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Diabetes : The leading cause of death in South Africa 2024

Diabetes has become one of the most significant health issues in South Africa, posing a critical threat to both individual lives and the nation’s healthcare system. According to recent data from Statistics South Africa (Stats SA), diabetes ranks among the leading causes of death, placing an immense burden on public health resources and impacting millions of lives across the country. This article explores the scale of diabetes in South Africa, the challenges in managing this chronic condition, and the pressing need for targeted interventions to curb its rising impact

 

diabetes stats sa census graph

 

The Prevalence and Rising Death Toll of Diabetes in South Africa


Diabetes has surged in prevalence across South Africa over the past decade, particularly in urban areas where lifestyle and dietary changes have contributed to the increase. Stats SA's reports underscore that diabetes is now one of the top natural causes of death in the country, following close behind conditions like hypertension and cerebrovascular diseases.


Approximately 4.3 million South Africans are living with diabetes, though the actual number may be higher due to undiagnosed cases. In many cases, people only become aware of their diabetes after complications set in, which significantly raises mortality risks and healthcare costs​


Understanding Types Diabetes and Its Complications


Two primary types of diabetes affect South Africans:


  1. Type 1 Diabetes: This is an autoimmune condition where the body’s immune system attacks insulin-producing cells in the pancreas, leading to little or no insulin production. Type 1 diabetes is often diagnosed in children and young adults, and those affected require lifelong insulin therapy to manage blood glucose levels.


  2. Type 2 Diabetes: The more common form, Type 2 diabetes, occurs when the body becomes resistant to insulin or doesn’t produce enough to maintain normal blood glucose levels. Unlike Type 1, Type 2 diabetes is strongly linked to lifestyle factors, including diet, physical inactivity, and obesity. This type of diabetes predominantly affects adults but is increasingly being diagnosed in younger people due to lifestyle shifts


Type 2 diabetes, the most common form in South Africa, is largely influenced by lifestyle factors such as diet, physical inactivity, and obesity. Without proper management, diabetes can lead to serious complications, including heart disease, kidney failure, blindness, and amputations. These complications are not only life-threatening but also place a significant financial strain on both individuals and the healthcare system.

Stats SA’s findings indicate that a high proportion of deaths among people with diabetes are linked to these complications, which could be prevented or delayed with early diagnosis and proper management. However, due to limited access to healthcare, many South Africans, especially those in low-income areas, lack the support needed to effectively manage their condition


The Healthcare System’s Struggle with Diabetes Management


South Africa’s healthcare system faces numerous challenges in managing the growing diabetes epidemic. According to the South African Diabetes Alliance, only about 30% of patients with diabetes achieve optimal blood glucose control, which increases the risk of complications and higher mortality rates. Factors contributing to this issue include a shortage of healthcare resources, lack of diabetes-specific education, and economic barriers to accessing medication and regular medical checkups.


Public healthcare facilities are often overcrowded, and there is limited specialized support for managing chronic conditions like diabetes. Additionally, medications and essential testing supplies for blood sugar management are often expensive and inconsistently available, particularly for those relying on public health resources. This lack of access to effective care exacerbates the health outcomes for many South Africans with diabetes, leading to a higher risk of complications and premature death.


Non-communicable diseases like diabetes, hypertension and cancer, have surpassed the Covid-19 pandemic as the leading cause of death in South Africa. That’s according to Deputy Health Minister Dr Joe Phaahla

The Role of Regular Exercise in Managing Diabetes


Physical activity is another cornerstone in preventing and managing diabetes. Regular exercise improves insulin sensitivity, allowing the body to use glucose more effectively. Most days of the week, engaging in 30-60 minutes of moderate to vigorous activity can significantly impact blood sugar control and overall health.


Here are some beneficial types of exercises for people with diabetes:


  • Aerobic Exercise: Activities such as walking, jogging, swimming, and cycling are effective for improving cardiovascular health and managing blood sugar.

  • Strength Training: Weightlifting or resistance exercises help build muscle, which can improve insulin sensitivity.

  • Flexibility and Balance: Yoga and stretching improve flexibility and reduce stress, which can have positive effects on blood sugar management.


Promoting a Healthy, Plant-Based Diet Inspired by Dr. Sebi


One of the most effective strategies for preventing and managing Type 2 diabetes involves adopting a diet rich in natural, unprocessed foods. Dr. Sebi, a renowned herbalist and holistic health advocate, promoted a plant-based diet focused on alkaline foods, which he believed helps the body maintain optimal health by reducing inflammation and balancing pH levels. Inspired by Dr. Sebi’s dietary recommendations, here are some foods beneficial for people with or at risk of diabetes:


  • Leafy Greens: Vegetables like kale, spinach, and collard greens are nutrient-dense, low in carbohydrates, and high in fiber, which helps regulate blood sugar levels.

  • Whole Grains: Quinoa, millet, and amaranth are excellent sources of complex carbohydrates that release glucose slowly, preventing blood sugar spikes.

  • Legumes: Beans, lentils, and chickpeas are packed with fiber and protein, both of which can help keep blood sugar levels stable.

  • Nuts and Seeds: Almonds, chia seeds, and flaxseeds provide healthy fats and fiber that can reduce the risk of Type 2 diabetes.

  • Low-Glycemic Fruits: Berries, apples, and citrus fruits have a lower impact on blood sugar and are rich in antioxidants.


Dr. Sebi’s diet emphasizes avoiding processed foods, refined sugars, and artificial additives—all of which contribute to high blood sugar levels and insulin resistance. By incorporating whole, plant-based foods into daily meals, individuals can help manage their blood sugar naturally and reduce the need for medication.


Combining a healthy diet with regular exercise can reduce the risk of Type 2 diabetes, support weight loss, and improve overall metabolic health. This can help people manage diabetes effectively without heavy reliance on medication.


 



 

Moving Forward: Building a Healthier South Africa


As diabetes continues to impact the lives of millions, urgent action is required to prevent this health crisis from worsening. Stats SA’s findings reveal that without dedicated resources and a focus on prevention, diabetes-related deaths will likely continue to rise, with significant repercussions for both individuals and the broader healthcare system. By investing in education, resources, and accessible care, South Africa can take meaningful steps toward reducing the impact of diabetes and improving the quality of life for those affected by this chronic disease.


Addressing diabetes in South Africa is not only a matter of public health but also an economic imperative, as healthier populations contribute to a stronger workforce and more sustainable communities. With a coordinated effort across healthcare providers, policymakers, and communities, South Africa has the potential to turn the tide against diabetes and build a healthier future

 






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