Tag: Diabetes in women

  • Diabetes Risk Factors for Women in Ghana

    Diabetes Risk Factors for Women in Ghana

    Over 4.16 million Ghanaians live with type 2 diabetes, and women face higher risks due to lifestyle, cultural, and socioeconomic factors. Here’s what you need to know:

    • Types of Diabetes in Ghana: Type 1 (affects children), Type 2 (90% of cases, linked to lifestyle), and Gestational Diabetes (10% of pregnancies).
    • Key Risk Factors for Women:
      • Low physical activity: 82% of women in areas like Ga Mashie don’t meet exercise recommendations.
      • Diet: High reliance on starchy staples and processed foods increases risks.
      • Pregnancy-related risks: Conditions like preeclampsia and use of oral contraceptives raise the chances of gestational diabetes.
      • Mental health: 31% of diabetic patients experience depression.
    • Regional Prevalence: Urban areas like Greater Accra (8.2%) have higher diabetes rates than rural areas (1.5%).
    • Healthcare Costs: Managing diabetes costs about USD 547 (GH₵6,564) annually, while Ghana’s per capita health expenditure was only GH₵53.5 in 2022.

    How to Reduce Your Risk of Diabetes:

    1. Better Diet Choices: Switch to high-fibre foods (e.g., brown rice, garden eggs) and reduce processed food intake.
    2. Exercise: Aim for 150–300 minutes of moderate activity weekly.
    3. Routine Health Checks: Regular blood sugar tests (e.g., FBS, RBS) can help with early detection.
    4. Support Tools: Platforms like DrDoGood offer affordable virtual consultations, health tracking tools, and personalized care.

    Take action today: Stay active, eat mindfully, and schedule regular health checks to reduce your diabetes risk.

    Diabetes Statistics for Women in Ghana

    Current Numbers and Statistics

    Recent studies show that diabetes prevalence in Ghana ranges between 2.80% and 3.95%, with some regions reporting alarmingly high rates. The Western Region leads with a prevalence of 39.80% among adults aged 18 and above, followed by the Ashanti Region at 25.20% and the Central Region at 24.60%.

    Urban areas consistently report higher diabetes rates compared to rural areas. For instance, in Ga Mashie, located in the Greater Accra Region, 8.2% of residents aged 25 and above have diabetes. Women in this area are 2.66 times more likely to develop the condition than men. Additionally, adults aged 50 and above show a stark contrast in diabetes prevalence: 6.2% in urban areas versus 2.3% in rural areas.

    Region Urban Prevalence Rural Prevalence
    National 4.7% 1.5%
    Ashanti Region 8.8% 3.6%
    Greater Accra 8.2% Not reported

    These statistics highlight the importance of examining how women’s specific health behaviours and societal influences contribute to the rising diabetes risk.

    Women-Specific Health Factors

    Several lifestyle and cultural factors put Ghanaian women at greater risk of developing diabetes. Research conducted in Ga Mashie confirms that women face disproportionately higher risks due to these unique circumstances.

    A major factor is low physical activity levels. In Ga Mashie, 82% of women fail to meet recommended exercise levels, compared to 57% of men. This disparity is partly influenced by cultural norms. In Ghana, higher body weight is often associated with prosperity and good health, which can shape dietary habits and attitudes toward weight management.

    Mental health also plays a critical role. A 2018 study in Greater Accra revealed that 31% of diabetic patients experience depression. This underscores the need for healthcare approaches that address both physical and mental health challenges, especially for women.

    Main Risk Factors

    Medical and Pregnancy Risks

    In Ghana, certain medical conditions and pregnancy-related factors significantly increase the likelihood of diabetes in women. For instance, research indicates that women who experience preeclampsia (a serious pregnancy-specific condition characterized by high blood pressure and signs of organ damage, primarily affecting the kidneys and liver) are 19 times more likely to develop gestational diabetes mellitus (GDM). Additionally, the use of oral contraceptives has been linked to a 13-fold increase in GDM risk. This is thought to be due to elevated levels of oestrogen and progesterone, which can heighten insulin resistance during pregnancy.

    Food and Diet Impact

    Dietary habits also play a major role in diabetes risk. In Accra, the consumption of ultra-processed foods among low-income adults increased from 21% in 2011 to 29% in 2013. Traditional diets, often centred around high-carbohydrate staples, have been associated with a 54% higher risk of diabetes. Socioeconomic status further influences food choices: wealthier individuals tend to consume more processed foods and meats, while lower-income households rely on staples like plantain and leafy greens. When combined with low physical activity, these dietary patterns further amplify the risk of diabetes.

    Exercise and Movement Habits

    Physical inactivity is another major contributor. Among Ghanaian adults with Type 2 diabetes, only 21.4% meet recommended physical activity levels, with 67% reporting low activity. The main barriers to regular exercise include:

    • Social influence: 60.8%
    • Lack of energy: 59.8%
    • Lack of willpower: 58.8%

    Experts recommend 75–150 minutes of vigorous activity or 150–300 minutes of moderate aerobic activity weekly. Overcoming these barriers, alongside improving diet and ensuring regular medical check-ups, is essential for reducing diabetes risk.

    Barrier Type Percentage Affected
    Social influence 60.8%
    Lack of energy 59.8%
    Lack of willpower 58.8%

    Steps to Prevent Diabetes

    Better Eating Choices

    Making thoughtful food choices plays a big role in preventing diabetes. Ghanaian cuisine, when prepared mindfully, offers plenty of healthy options. Asonaba Owusu Aduomi, Herbal Doctor at the Organic Foods and Wellness Centre, highlights this point:

    Through mindful selection and preparation of these foods, individuals with diabetes can enjoy the rich flavors of Ghanaian cuisine while effectively managing their condition.

    Research backs this up – each increase in Food Variety Score reduces the odds of Type 2 diabetes to 0.81. Here are some simple dietary adjustments to consider:

    Food Type Replacement/Addition Health Benefit
    Rice Switch white rice to brown/Ofada rice Higher fibre, lower glycaemic index
    Vegetables Add garden eggs and nkontomire Low in carbs, packed with nutrients
    Proteins Include fish like mackerel and sardines Supports better insulin sensitivity
    Snacks Opt for pumpkin seeds Helps with blood sugar control

    Pairing better eating habits with regular physical activity can significantly lower the risk of diabetes.

    Getting More Exercise

    Exercise is another cornerstone of diabetes prevention. Unfortunately, studies show that 60% of individuals with Type 2 diabetes in Kumasi remain physically inactive. The World Health Organization (WHO) recommends the following guidelines:

    • Moderate aerobic activity: 150–300 minutes per week
    • Vigorous aerobic activity: 75–150 minutes per week
    • Strength training: At least twice a week

    In Ghana, a home-based exercise programme showed high participation rates among adults managing Type 2 diabetes. Starting small – like taking daily walks – and gradually increasing activity levels can make a big difference.

    Regular physical activity works hand-in-hand with routine health screenings to create a proactive approach to diabetes prevention.

    Health Tests and Monitoring

    Routine health checks are crucial, especially since less than 25% of Ghanaians with diabetes are aware of their condition. Key tests  to consider include:

    • Fasting Blood Sugar (FBS)
    • Random Blood Sugar (RBS)
    • HbA1c testing

    The Diabetes Support Center at Holy Family Hospital in Nkawkaw offers affordable screening services. However, as Oluwaseun Ishola, regional manager at Novo Nordisk, explains, accessing care can be challenging for many:

    Living on $300 per month for housing, food, transportation and childcare is very tight and poses challenges for people in the income bracket living with diabetes. A lot of times, people with diabetes have to travel considerable distances to multiple locations to access care from the doctor, get test results from the laboratory and then another location to pick up their insulin.

    To make screenings and monitoring easier, platforms like DrDoGood provide convenient booking for diabetes tests and ongoing care. With a network of over 43 facilities, they offer personalized chronic care management, simplifying the process for those in need. You can also record your FBS, RBS, and HBA1C on DrDoGood so that you and your healthcare provider can monitor your progress.

    World Diabetes Day – AM Show on JoyNews (14-11-17)

    Using DrDoGood for Diabetes Care

    DrDoGood

    DrDoGood combines virtual consultations, health tracking, and lifestyle guidance to provide a well-rounded approach to managing diabetes, tailored specifically for Ghanaian women.

    Online Doctor Visits

    DrDoGood makes it easy to connect with diabetes specialists through virtual consultations at affordable rates. For instance, consultations with family physicians cost ₵200, while lifestyle experts are available for ₵45 per session.

    Users can schedule virtual or in-person appointments, get prescriptions, and receive follow-up care without the hassle of travelling long distances. The platform also offers dedicated care for pregnant women dealing with gestational diabetes – a condition affecting 8.5% of pregnancies. Through DrDoGood, these women can consult with obstetricians and endocrinologists to monitor their condition and adjust treatments as needed. To complement these consultations, the platform provides advanced tools for tracking key health metrics.

    Health Tracking Tools

    DrDoGood equips users with a suite of tools to monitor essential diabetes-related health indicators, including:

    • Blood glucose levels with personalised target ranges
    • BMI and waist circumference tracking
    • Blood pressure monitoring
    • Physical activity logs
    • Medication schedules with reminders

    These tools empower users to stay on top of their health while incorporating meaningful lifestyle changes.

    Diet and Exercise Support

    DrDoGood also focuses on lifestyle adjustments by connecting users with registered dietitians who provide nutrition advice rooted in local food traditions. Here’s a snapshot of the services offered:

    Service Description Benefit
    Meal Planning Custom diet plans using familiar ingredients Improved blood sugar management
    Exercise Programs Home-friendly workouts for all fitness levels Encourages regular activity
    Wellness Classes Access to group activities at partner centres Builds motivation and consistency
    Nutritional Guidance Consultations with dietitians Expert dietary recommendations

    With a network of 43 facilities and over 200 licensed professionals, DrDoGood ensures that women in Ghana have access to affordable, high-quality diabetes care.

    Conclusion

    Diabetes among women in Ghana is a pressing issue that calls for immediate attention. Tackling this challenge starts with regular health screenings, adopting healthier eating habits, and staying active. Women who prioritise consistent blood sugar checks and embrace dietary changes – such as incorporating local, nutrient-rich foods like kontomire and garden eggs – can significantly improve their health. These lifestyle adjustments create a strong foundation for professional care to build upon.

    To make diabetes care more accessible, DrDoGood connects Ghanaian women to affordable services through a network of 43 facilities and over 200 licensed professionals. With consultations starting at just ₵45, the platform offers virtual visits, personalised progress tracking, and guidance tailored to local diets, ensuring that diabetes prevention is within reach for many.

    Addressing diabetes in Ghana requires both individual effort and professional support. Through education, regular health checks, and leveraging technology, women can take proactive steps toward managing their health. The numbers don’t lie – the time to act is now.

    FAQs

    What cultural factors increase the risk of diabetes among women in Ghana?

    Lifestyle Factors Contributing to Diabetes Risk Among Women in Ghana

    In Ghana, certain everyday habits and traditional practices can increase the likelihood of diabetes among women. For instance, diets often include high-carbohydrate meals and sugary treats, which, when combined with reduced physical activity – especially in urban areas – can lead to weight gain and other health issues. Additionally, societal norms sometimes discourage women from prioritising their health, making it harder to adopt preventive measures. There’s also the perception that being overweight signifies affluence and good health, which can unintentionally promote unhealthy weight gain.

    Reducing this risk requires a shift towards healthier living. Eating balanced meals, staying physically active, and scheduling regular health check-ups are key steps. Platforms like DrDoGood provide valuable support by connecting women with wellness services, offering diet advice, and equipping them with tools to manage chronic conditions like diabetes effectively.

    Dealing with the expenses of diabetes care can be tough, but there are ways for women in urban Ghana to manage costs without compromising their health.

    One smart strategy is focusing on prevention and early detection. Regular health check-ups can catch diabetes in its early stages, often avoiding the need for expensive treatments later. Platforms like DrDoGood simplify the process by helping you book affordable consultations and find nearby healthcare facilities that accept your insurance.

    Living a healthy lifestyle is another important step. Eating a balanced diet, staying physically active, and managing stress are all effective ways to keep blood sugar levels in check and avoid complications. The DrDoGood app offers resources like professional diet and fitness advice, wellness classes, and tools for managing chronic conditions – all designed to support better health while keeping costs down.

    Lastly, if you have access to employer-sponsored health benefits, make the most of them. These benefits can help cut down on out-of-pocket expenses for medications, doctor visits, and wellness programmes.

    How does mental health impact diabetes management for women in Ghana, and what steps can be taken to address it?

    The Role of Mental Health in Managing Diabetes for Women in Ghana

    Mental health is a critical factor in managing diabetes effectively, especially for women in Ghana. Emotional challenges like stress, anxiety, and depression can disrupt efforts to maintain key habits such as eating a balanced diet, exercising regularly, and sticking to prescribed medications – all of which are essential for keeping diabetes under control.

    To tackle these challenges, women can explore stress-relief practices such as mindfulness exercises, yoga, or even pursuing hobbies that bring joy and relaxation. Building a strong support system (like we’ve done in this WhatsApp Diabetes community) is equally important. Whether it’s leaning on family and friends or consulting mental health professionals, having a network can ease emotional burdens.

    For more structured support, platforms like DrDoGood offer valuable resources. They connect users with licensed therapists and wellness experts, craft personalised care plans, and provide access to wellness facilities. By focusing on both mental and physical well-being, women can take a more balanced approach to managing diabetes effectively.

  • Gestational Diabetes and  Managing Blood Sugar During Pregnancy

    Gestational Diabetes and Managing Blood Sugar During Pregnancy

    Introduction

    When you’re pregnant, your body goes through a lot of changes—some are exciting, and others can be a bit concerning. One condition that many women don’t think about until they’re pregnant is gestational diabetes (GD). Gestational diabetes is a type of diabetes that develops during pregnancy, and while it’s not uncommon, managing it properly is important for the health of both mom and baby. But don’t worry—gestational diabetes can be controlled with the right approach, and understanding what it is and how to manage it is the first step.

    What is Gestational Diabetes?

    Gestational diabetes is a form of diabetes that only occurs during pregnancy. It happens when your body can’t produce enough insulin to meet the needs of both you and your baby. Insulin is the hormone that helps regulate blood sugar (glucose), so without it working properly, your blood sugar levels can rise.

    The good news is that gestational diabetes can be managed effectively. With the right changes to your diet, exercise, and sometimes medication, you can keep your blood sugar in check and have a healthy pregnancy.

    Risk Factors for Gestational Diabetes

    While all pregnant women are at risk for developing gestational diabetes, some factors can make you more likely to develop it. If any of these apply to you, you should be more vigilant and talk to your doctor about monitoring your blood sugar levels:

    • Age: Women over 25 are at a higher risk of developing GD.
    • Family history: If you have a family history of diabetes, your risk increases.
    • Obesity or inactivity: Being overweight or not getting enough physical activity can contribute to insulin resistance, raising your risk.
    • Previous gestational diabetes: If you’ve had [GD] during a previous pregnancy, you’re more likely to develop it again.
    • Ethnic background: Women of Hispanic, African American, Native American, or Asian descent are at higher risk.
    • Polycystic Ovary Syndrome (PCOS): This condition, which affects hormone levels, can increase the risk of developing gestational diabetes.

    Symptoms of Gestational Diabetes

    Gestational diabetes often doesn’t show noticeable symptoms, which is why regular screening is so important during pregnancy. However, some women may experience symptoms like:

    • Increased thirst: Feeling unusually thirsty, even after drinking water.
    • Frequent urination: This is due to the body trying to get rid of excess glucose.
    • Fatigue: Feeling constantly tired or sluggish, even after resting.
    • Blurry vision: High blood sugar can cause changes in your vision, leading to blurred sight.

    If you’re experiencing any of these, it’s a good idea to bring them up with your healthcare provider, especially if you’re at risk for gestational diabetes.

    How is Gestational Diabetes Diagnosed? 

    Gestational diabetes is usually diagnosed between 24-28 weeks of pregnancy through a routine glucose screening test. There are two main types of tests:

    1. Glucose Challenge Test (GCT): You’ll drink a sugary solution, and your blood sugar levels are tested an hour later. If your levels are too high, you’ll need to undergo the second test.

    2. Oral Glucose Tolerance Test (OGTT): For this test, you’ll fast overnight and drink a sugary solution. Your blood sugar is tested at multiple intervals (usually over the course of two hours). If your blood sugar remains high during the test, you’ll be diagnosed with gestational diabetes.

    Potential Complications for the Mother and Baby

    When gestational diabetes is not well-controlled, it can lead to complications for both you and your baby:

    • For the Mother: If you have gestational diabetes, you’re at higher risk for developing high blood pressure or preeclampsia, a serious pregnancy complication. There’s also an increased risk of developing Type 2 diabetes later in life.
    • For the Baby: Babies born to mothers with uncontrolled gestational diabetes are at risk for macrosomia (being born large), which may lead to complications during delivery, such as the need for a caesarean section. Babies may also be born prematurely or have trouble with low blood sugar after birth. Long-term, they may be at higher risk for obesity and Type 2 diabetes.

    Managing Blood Sugar During Pregnancy

    The good news is that gestational diabetes can be managed effectively with lifestyle changes. Here’s how you can keep your blood sugar levels under control:

    1. Dietary Changes

    Eating a balanced diet is key to managing gestational diabetes. Focus on:

    • Whole grains (brown rice, whole wheat bread, oats).
    • Lean proteins (chicken, fish, eggs).
    • Healthy fats (avocados, olive oil, nuts).
    • Plenty of vegetables provide vitamins and fiber.

    Additionally, carb counting is important. 

    2. Exercise

    Regular physical activity can help lower blood sugar levels by improving how your body uses insulin. Aim for at least 30 minutes of moderate exercise most days of the week. Walking, swimming, and prenatal yoga are all excellent options that are safe during pregnancy.

    3. Monitoring Blood Sugar Levels

    You’ll need to check your blood sugar levels regularly—usually several times a day. Your doctor will guide you on the target range for your blood sugar and how often to test. 

    4. Medications

    If diet and exercise aren’t enough to control your blood sugar, your doctor may prescribe insulin or oral medications. Insulin is safe during pregnancy and can be adjusted to help manage blood sugar levels. 

    5. Regular Check-Ups

    It’s important to attend regular prenatal visits to track your progress and monitor any changes. Your healthcare provider will help you stay on top of managing your blood sugar levels and will adjust your treatment plan if necessary.

    After Pregnancy: What Happens Next?

    Once you’ve given birth, your blood sugar levels should return to normal, but you’ll still need to get checked for Type 2 diabetes after a few months. About 50% of women who have had gestational diabetes develop Type 2 diabetes later in life, so regular monitoring is important. Maintaining a healthy weight, eating a balanced diet, and staying active can significantly reduce your risk of developing Type 2 diabetes.

    Breastfeeding has also been shown to help regulate blood sugar levels, so it’s a great way to support your health and your baby’s health post-pregnancy.

    Final words 

    Gestational diabetes can be a concern during pregnancy, but with proper management, both you and your baby can stay healthy. By making smart lifestyle choices, monitoring your blood sugar, and working closely with a healthcare provider, you can keep your pregnancy on track and minimise risks. 

  • Diabetes in Women: Symptoms, Risks, and Management.

    Diabetes in Women: Symptoms, Risks, and Management.

    Overview of Diabetes in Women

    Diabetes is a chronic condition that affects how the body processes blood sugar, or glucose. While it impacts both men and women, women face unique challenges when it comes to managing the disease

    For women, diabetes can be complex due to hormonal changes throughout different stages of life. Whether it’s during puberty, pregnancy, or menopause, these shifts can affect how the body regulates blood sugar levels.

    Many women are unaware that their gender can influence how they experience and manage diabetes, in this article, we would throw more light on the topic of diabetes and how it affects women.

    Role of oestrogen and progesterone in blood sugar regulation

    Oestrogen and progesterone are female hormones that play important roles in regulating blood sugar by affecting how the female body responds to insulin.

    These hormones fluctuate during significant moments in a woman’s life, moments such as ;

    • Menstruation,
    • Pregnancy, and 
    • Menopause—impacting insulin sensitivity.

    Oestrogen has a protective effect on blood sugar control. It enhances insulin sensitivity, allowing glucose to be used more effectively by the cells.it also helps prevent fat buildup and reduces inflammation,as a result it plays a vital role in keeping blood sugar levels stable.

    When oestrogen levels do drop such as during menopause the risk of insulin resistance and higher blood sugar increase

    Progesterone however tends to work against insulin during times like pregnancy or the blood sugar spikes, that’s why women with diabetes may notice that managing their blood sugar becomes more difficult during certain times of the month or during pregnancy

    Common Symptoms of Diabetes in Women

    Diabetes Symptoms in Women: Recognize the Warning Signs

    Women with diabetes share many common symptoms with men, such as increased thirst, frequent urination, and fatigue.

    However, they may also experience unique symptoms, including:

    1. Increased Risk of Yeast Infections and Urinary Tract Infections (UTIs); High blood sugar levels can create an environment in which yeast and bacteria thrive, leading to frequent infections. These infections may be recurrent and more challenging to treat in diabetic women.

    2. Sexual Health Issues; Diabetes also affects sexual health, causing vaginal dryness, decreased libido, and painful intercourse due to reduced blood flow and nerve damage (diabetic neuropathy). These issues can be worsened by high blood sugar levels.

    3. Irregular Menstrual Cycles; Poorly controlled diabetes can affect the hormonal balance necessary for regular menstrual cycles. Blood sugar fluctuations may lead to more extended periods or even missed periods in some women.

    Health Complications of Diabetes in Women

    Diabetes Complications Chart

    Beyond the common symptoms, diabetes increases the risk of some significant health issues in women:

    1. Heart Disease ; Women with diabetes are at a higher risk for heart disease than men with diabetes. Diabetes accelerates the development of cardiovascular disease, and women are more likely to experience complications like heart attacks or strokes.

    2. Polycystic Ovary Syndrome (PCOS) ; PCOS is a condition that often coexists with insulin resistance, a precursor to Type 2 diabetes. Women with PCOS are more prone to developing Type 2 diabetes later in life. This link underscores the importance of early screening and intervention for women with PCOS to prevent diabetes.

    3. Gestational Diabetes ;Gestational diabetes occurs during pregnancy when the body cannot produce enough insulin to regulate blood sugar levels effectively. Although it typically resolves after childbirth, women who have had gestational diabetes are at a higher risk of developing Type 2 diabetes later in life.

    4. Bone Health and Osteoporosis ; Women with diabetes, particularly those with poorly controlled blood sugar, are at an increased risk for bone loss and osteoporosis. This risk is due to the impact of high blood sugar on bone health, which weakens the structure and increases the risk of fractures.

    Steps to managing Diabetes as a woman

    Manage Diabetes With These Lifestyle and Nutritional Tips - GOQii

    For women with diabetes, proactive strategies are key to maintaining good health.

    1. Nutrition and Meal Planning ; Women should aim to eat balanced meals that account for their specific nutritional needs during pregnancy, menstruation, and menopause. A focus on whole grains, lean proteins, and healthy fats can help regulate blood sugar levels while considering hormonal fluctuations.

    2. Exercise and Physical Activity ; Regular exercise is vital for women with diabetes. It helps improve insulin sensitivity, lowers blood sugar levels, and promotes heart health. Activities like walking, swimming, or yoga can be particularly beneficial.

    3. Monitoring Blood Sugar Levels ; Hormonal changes, particularly during pregnancy and menopause, can cause fluctuations in blood sugar levels. It is important for women to monitor their blood sugar regularly, adjust their insulin or medication as needed, and consult with healthcare providers about any concerns.

    Conclusion

    Women with diabetes face unique challenges, from hormone-related fluctuations in blood sugar to increased risks of infections, heart disease, and other health conditions. However, by understanding the gender-specific aspects of diabetes and practicing specific strategies, women can effectively manage the disease.

    Proactive healthcare management, including balanced nutrition, regular physical activity, and close monitoring of blood sugar levels, is important as well. Women should also prioritize their mental and emotional well-being, seeking support when needed and with this right approach, women with this condition can live healthy, fulfilling lives.