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Yet another step was made yesterday in the fight to bring diabetes under control for those who suffer with the chronic illness when the Minister of Health signed an agreement with the Canadian International Development Agency, which is supporting the National Programme for Control and Management of Type II Diabetes.The new MOU will address the second phase of the project – the regionalisation of the fight through new centers and wider educational programmes aimed at a greater cross section of the population.Phase One of the programme saw the establishment of a Centre of Excellence in Diabetic Foot Care at the Georgetown Public Hospital Corporation (GPHC) as well as visits by specialists from the Canadian Association of Wound Care to assist in the training of local personnel.Sixty-five local health professionals benefited from the training provided by the specialists in the area of evidence-based Best Practice Recommendations for the Diabetic Foot.Type II Diabetes arises when the body develops a resistance to insulin or stops producing it altogether.It has serious effects both short and long term as the glucose generated in the body builds up and begins to affect a person. People with diabetes are far more likely to have a foot or leg amputated than other people since they tend to have artery disease,Adidas Nmd Pink Shoes, which reduces blood flow to the feet.Also, many people with diabetes have nerve disease, which reduces sensation. Together, these problems make it easy to get ulcers and infections that may lead to amputation.Most amputations are preventable and this is the basis of the programme.In seeking to prevent this condition being imposed on a significant number of people who can scarcely afford to survive as is, let alone lose their incomes and have to pay huge medical bills,Air Max 97 Silver, the first phase of the project has made significant steps forward.According to Minister of Health, Dr. Leslie Ramsammy, there has been a 42 per cent reduction in diabetes-related major amputations at the GPHC as a result of the work of the Centre with patients suffering with the disease.The newest phase has been developed by the Ministry of Health and the GPHC in partnership with the Canadian Association of General Surgeons (CAGS), and funded by the Government of Canada through the Canadian International Development Agency (CIDA), Partnership Branch.It seeks to take the work of the Centre into Regions Two through Region Six and Region Ten,Nike Air Max 2018 Womens, reaching the majority of the population, as well as increasing the number of health professionals who are educated in the illness and will therefore be able to further disseminate this information to the communities they serve.According to Dr. Brian Ostrow,Cheap Air Jordan Shoes Wholesale, Project Co-ordinator – Canadian Association of General Surgeons, after the three-year project is completed,Air Max 97 For Sale Australia, it will continue to serve the people of Guyana but they are really not going to achieve the full success until they take the programme national. He said that they plan to train 353 Guyanese health professionals in a multi-level community based programme.He anticipated that 50 percent of the Guyanese suffering with diabetes will be targeted by this programme.He also noted that a new project manager, Dr. McPherson,Cheap Nike Air Max 1, has been appointed to head the programme in the near future.Dr. Madan Rambarran, Director of Medical and Professional Services, GPHC, pointed out that in addition to the many other benefits, a new screening initiative called the ‘60 second screening tool’ to assist in assessing at risk patients has also been realised as one of the spin offs of the programme.Also highlighted in the Minister of Health’s address was the fact that more and more occurrences of these chronic illnesses are arising as a result of the fact that our lifestyles as Guyanese are no longer what they used to be, our dietary and exercise habits as a people leave much to be desired and as such we add to the prevalence of these illnesses.