TIPS FOR TIRED PARENTS: A GUIDE ON HOW TO GET YOUR KIDS TO SLEEP

TIPS FOR TIRED PARENTS: A GUIDE ON HOW TO GET YOUR KIDS TO SLEEP

 

Sleep is something we all require. It improves our mental and physical health, and it is as important as eating, drinking, and breathing. However, some of us just do not get enough of it. Sleep even boosts our immune system, helping us fight off viruses, and prevent us from falling unwell such as hypertension, diabetes as much. 

One of the greatest culprits of not getting enough sleep- our kids, and when our kids refuse to sleep, we suffer for it too. Kept up by the kids wanting a late night, resulting in us not getting what we need either. 

Parents are tired enough as it is, we all deserve a good night’s rest. So, how can you get your kids to sleep, especially if they’re the type who want to stay up and play? We have all the answers for you, right here. So, keep on reading and learn the secrets to a successful bedtime. 

Signs Your Kid Isn’t Getting Enough Sleep

When we are young, everything is exciting and there is so much we want to do, however, it is not unheard of for kids to suffer from sleep disorders, such as insomnia. 

There are some signs you can pick up on that will tell you if your kid is not getting the sleep they need. In fact, a lack of adequate sleep can sometimes mimic the symptoms of ADHD, so keep an eye out and watch how they act during the day,  including how they follow conversations and if they’re drowsy or sleep during a car ride. 

Cranky And Irritable 

We get it, and kids do too. If your kid is cranky or irritable, the likelihood is that they are tired and are not getting enough sleep. We get this way when we don’t get enough sleep, so it is not surprising that kids do too. 

Having Trouble Concentrating At School 

Our minds are affected by how much we sleep, and if we do not get what we need, our brains suffer. This means concentration suffers. If your kid seems to be struggling to concentrate in school, they probably are not sleeping enough. If their teacher tells you they are struggling to concentrate, looking at their bedtime routine should be your first port of call. 

Sleep & Healthy Mind: A Connection

Sleep is very important for all people. It keeps us alert and aware, and helps our bodies and brains function properly. If you are tired, it is hard to concentrate and focus, and your mind can drift, you become more forgetful, and you may find that you are moody. 

It is no different for kids, and during this time in their lives, it is imperative that their minds are raring and ready to take in all the information they need as they learn in school, and as they develop.

Sleep Is Extremely Important For Kids 

Sleep is essential for kids. It plays a large part in their development. Good sleep helps young minds stay alert and paying attention, however, it also plays a large part in their happiness too. Sleep will also affect their cognitive performance and development, their mood, resilience, vocabulary development, and their memory. During childhood, they need to retain all the information they will learn in school. 

In infancy, sleep will also affect their growth. 

Similarly, we all know that kids can catch illnesses off each other easily, and getting enough sleep helps to increase their immune system so that potential colds’ and flu don’t have as big of an impact. 

Essential Part Of A Healthy Lifestyle 

Getting enough rest is a necessary part of a healthy lifestyle. Sleep keeps our immune systems working and our minds healthy, whatever age we are. Our bodies need rest and recuperation to function properly each day, both physically and mentally. If we do not get the necessary amount of rest, we are more susceptible to falling sick, feeling lethargic, and not being able to concentrate properly. 

As adults, this means we can suffer from colds and the flu more, and we can make mistakes at work or even while on the road too. For children, this can mean falling unwell is more likely, and they will suffer from a lack of concentration in school, which, especially at a young age, can be detrimental to their education in the long term. 

Studies Have Shown That Kids That Have Enough Sleep Have Improved Attention And Behaviour 

There have been studies done that show that children who regularly get an adequate amount of sleep have improved attention, behaviour, learning capabilities, memory retention, and overall mental and physical health. 

Adults, or children, if you do not get enough sleep this can lead to high blood pressure, obesity, and even depression. Think of how you feel if you do not get an adequate amount of sleep, you are cranky and your mood often plummets, and you become more sensitive, this is why. 

For children, this can lead to issues, especially at school. If a child is cranky and depressed due to a lack of sleep, this can lead to issues, not only in their education but also in socializing.

Adequate sleep also has ties to digestion and metabolism. The better sleep you get, the overall healthier your body is. A lack of sleep can therefore be linked to obesity. 

As we sleep, the brain rejuvenates and prepares for the day ahead, so good sleep will help a child to concentrate and stay focused in school, benefiting their learning in the long term. A good amount of sleep also makes us feel happy as we have more energy, therefore improving behaviour as well. 

Recommended Amount Of Sleep

As adults, we should have between 7 and 9 hours of sleep per night. In fact, studies suggest that our sleep patterns in early life can contribute to a later dementia risk. Both insufficient sleep and sleeping for longer than we should have been linked with a greater risk of developing dementia. This as well as other things, as noted above, are why sleep is so important. 

However, how much sleep your child should have depends on their age, as the older they get, the less sleep they need

It Depends On Your Child’s Age 

As an infant, meaning from 4 months until a year old, the child should have 12 to 16 hours of sleep including naps. 

As your child grows, from ages 1 to 2, they require 11 to 14 hours of sleep, including naps. Then as a young child from 3 to 5 years old, they need 10 to 13 hours of sleep, including naps. 

Then as your child becomes older, and is learning more, from ages 6 to 12, they require 9 to 12 hours of sleep, and finally in their teen years, 13 to 18, they require 8 to 12 hours of sleep.

Tips To Sleep Better

Whether we are an adult or a child, sometimes getting to sleep can be difficult. For those who live busy lives, getting to sleep can feel like an impossible task, and if you, or your child, have insomnia, it can be even harder. 

Here are some tips that should help to make falling asleep a little less challenging. Trying to do all of these should help you not only fall asleep but stay asleep at night. 

Set A Regular Bedtime Routine 

As an adult or child, our bodies work like timers, they get used to habit and habits can be used to your advantage. 

Children love routine, and it gives their lives order and consistency. Studies show that setting up a good and consistent bedtime routine improves sleep in children who have moderate sleep issues. Routine can help teach your child to be sleepy, much like reading in bed can often help adults drift off to dreamland. 

Think about a routine such as brushing teeth, putting PJ’s on, having some water to drink, or a glass of warm milk, or even a non-caffeinated hot chocolate to help them relax. A bedtime routine should be relaxing and calming. Reading to your child or providing them with books for bedtime can also be a great addition to a nighttime routine, if reading sends us to sleep, it can certainly do the same for them too. 

Sleep Environment 

The environment in which your child sleeps will also have an impact, a dark and quiet space is ideal. If your child’s bedroom has a large window, try blackout curtains to provide extra darkness. If they do not like total darkness, then a night light can be suitable. 

Ensure the noise level is low also, not just in the bedroom, but in the whole house. Once a child has gone to bed, this is not the time to put on a loud movie, start a serious conversation, have an argument, or start rearranging the furniture. 

Quietness and darkness will help the body’s natural sleep instincts take over and help your child get to sleep better. These conditions should be consistent to aid them in staying asleep as well.

Similarly, ensure the conditions are right. Everyone sleeps better in a room that is cool but not cold, cool air coming in to assist with breathing clearly and maintaining our body temperature. However, ensure they are dressed adequately for bed, considering most young children will kick the covers off them in their sleep and cannot cover themselves.

Relax Before Bedtime 

It is always a good idea to try and get your child to relax before they go to bed. Older children may find it easiest to wind down before bed with a good book, some gentle music, or even breathing exercises. However, if your child takes more than 30 minutes to fall asleep, they may need a longer wind-down time, and some extra bedtime routine before you turn the lights out to sleep. 

Sipping warm and calming drinks such as hot cocoa, warm milk, or even herbal teas can be very relaxing and help you feel cosy before bedtime. Baths are also relaxing, helping to release those tense muscles and relax the body for sleep. 

Electronic devices including phones, tablets, and televisions should be turned off for an hour or so before bed to help induce sleepiness that will aid in getting to sleep faster. While some phone and tablet games are great for relaxing the mind, blue lights keep you awake. More on this later. 

Reading is one of the most popular techniques to help aid in sleep. So, a killer combo is a warm drink and a good book. For older kids, this is a great idea to help them wind down and get to sleep easier. 

Regular Sleep And Wake Up Times 

We have already spoken about routine, and this falls into that category as well. Regular wake and sleep times will assist in helping the body clock get you to sleep. Everyone has a body clock, and each person will have something known as circadian rhythm, this is the body’s clock that initiates sleep. The traditional body clock revolves around natural instinct, making us tired at sunset and wake at sunrise. 

However, not everyone is the same, this is where the concept of night owls and early birds comes from. This circadian rhythm is built throughout our lives, and as adults revolves around our work lives. For children, their circadian rhythm means that they need to have regular sleep and wake up times, just like we do, in order to have a healthy sleep-wake lifestyle. 

While plenty of adults may not adhere to this due to working lives, it is imperative for children to have this. Try to get your child accustomed to a set bedtime that applies to both weekdays and weekends so that they have a consistent sleep schedule. Doing so will ensure they get enough sleep, and they do not feel the need to ‘catch-up’ on sleep, as this can mess up their body clock. 

Keep Older Children’s Nap Time Short 

Following on from this, while younger children are likely to have naps throughout the day to get as much sleep as they need, in older children, this is not necessary. It is best to keep older children from having fewer or shorter naps. This will prevent them from disrupting their circadian rhythm and not feeling tired when it is bedtime. 

Typically, children should no longer be taking regular naps by the time they are 5 years old. Typically, they will stop napping between ages 3 and 5. However, if your child is over 5 years old, and they are still napping during the daytime, try to keep it to 20 minutes and no later than the early afternoon. Long and late naps make it harder to fall asleep at night, and this will then result in it messing up their bedtime routine. 

Ensure Your Child Feels Safe At Night 

Sometimes children may feel scared at night when it is dark. If they are scared of going to bed or being in the darkness, then be sure to praise them and reward them for bravery relating to this. 

Always avoid scary TV shows, films, and games close to bedtime. If your child does suffer with any bedtime fears, then you can always resort to using a night light to help them feel safe. 

Similarly, ensure that their regular environment feels safe to them. If they feel anxious at night, this can cause sleeplessness and insomnia. This means that ensuring there are no problems at home that may make the child feel uneasy or unsafe. If the child does not seem to be sleeping well or complains of feeling anxious or nervous at night, try to find out why and resolve the issue to help them get better sleep and feel safe and secure.

Reduce Blue Light Exposure

Blue light is the light we get from electronic devices, TV’s, computers, tablets, and mobile phones. This type of light reminds our brain of daytime and can make the brain reluctant to go to sleep as it fools it into thinking that it is day, making us more awake. 

You can get special glasses that filter out this type of light, which can help to combat the effects of blue light exposure before bedtime. There are also apps that filter this blue light, they will shift the colour tone of a screen towards warmer wavelengths on the spectrum of light, which will lessen the effects that blue light has on our brains. 

A good idea is to stop the use of electronic devices around bedtime, at least an hour before bed, to stop the light from screens from having this effect. 

Some lightbulbs may also emit a light that keeps us awake. If you can acquire colour-changing bulbs, red is ideal, as it does not suppress melatonin production and therefore helps us to feel tired. Yellow and orange are similar. Warmer colours are more useful as reading lights and night lights, helping our bodies naturally feel more tired.

Avoid The Clock 

So many people have a bad habit of worrying about bedtime. Thinking of how much sleep they will get if they fall asleep now, or now… or now. This clock watching can actually prevent you from falling asleep and will end up making you anxious about how much sleep you will get. Adult or child, this can be a problem. 

If your child is clock-watching at night, perhaps suggest moving it to a different spot where it cannot be seen from bed to prevent this. 

We are all guilty of clock-watching at some point, especially when we have to do something special or different the next day, perhaps a school trip, a play, a concert, or another event. The adrenaline is pumping, and we watch the clock and worry about how much sleep we will get. Removing the ability to watch the clock will help your child sleep easier, so they are not thinking about time.  

Eat At The Same Time 

Just like sleep, having an eating schedule tunes your body clock. Many people will have breakfast in the morning, lunch around noon, and dinner in the early evening. Spacing out these meals. Keeping a regular eating schedule for your child will help their body adapt to this, and eating at a reasonable time aids in sleep. 

If your child feels too hungry or too full before bed, which can make them alert or uncomfortable, thus making falling asleep much harder. A healthy breakfast for your child in the morning will help their body clock jump into action at the right time and give them the energy to start the day. Lunch at a good time will assist in keeping them awake, and a nutritious meal for dinner will give them the energy and sustenance for the rest of the day, preventing hunger around bedtime. 

However, do not let them eat too close to bedtime. No food should be consumed for an hour and a half to two hours before bed, this is to prevent digestion from impacting sleep. You should always check any ingredients in your child’s food or snacks, keeping a close eye on things such as caffeine, red dye, and sugar. Meaning sodas, juices, and chocolate are things to steer clear of in the run-up to bedtime. 

Get Plenty Of Natural Light 

It is also important that your child gets as much natural light during the day as possible, especially in the mornings. Bright light suppresses melatonin, which helps your child feel awake, alert and energetic during the day, and sleepy toward bedtime. 

If you have ever worked from home or had a few days cooped up indoors, you will probably have experienced this in action. When we stay indoors a lot, we do not get the vitamin D we need to feel energetic and awake (hence why some people will take vitamin D supplements) this makes us feel more lethargic during the day and more awake at night as our bodies have not had the natural melatonin production process. 

Ensuring that your child gets plenty of natural light exposure in the mornings and daytime will ensure their natural body clock does exactly what it is supposed to.  

Work As A Team 

Parenting is about teamwork. Always ensure that you discuss and agree on sleep strategies for your child with your partner to work as a unit to ensure it works. Otherwise, you cannot expect the child to learn, change their behaviour, or even comply. 

If you decide to start a new sleep routine for your child, let them be part of the team and discuss it with them, especially if they are old enough to understand it. Plan it out and talk to them through it. If the child is young, you can always use imagery to explain the routine to them. 

Communication is key in any relationship, even parent and child, and this kind of communication and teamwork is where plans and routines work best.

No Caffeine 

While most people will think of coffee straight away at the mention of caffeine, it is in more foods and drinks than you may think. Caffeine is in energy drinks, coffee, tea, chocolate, and sodas. These things should all be avoided as bedtime approaches, keeping them at bay in the late afternoon and evening. It is recommended to cut off the consumption of caffeine at a minimum of 6 hours before bedtime. So, if your child goes to bed at 8pm, then no more caffeine should be consumed after 2pm. 

Always check food and beverages for caffeine in their contents, even a tiny bit of chocolate can have a massive impact on sleep if consumed too close to bedtime.

Remember: Always Try Your Best

It is not always easy to try and get your kid into bed. Some kids just do not want to go to bed, and sometimes activities will make them wired. If your child has been part of a Christmas play or been at a friend’s house, they may be excited and full of energy. 

Bedtime routines can help to calm them and give them things and activities that their brain will associate with sleep. It can be hard to find that thing that will help your child sleep better, but there are many things to try out. Just try your best, and remember, if it doesn’t work this time, don’t beat yourself up about it, keep trying, and you will get there. 

Kids Will Always Ask A Last Request Before Bed 

Do not forget, kids will always ask for one thing before they go to bed, be it a hug and snuggles with their parents or pet, some water to drink, a trip to the bathroom, or just one more book. 

This is normal. Think of your own bedtime routine, you know what you want and need to do before bed, the child knows too. If they need to go to the bathroom, do not stop them, as it can make them uncomfortable and cause even more issues if they try to sleep on a full bladder, or if they are thirsty. 

Some children will find reading to be relaxing, and they may ask for one more book because that first one didn’t quite do the trick, however, knowing the difference between an excuse to stay awake, and a child genuinely asking for help falling asleep, is a thin line. 

Do Your Best To Try And Stop Requests Before Bedtime 

If you can, try to incorporate these requests into your child’s bedtime routine. Perhaps start off with PJ’s and some warm milk, some hugs from the family, then brushing teeth and using the bathroom, a drink of water then climbing into bed and reading a good book to finish off. But, let your child know once they are in bed, they must stay in bed. (Of course, needing the toilet during the night is an exception to avoid accidents. If you’ve got to go, you’ve got to go.)

Don’t Give Up Or React To Your Child’s Behaviour 

However, not every child will only get up if they need the bathroom, sometimes they just want to stay up. Do not give in or react to their behaviour. Simply take their hand and take them back to bed. Do not get into a debate, argument, or give into requests, as this means you’re giving them extra attention and a delayed bedtime. 

Never fall for the ‘just this once’ line, as it will often become more than once, and you can destroy the routine you have built just by allowing it ‘just this one time’. 

The most difficult part from this is understanding where the line is between genuine sincere requests like needing to use the bathroom, and excuses to stay awake. While toilet requests can seem like an excuse, it is wise to know that if they do genuinely need to use the restroom, and they are denied this it can create issues. Holding your bladder for too long can weaken the muscles and cause urinary incontinence and holding your bladder for too long can also create urinary tract infections– especially in girls. Try to find the difference between excuses and genuine requests and needs.

Summary

Getting your kid to go to bed is no easy feat, but it is doable. Being a parent is tough enough without being tired all the time because your kid won’t go to bed. Forging a good bedtime routine is the cornerstone of getting your child to go to sleep and have a decent circadian rhythm that means bedtime stays the same. 

If your child has a designated bedtime, then you will find more time for yourself and have time to rest and recuperate as well. Bedtime routines can be as simple as managing eating habits, restricting caffeine and blue lights, reading, and having a cosy warm beverage before bed. 

Different things work for different people, so do not be afraid to work with your child to forge the perfect routine for you all.

 

WORLD HEART DAY 2021!

WORLD HEART DAY 2021!

As we celebrate World heart day 2021, we need to know this; cardiovascular disease (CVD) claims 17.9 million lives globally each year. Also, that, over a lifetime, our heartbeats about 2.5 billion times. That is a hard-working muscle!
In honour of the day celebration, we must have the following tips at the back of our minds to keep our hearts healthy:
• Stop smoking. It is the number one way to improve your heart health.
• Talk to your doctor about your Body Mass Index (BMI), a percentage of body fat.
• Maintain your healthy weight- Even a loss as small as 3% to 5% body weight can help lower blood pressure if you are overweight.
• Staying active daily — even just a brisk walk — can help keep the pounds off.
• Limit salt. The Heart Foundation recommends less than 2,000 mg of sodium daily. Too much salt can lead to high blood pressure, which can cause a stroke, heart attack, and more.
• Eat your fruits and vegetables. Eating more fruits and veggies can never hurt you — unless it is fried, of course.
• Eat more chicken (and fish). Chicken and fish often have less saturated fat than red meat, which is better for your heart.
• Limit red meat to once a week or less. Red meats have more cholesterol than other meats like chicken or fish. Since cholesterol can make your heart disease worse, try to limit it and choose lean cuts like sirloin.
• Soluble fibre lowers cholesterol and helps manage blood sugar. So, eat more soluble fibre like whole grains, berries, flaxseed, and beans to avoid the “crash” of eating less fibrous foods.
• Increase Omega-3 fatty acids in your diet. It may help reduce blood pressure, lower triglyceride levels, and protect the heart by slowing plaque growth and reduce arrhythmia.
• Oatmeal is fibre rich and contains omega-3 fatty acids, folate, and potassium. Eating oatmeal may also help lower levels of LDL (bad) cholesterol.
• Follow your health plan and take your Medications. Work with your doctor to create a plan that works for you and stick with it. This includes taking any prescribed medications for health conditions like high blood pressure.
• A minimum of 40 minutes 3 to 4 times a week is ideal for the best cardiovascular health results. Exercise Regularly!
• Keep your body guessing. Mix up your fitness routines with cardio, strength training, and stretching. All are important for good health.
• Limit alcohol. Too much alcohol can raise triglyceride levels.
• Limit your sugar intake. The recommendation is no more than 6 teaspoons a day for women and 9 teaspoons a day for men. Excess sugar intake is linked to certain cancers, heart disease, and obesity.
• Switch to olive oil. Olive oil is full of monounsaturated fats, lowers LDL (bad) cholesterol. It may help reduce the risks of developing heart disease.
• Monitor your cholesterol. Have your cholesterol checked at least every five years. You’ll want to do this more if your doctor has discovered any issues like high cholesterol in the past.
• High blood pressure can cause heart disease, kidney disease, and it has been linked to dementia. Check your blood pressure regularly.
• Work with your doctor to manage blood sugar levels to protect your heart health.
• Stress can raise blood pressure and lead to elevated levels of the hormone’s adrenaline and cortisol in the body. Mitigate Stress
• Eat Some Soy. Soy is low in saturated fat and can potentially lower cholesterol. Consuming 25 grams of soy protein daily can lower LDL by up to 6%.
• Practice good oral hygiene. Good dental hygiene includes brushing and flossing your teeth daily. Those who have gum disease often have risk factors for heart disease.
• Donate blood. At least every six months, consider donating blood. Studies have shown that people who donate regularly suffer fewer heart attacks.
• Be social. Studies show that people who stay in regular contact with family and friends have fewer heart problems.
• Adults typically need 7 to 9 hours of sleep a night. Sleep deprivation is not only bad for your heart and blood pressure, but it also raises risks for obesity, diabetes, and depression. Catch some sleep
• Read and understand Food Labels. Just because a food product is labelled as low-fat or healthy doesn’t mean it is. “Partially hydrogenated” or “hydrogenated” means trans fats, which aren’t good for the heart. Monitor sugar and salt amounts per serving and know how many servings are in the package.
• Choose natural over-processed. In general, the less processed a food is, the healthier it is. Think of “whole foods” as foods that are naturally grown like sweet potatoes, bananas, and spinach.
• Choose baked over fried. Think baked buffalo wings, baked fries, and crunchy baked chicken instead of automatically tossing those food items into a fryer.
• Sitting for too long can lead to blood clots. You’ll want to be mindful of the length of time you sit every day and also when you travel. Try to get up and stretch to avoid a blood clot forming.
We believe that you and I have much work to do regarding our lifestyle; and what we do to enjoy a healthy heart. We care for you as friends and community members! That is why we are #ROHSI3

DIABETES NEXT EPIDEMIC IN NIGERIA

DIABETES NEXT EPIDEMIC IN NIGERIA

 

DIABETES NEXT EPIDEMIC IN NIGERIA

By Sola Ogundipe

The growing number of people living with diabetes mellitus in Nigeria is worrisome and an explosion in the number of diabetic patients may be imminent if urgent measures are not taken to address the trend.

The World Health Organisation, WHO, estimates for Nigeria, show that 4 million Nigerians are diabetic, and nearly 4 – 11 per cent of the population lives with diabetes.

Experts say it is getting commoner worldwide with the number of affected people rising yearly with projections showing that Africa and Nigeria in particular, is likely to experience the highest increase in the near future. The International Diabetes Federation estimates that by 2040, the global prevalence of diabetes is likely to affect 10 per cent of humanity.

Currently, diabetes care is poorly coordinated, especially at the primary and secondary public health care centres.

Many Nigerians are living with undetected diabetes and even for those that have been diagnosed, just a fraction is receiving proper care and treatment.

A recent study showed that pooled prevalence of diabetes mellitus in the six geopolitical zones were 3.0 percent in the northwest, 5.9 per cent in the northeast, 3.8 percent in the north-central zone, 5.5 percent in the southwest, 4.6 percent, in the south-east, and 9.8 percent in south-south zone.

Findings by Good Health Weekly reveal diabetes screening programmes are few across the States and have limited impact.

The steady increase of diabetic foot, a major complication of diabetes mellitus is equally worrisome.

Many people living with diabetes lack basic knowledge and information about diabetes foot care even as reliable support for diabetic foot care programmes are largely unavailable, leading to poor outcomes for the patient.

Nigeria is currently the most affected country in Africa. It is estimated that over four million Nigerians are living with either the type 1 or type 2 diabetes and findings show that more than 50 per cent the persons with diabetes in the country are unaware that they have the disease.

More than 1 in 3 people with diabetes will develop” a complication of the eyes known as diabetic retinopathy. There is also high prevalence of complications such as diabetic foot among diabetics who risk suffering nerve damage and end up losing their limbs from amputation.

Findings by Good Health Weekly show that patients with diabetes are 25 times more likely to have amputations than people without diabetes.

The amputations unfortunately often do not only result in the loss of the limb but in the loss of life of the patient. Worse still, treatment for diabetic foot complications is the most expensive part of diabetes care even though there is no guarantee that the leg or the life of the patient will be saved.

“Diabetic foot is one of the commonest reasons for prolonged hospitalization in tertiary hospitals.  The patient suffers nerve damage to the affected limb even as the tissues develop ulcers, infection sets in and it begins to decay (gangrene),

With the majority of patients financing their medical bills out of pocket, several diabetic patients fail to adhere to their medications and tests. Only 1 in 5 of the patients perform self–blood glucose monitoring among other tests.  Several patients even resort to traditional treatment and complementary alternative medicine options.

Today, many Nigerians have become victims of foot amputation, stroke, blindness, kidney failure, heart attack, among other serious conditions, all linked to diabetes.

Already, the rate of amputation among Nigerians living with diabetes is as high as 53.2 per cent of the number of people with foot ulcers in some centres across the country, making diabetic foot the most common cause of non-traumatic amputation in the lower extremities in the country.

“Diabetes places an extra burden on the individuals and families affected, especially for the majority of patients unable to access quality health care,” said Prof Femi Fasanmade. an endocrinologist at the Lagos University Teaching Hospital, LUTH.

Many patients report late to the health care centre when they have developed advanced disease making treatment and care difficult.

A Consultant Endocrinologist and diabetes expert, Dr Afoke Isiavwe, who is the Medical Director of Rainbow Specialist Medical Centre, Lagos, said diabetes is not getting the attention it deserves even as she decried the current situation whereby a lot of Nigerians are living with undetected diabetes.

“Diabetes is not getting the attention it deserves. There is a bigger problem coming in the near future and if we don’t get the right attention now, people will continue to die.

“We need to address the situation urgently. It is affecting the poor, the rich, the young and the old. What we need to do is set up centres that offer free screening and care for diabetes,” she argued.

An examination of the diabetes burden within sub-Sahara Africa showed that the region has the highest potential by an estimated 156 per cent increase by 2045.

“By 2040, 642 million will be diabetic. Diabetes kills more than HIV, TB and malaria combined and this is made worse by the fact that there are no dedicated diabetes centre in Nigeria. Worse still, mortality rate following diabetic foot amputation is higher than for breast cancer.

Among the main reasons for the expected rise are ageing population, increasing urbanization, (sedentary lifestyle) reducing physical activity and increasing obesity.

Noting that it is long overdue for all the States of the Federation to have dedicated diabetes Centres, Isiavwe said there are currently 16 million persons affected by diabetes, but the figure will rise in coming years.

“There is a very urgent need for all hands and voices involved in the diabetes circle – persons living with diabetes, advocacy groups and associations, diabetes care providers, Diabetes Health Care Trainers, policymakers, etc., to be united to birth the right atmosphere for both primary and secondary prevention of diabetes mellitus in Nigeria.

In her research on diabetes foot in Nigeria, Prof Anthonia Ogbera, an Endocrinologist and Consultant at the Lagos State University Teaching Hospital documented the financial burden of diabetic foot problem in the country.

The research published in 2005 showed that the direct costs of treating the diabetic foot ulcer were about 1000 Euros (N400,000), whereas the average monthly wage was about 46 Euros (N18,000).

Findings reveal that today, even the proposed average monthly wage of N30,000 would be inadequate.

“The accompanying social, emotional, and psychological implications of diabetes foot ulcers and amputations are severe, with high mortality rates. A foot care programme including education about foot care should be directed at patients and also at health-care providers.

“All health professionals should have the knowledge and skills to help individuals and families manage diabetes.  It is important that every clinic is set up to provide appropriate care and to know when to refer patients to the Endocrinologist/diabetes specialist.”

Isaiavwe said training in Podiatry, a branch of medicine dedicated to the study, diagnosis, medical and surgical treatment of disorders of the foot, ankle, and lower extremities, should be part of the package.

Coping tips

Diagnosis

Early diagnosis can be accomplished through relatively inexpensive testing of blood sugar Treatment

Treatment involves diet and physical activity along with lowering blood glucose and the levels of other known risk factors that damage blood vessels.

Maintenance of blood glucose control, particularly for people with type 1 diabetes who require insulin. People with type 2 diabetes can be treated with oral medication but may also require insulin.

Maintain blood pressure control and foot care.

Prevention

Adopt simple lifestyle measures such as maintaining healthy body weight, being physically active eating a healthy diet, avoiding sugar and saturated fats intake, and avoiding tobacco use. Go for regular screening for early signs of diabetes-related kidney disease and treatment.

 

ROHSI MAKES CASE FOR WIDOWS, SINGLE MOTHERS IN NIGERIA – Dispatch News Online

ROHSI MAKES CASE FOR WIDOWS, SINGLE MOTHERS IN NIGERIA – Dispatch News Online

ROHSI MAKES CASE FOR WIDOWS, SINGLE MOTHERS IN NIGERIA

The Rays of Hope Support Initiative (ROHSI), a non-governmental organisaton has proffered solution to the plights of widows and single mothers in Nigeria, following the difficult challenges they face after the death of their spouses.
This was made known in a paper presented by Oyeronke Olorunfemi, director at ROHSI during a programme organised recently by Heart For Widows International, a charity organisaton, to commemorate the United Nations (UN) International Day 2021 held at Alagbaka in Akure, Ondo State with theme: “Invisible Woman, Invisible Problem”.

Olorunfemi said that in the course of her community work, she noticed that more of women especially, older women are having high blood pressure than their male counterparts as majority are widows, handed over the mantle of family leadership without much preparation after the death of their husbands.
She therefore, prays that, God should continue to protect the men as they go out daily, not to die young as not to relinquish the mantle of family leadership to the woman should such suddenly happens.

“We know the loss of a partner is devastating. For many of our women around the world especially in developing countries such as ours, the loss is magnified by a long-term struggle for their basic needs, their rights and dignity”, Olorunfemi said.

She stressed on what befalls the woman should she loose her husband to include evicted from their homes or physically abused, or where their social status is linked to that of their husband’s and such husband passed on suddenly without a solid plan, what would happen to the health of such a widow?

Olorunfemi lamented that such a widow among other things have to accept unwillingly what nature has brought to her because of the children, unwarranted conditions from their husband relatives, social norms, which results in many women dying prematurely.

“So we can all imagine how burning this issue is? I have this question, should our women identity be defined by their husband or should be viewed on their own merits?” she asked.

To this end, she suggested ways by which government and society must improve the lives of widows, single women and their families to include:

“We must come up with poverty-reduction strategies like access to credit or other economic resources and provide educational opportunities for our widows and their children to make life easier.

“Our widows should have unlimited rights to their husband inheritance or land ownership under the law of the land.

“Violence towards widows must be stopped and it has to be now.

“We must all advocate for equitable access to healthcare for our widows. They must not be denied such an opportunity.

“We must them secure against economic insecurity stemming from widowhood that has driven some of our widows and girls to sex work.

“We must keep talking to authorities to take action to uphold their commitment to ensuring the rights of the widows as enshrined in our laws and conventions.

“Let us keep advocating for programmes and policies for ending violence against widows and their children.

She concluded that the above would make life more meaningful to widows, as the health and the wellbeing of their children would not be an issue anymore, because these solutions if implemented would have taken care of those needs.

Eelier in their welcome addresses, Prince Adetayo Adesida and Mrs. Britt Schulze Adesida expressed the gratitude that God had used them to reach out to widows across Africa and the world at large by empowering them, so that they can fend for themselves on the event of the loose of their husbands.
“God has been able to help spread our tentacles to some countries in Africa as well where we have been able to reach out to the widows in Rwanda, Kenya, Lesotho, Seychelles, Uganda to mention but a few.
“We thank God that we did not only give widows fishes to survive on, but also teach them how to fish through various vocational developmental schemes, which empowers the widow to be self-reliant and self-sufficient to the point that their product which is been displayed at this event, is not only sold in the country, but also shipped out of other countries so that it becomes an economic empowerment for our widows.”
“God has been so faithful to the point that we are able to establish this foundation in the USA, The Netherlands, Germany, India, Nigeria, Tanzania and Bulgaria.
Dignitaries at the event include The Deji of Akure, Oba Aladetoyinbo Ogunlade Adelusi represented by Chief Aro of Akure kingdom accompanied by some chiefs from the palace; delegation from the Ondo State government, which included Mrs. Olubunmi Ademosu, Special Adviser to the Ondo State government on Intergovernmental Relation and Oluwafemi Dennis Fadairo, Director of Administration to the Senate President of Nigeria, Ahmed Lawan.

First Published By Dispatch News Online http://dispatchnews.com.ng/2021/08/02/rohsi-makes-case-for-widows-single-mothers-in-nigeria/

ROHSI CALL TO ACTION

 

ROHSI CALL TO ACTION
I am writing to say thank you and to show my appreciations for all that you have made us to achieved in terms of being able to provide access to healthcare treatment to our targeted community members. A huge thank you!
I am also using this as a call to action to my other friends to be part of what we are doing at Rays of Hope Support Initiative – #ROHSI3

Within my work as a social development worker, whenever I hear of people battling with health-related issues especially hypertension and diabetes that have led to strokes, heart attack, sudden death, or stories such as he/she wasn’t sick, we were still together yesterday give me and my team great pains because death such as this could be prevented with access to information, measures and monitoring of our health numbers, medication, and change in lifestyle.

I do wish we saved many of these lives by influencing their diets and lifestyles in a way that would keep them healthy and strong to be able to be alive for their loved ones! We know how unbearable it is; to lose a loving and dependable member of a household. I do not want this to happening again because many of these deaths could be prevented with our efforts at Rays of Hope Support Initiative.

I am asking you to join my team with your resources, time (as our ambassadors/Volunteers), network, collaborations, recommendation, money, donations. Let us save lives by inculcating healthy lifestyles through awareness and access to equity healthcare treatment among people when we were able to take the good news to their doorsteps.

You can start from here:

For the donations, use any of our secure links:
STANBICIBTC BANK PLC: Rays of Hope Support Initiative
Naira: 0022069426
Dollar: 0027047650
Or through
www.rohsi.org/donate

If you could support this by donating and then sharing it with your network. I would greatly appreciate it. I know that money can be tight, so please know that every donation makes us closer to our goal.
Kindly reach out to me in case you have any questions, and I will be happy to answer them. I thank all for rejoicing with me and joining me in this mission of impacting and saving the majority of our people from avoidable/sudden death.


Let’s do this together! Love, Health and Joy,

Benjamin Olorunfemi

Executive Director

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