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EDUCATION AND DEBATE: Sunia Foliaki and Neil Pearce Prevention and control of diabetes in Pacific people BMJ 2003; 327: 437-439 [Full text]

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Health protection: Also an urban architectural matter

Yann A. Barguil   (22 August 2003)

Diabetic AND dyslipidemic Biophysical-Semeiotic Comstitution at the base of type 2 Diabetes.

Sergio Stagnaro   (22 August 2003)

Health protection: Also an urban architectural matter 22 August 2003
Yann A. Barguil, Director Laboratoire de Biochimie, Centre Hospitalier de Nouvelle-Calédonie, 98849 Noumea, New Caledonia Send response to journal: Re: Health protection: Also an urban architectural matter	Editor- In most Pacific countries, sodas and salted snacks are often more expensive than natural basic food: This is an economical and financial problem. Too many parents prefer feeding their children with coloured sugared (and over-salted) drinks instead of milk or water: This is an educational matter. These problems could be of lower incidence if urbanised Native people had a ground to cultivate their food. The challenge is to create low-cost buildings comprising gardens, or to integrate fields - even small - in the urban area. To do so, there must be a strong willing from city councils and governments to save enough space from building projects. Another positive effect would be that the time spent to look after these urban food plantations would be shared with family and other community members, tightening links that are often loosen in the urban environment and sometimes sources of dramatic social and health situations. Competing interests:   None declared
Diabetic AND dyslipidemic Biophysical-Semeiotic Comstitution at the base of type 2 Diabetes. 22 August 2003
Sergio Stagnaro, Specialist in Blood, Gastrointestinal, and Metabolic Diseases. Researcher in Biophysical Semeiotics Via Erasmo Piaggio 23/8. 16037 Riva Trigoso (Genoa) Italy Send response to journal: Re: Diabetic AND dyslipidemic Biophysical-Semeiotic Comstitution at the base of type 2 Diabetes.	Sirs, accordingly with the authors of an interesting article (1), diabetes is a major problem worldwide. Independent of different countries, in recent decades diabetes prevalence has increased rapidly over time among both developed and underdeveloped populations. Surely, genetic factors alone cannot explain these patterns. However, as allows me to state a 46-year- long clinicacl experience, (See in HONCode site 233736, http://digilander.libero.it/semeioticabiofisica, URL: http://digilander.libero.it/semeioticabiofisica/constitutions.htm) an individual,nwithout “diabetic AND dyslipidemic biophysical-semeiotic constitutions”,can not be involved by type 2 diabets, at all. Certainly, rapid changes in lifestyle and risk factors such as obesity, unhealthy diets, and physical inactivity, tobacco smoking, a.s.o., acting on people with “diabetic and dyslipidemic constitution” may cause, AT FIRST, Pre- Metabolic Syndrome, then, over years or decades, metabolic syndrome, IGT, and finally type 2 diabetes. In a few words, the war against diabetes mellitus and its well-known and harmful complications, as well as the war against all other serious and common human diseases, is nowadays possible, all around the world, exclusively by means of a primary prevention, which must be achieved at the bed-side, i.e., "clinically", on a very large scale, using the simple stethoscope. In other words, in every screening programme for whatever disease, including DM and its complications, and cancer, one needs efficacious "clinical" tools to obtain the best results. Really, early diagnosis must certainly be established in "asymptomatic" patients, who, for example, are evolving slowly towards diabetes mellitus, i.e. long time before disease onset, in order to avoid the well known, severe complications. In fact, to prevent these diabetic complications, including diabetic retinopathy, it is extremely necessary that doctors use a "clinical" tool reliable in diagnosing early diabetes mellitus stages, from initial stages, i.e., biophysical-semeiotic constitutions, and then the Pre-Metabolic Syndrome (See http://digilander.libero.it/microangiologia, URL: http://digilander.libero.it/microangiologia/Documenti/Eng/Pre- metabolic%20syndrome%20engl.doc) (1, 2, 3, 5, ). 1) 1) Foliaki S., Pearce N. Prevention and control of diabetes in Pacific people. BMJ 2003;327:437-439 (23 August) 2)Stagnaro S., Istangiopatia Congenita Acidosica Enzimo-Metabolica condizione necessaria non sufficiente della oncogenesi. XI Congr. Naz. Soc. It. di Microangiologia e Microcircolaz. Abstracts, pg 38, 28 Settembre-1 Ottobre, 1983, Bellagio 3) Stagnaro S., Istangiopatia Congenita Acidosica Enzimo-Metabolica. X Congr. Naz. Soc. It. di Microangiologia e Microcircolazione. Atti, 61. 6-7 Novembre, 1981, Siena 4) Stagnaro S., Istangiopatia Congenita Acidosica Enzimo-Metabolica. Una Patologia Mitocondriale Ignorata. Gazz Med. It. - Arch. Sci. Med. 144, 423, 1985 (Infotrieve). 5) Stagnaro S. Diet and Risk of Type 2 Diabetes. N Engl J Med. 2002 Jan 24;346(4):297-298. [PubMed -indexed for MEDLINE]. 6) Stagnaro S.-Neri M..Stagnaro S., Sindrome di Reaven, classica e variante, in evoluzione diabetica. Il ruolo della Carnitina nella prevenzione del diabete mellito. Il Cuore. 6, 617, 1993. Competing interests:   None declared