeted assistance to make diabetes management accessible and affordable across all regions of Namibia.

Michaiyla Hansen (23), a life-long diabetic, has been living with type one diabetes for 20 years. She was diagnosed at the age of three. She says that the financial implications, even with medical aid, is exhausting.

“From my personal experience, with the medical aid I have, my co-payments are extremely high just for my insulin - never mind the doctors appointments and regular blood testing. And even though I have heard a lot of good things about the benefits of many other medical aids, especially government medical aid, I do feel that a lot more can be done to lift the burden,” says Hansen.



Negative effects

Living with diabetes does not only have a physical effect on your health but also many emotional and mental implications.

“People living with diabetes often grapple with constant stress and anxiety from managing blood sugars, the ever-present fear of complications and the weight of responsibility. Depression and feelings of isolation are common as diabetes can set young people apart in social settings, where dietary restrictions or medication routines make them feel different from their peers,” says Van Wyk.

She added that people living with diabetes, especially uncontrolled diabetes, have multiple risk factors such as heart diseases, kidney damage, nerve damage, eye damage and a reduced quality of life.

She also mentioned that even though young people in urban areas generally have a basic understanding of what diabetes is, most young people in rural areas have a lack of knowledge on the subject.

“There remains a strong need for comprehensive educational programs to improve understanding and encourage preventive practices among all Namibian youth,” says Van Wyk.



Common symptoms

The most common thirst is increased thirst and urination. This can be accompanied by a sudden and unexplained weight loss, exhaustion and fatigue and blurred vision. Some of the symptoms that can be more difficult to notice are slow-healing sores and frequent infections. If you have a combination of these symptoms, it is advisable to go to a doctor for a check-up.