Global Diabetes Summit

Global Diabetes Summit

The Global Diabetes Summit, taking place on 14 April 2021, aims to raise awareness of diabetes as a global challenge and address the need to scale-up prevention and treatment as part of primary health care and universal health coverage.

The event is co-hosted by the World Health Organization and the Government of Canada, with the support of the University of Toronto. During the event, a major new initiative, the Global Diabetes Compact, is being launched. The President of Kenya will join the Prime Ministers of Fiji, Norway and Singapore; the WHO Global Ambassador for Noncommunicable Diseases and Injuries, Michael R. Bloomberg; and ministers of health from a number of countries as well as diabetes experts and people living with diabetes, to highlight the ways in which they will support this new collaborative effort. Other UN agencies, civil society partners and representatives of the private sector are also attending.

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i’m femi okay i’m your moderator i’m also a journalist so news is my business i am going to take you back to a hundred year old headlines when researchers in canada were making news work on diabetes shows progress against disease says one headline toronto medical men hoping that cure is at hand or caps a boy is treated you can kind of feel the excitement in that headline another one from the toronto daily star toronto doctors on track of diabetes cure so fast forward to 2021 and we know that either the lack of insulin or the body not producing enough insulin means that we can’t use glucose in our bloodstream and that really fuels us that condition is diabetes right now across the world more than six percent of people have diabetes and the number is growing which is why we are here at the global diabetes summit the who will be launching the global diabetes compact it is a bold initiative the idea is to support all countries to manage the prevention of diabetes and support people with diabetes inclusively and comprehensively there is so much to talk about we start with the director general of the who dr teddos adnam gabrieles excellencies distinguished participants their colleagues and friends covet 19 has posed a twin threat to people with diabetes not only do they face an increased risk of severe diseases and deaths from the virus many diabetes patients have also experienced disruptions in care even before the pandemic many people with diabetes did not have access to the life-saving care they need often because of the cost it’s unacceptable that millions of people still cannot get insulin which was discovered 100 years ago we’re going backwards when we should be going forwards type 2 diabetes is largely preventable and all types of diabetes are treatable and yet the number of people with debits is going up and deaths from debits are increasing globally including for people under the age of 70. the debits burden is rising most rapidly in developing countries which are the least well equipped with the diagnostics medicines and knowledge to provide life-saving treatment for all of these reasons we’re today launching the global debits compact this initiative aims to reduce the burden of diabetes improve outcomes support prevention and improve access to comprehensive affordable and quality care including insulin through this ambitious and much needed collaboration we can prevent diabetes save lives and move one step closer to the healthier safer fairer world we all want i thank you thank you dr ted ross co-hosting our global diabetes summit the government of canada joining us now with an official welcome bonjour je m’appelle patty heidel minister de sante du canada and i am so thrilled to be here as a co-host of this important summit alongside dr tedros and of course the wh so now canada is extremely proud of our contributions to saving lives of people who are living with diabetes in fact a hundred years ago insulin was first discovered at the university of toronto but we know that we have so much more to do to help prevent diabetes and of course protect the lives of people who live with diabetes and that’s why the canadian institute for health research continues to invest in ongoing research and innovation to break through barriers for people living with diabetes and to understand the role that the social determinants of health play in both acquiring the illness and living and managing it now we know that investments in social determinants of health and helping to support healthier lives goes a long way in defeating diabetes in all of our communities and that’s why canada’s investments in things like affordable housing access to fresh food making sure that we reduce the cost of living supporting healthier children through increases to canada child benefits these are all measures that we know have a direct and indirect impact on the incidence of diabetes but we do must do more in fact in our parliament a very important bill is being debated and that is to provide a national framework so that we can all work together more closely to prevent diabetes and to support everyone living with diabetes across the country thank you everyone who is attending this conference who’s working so hard on supporting people who live with diabetes around the world together we will make a difference we will reduce the cases of diabetes and we will help people who are living with diabetes live longer healthier and safer lives i would like each of you to take a moment to acknowledge the diverse traditional lands from which we are all gathered virtually today my professional background is in nursing and advancing the health and wellness of first nations has long been a top priority of mine i recognize the worrying trends in global diabetes data and ongoing needs regarding prevention screening and access to quality care for the first nations adult population 50 and over the rate of diabetes is around three times higher than the general population however diabetes onset is being observed at younger ages more frequently there are many issues at play and for first nations support for holistic healing practices is necessary high rates of various chronic and acute illnesses stem from a number of deeper causes what most of you would call the social determinants of health in many first nations cases we must grapple with an overall lack of access to health care services where quality and safety are a luxury for many this is just one of the many struggles that we face on a daily basis just to get our basic needs met by working together and building truly fair and equitable partnerships and collaborations we can improve outcomes for first nations we need meaningful investments in capacity that is sustainable and that can benefit from traditional knowledge and expertise this must be essential within this process and cannot be an afterthought diabetes rates are cause for concern and just as the causes are diverse so too must our solutions be diverse and they must be rooted in holism and culture hi hey then you are going to hear all the way through this summit enthusiastic support for the who’s global diabetes combat let’s explore how ambitious it is we’re joined by dr ren assistant director general at the who excellencies i thank canada for co-hosting this historical world diabetes summit today we have a second opportunity in a century to change the course of diabetes the current model of diabetes prevention and management has failed to provide equitable diabetes care to those who need it such inequities which are our own creations are immoral and they are dangerous for our health our economies and our society hundreds of millions of people still struggle every day in poorest countries because they lack reliable and affordable access to diabetes medicines glucose monitoring and test scripts we can and we must change the staticals doing so is smart diabetes prevention detections treatment and care is investment for healthy lives and productivity especially in the lower and lower middle income countries but too few peoples are currently being reached as in immediate steps lower and lower middle income countries must lead the way by embedding ambitious diabetes response in their convenient recovery plans the pandemic is a shocking reminder to protect people living with or at the risk of diabetes and to build a high resilience future civil society and people living with diabetes must scale up their advocacy towards the governments to act on diabetes the private sector must step up to provide immediate concrete solutions to the government to lower price and improve availability of insulin and other diabetes medicine and essential technology the davitro global diabetes campaign provides a competing opportunity for the world to turn 100 years old ambitious into reality the compound which we are launching today will support the countries in developing and implementing new policies and programs to bring diabetes prevention diagnosis treatment and care to all who need it the key to success of the campaign is to establish to cover his targets for diabetes to support the country and the region’s lead efforts to this end i would like to highlight six imperatives first the compact is calling on everyone working in the field of diabetes to unite around inclusive and action-oriented narrative on diabetes prevention and treatment with monitoring towards ambitious yet realistic targets second the compound is bringing together all who tools and resources available for prevention and management of diabetes both existing and new into one seamless package the third to accelerate prevention the compact will promote healthy livings across the life course with a focus on reducing childhood obesity fourth the compact will work towards improving access to diabetes medicines and technologies in the poorest countries and in humanitarian settings first the compound will insure the people living with diabetes have a seat at the decision-making table you can count down david cho for seeking knowledge and expertise of both with a unique lived experience david cho is strongly committed to working with people living with diabetes to ensure the support they need to charter a prosperous and suitable future six the compact aims to close knowledge gaps and stimulate innovations related to technology and leapfrogging for those hardest rage and quantifying this economy and human costs of feeling to do so your support is crucial i encourage all international partners to come forward with pledges to support the virtual global diabetes compact let us work together to recover better and build a better world for all thank you this is how transformational change happens you’re about to hear from heads of government from around the world and the commitments they are going to be making to the global diabetes combat but first i want to tell you about singapore in 2016 singapore launched a war against diabetes what what does that even mean well it was a strategy for the whole nation to have a healthier lifestyles to boost programs to help people manage diabetes singapore is already committed to tackling diabetes it is my pleasure to introduce the prime minister of singapore friends and colleagues tackling diabetes is a major priority for singapore one in three singaporeans can expect to develop diabetes in their lifetimes impairing their quality of life in later years diabetes is an invisible disease it does not appear as a top cause of death but many heart attacks strokes and kidney failures in fact trace back to diabetes diabetes also complicates the treatment of many other diseases including covet 19. singapore declared a war on diabetes five years ago this is a whole of nation effort believing that prevention is better than cure we strongly encourage singaporeans to adopt healthy diets and lifestyles we are mandating the grading and labeling of ready to drink beverages and banning advertising of beverages with high sugar and saturated fat content we promote regular physical activity to maintain fitness and reduce obesity we’ve built parks and fitness corners all over our island and are happy to see them well used by joggers cyclists and exercise groups old and young a national health screening program encourages singaporeans to go for regular health checkups in order to detect early the onset of disease for those living with diabetes we strive to optimize disease management emphasizing prevention of complications set up a diabetes center to bring together different specialists and allied health professionals the center organizes care around the needs of diabetic patients and aims to raise standards of care education and research singapore therefore strongly supports the world health organization’s global diabetes compact singapore did something similar on a more modest scale two years ago when we hosted an international ministerial conference on diabetes let us continue to work together to share experiences in preventing and managing this disease and make our peoples happier and healthier thank you the director general of the who dr ted ross cabrillos fellow heads of state and government distinguished ladies and gentlemen i am delighted to join the world health organization and indeed the entire global community as we launch the global diabetes compact and also as we celebrate 100 years since the discovery of insulin the launch of the global diabetes compact is not only timely but also an important initiative that will provide a comprehensive approach to the prevention and management of diabetes your excellencies ladies and gentlemen while we celebrate the revolutionary discovery of insulin it is worth noting that diabetes still remains as one of the major health challenges of the 21st century the number of adults living with the disease has more than tripled over the last 20 years why basically because basic diagnostic tests are not available in many low-income countries and one in two with type 2 diabetes who need insulin treatment do not unfortunately have access to it people living with uncontrolled diabetes are at risk of developing serious and life-threatening complications including kidney damage cardiovascular disease and eye and foot damage covid19 has also further complicated the burden of diabetes a recent who survey has revealed that 18.3 percent of kovitt 19 deaths 18.3 percent of kovitt 19 deaths in the african region are among people living with diabetes in kenya approximately three percent of the adult population is living with diabetes the prevalence is projected to rise to 4.4 percent by the year 2025 if more aggressive preventative measures are not taken today even more worrisome is the fact that over 50 percent of those with diabetes do not know their status leading to late diagnosis when complications have already set in so i’m therefore pleased to note that one of the key objectives of the global diabetes compact is to enhance our capacity or the capacity of our health systems to detect diagnose and manage diabetes ladies and gentlemen my administration is committed to supporting the global diabetes compact by implementing health system reforms to accelerate the achievement of universal health care coverage the uhc is our road map towards the realization of the right to health a constitutional right of our citizens and to this end i wish to thank the who for the support that they have given and lent to kenya in our rollout of uhc we are realigning diabetes and other non-communicable diseases service delivery into the uhc framework to make it easier for our people to access quality health care based on need and not the ability to pay in this context my administration has ensured that a chronic illness package is included in the enhanced national health insurance scheme which is currently available to any kenyan who wishes to enroll finally ladies and gentlemen i wish to thank once again the world health organization and all our other partners for supporting kenya with insulin and other supplies as part of the kovit 19 strategic preparedness and response plan this support was and will continue to be critical in saving lives of persons living with diabetes by helping them maintain blood sugar within recommended levels and thereby moderating the severity of the covid19 illness thank you all for contributing to our shared vision of a world free of preventable diseases and preventable diabetes in particular as well as all other related non-communicable diseases let us accelerate action on this agenda as we prepare for the second high level meeting of the united nations general assembly on universal health coverage in the year 2023 i thank you all for your kind attention excellencies ladies and gentlemen friends today we are celebrating an important medical breakthrough a hundred years since the discovery of insulin despite this breakthrough 1.6 million people still die from diabetes every year is one of the world’s top 10 causes of death people are dying because they do not have access to quality health care services and affordable insulin many are not aware that they have the disease and are diagnosed post-mortem this is unnecessary and unacceptable diabetes and other non-communicable diseases account for more than 70 percent of all deaths worldwide most debts from ncds in people under the age of 70 occur in low and middle income countries this is also where four out of five adults with undiagnosed diabetes lip a large-scale global effort to combat ncds could save millions of lives improve the health of populations and enhance economic growth this is crucial for achieving the sustainable development goals but only one to two percent of global health related development assistance go to combating ncds this is why my government has adopted a strategy for combating ncds as part of our development policies we have allocated about 130 million us dollars over five years to this work and i’m proud that the world health organization is our main partner we recently launched the whole norway flagship initiative this includes concrete actions to combat ncds such as strengthening primary healthcare capacity and access to medication the program is being implemented in ethiopia ghana myanmar and nepal i would like to congratulate dr tedros dr bender mikkelsen and the rest of the ncd team on the launch of the global diabetes compact access to insulin is crucial better prevention screening early diagnosis and care are also needed the global diabetes compact will help find solutions to enable people with diabetes to live long and healthy lives diabetes has been treatable for 100 years it is time we ensure that the treatment is made available to all thank you bolovanaka from fiji thank you to the director general of the who dr tedros and my fellow leaders for enlisting in this effort to save lives and spare suffering from the scourge of diabetes and cds like diabetes are the greatest health crisis pacific people face today i say that knowing full well we are in the midst of a pandemic given the cruel manner in which the coronavirus preys on those most vulnerable few live with a crushing fear of contacting coveted 19 like those living with diabetes those who do need our support more than ever fijians suffer from diabetes well above the global average knowing the risk that posed we acted quickly to keep the virus at bay it took us 30 days to contain our outbreak of covet 19 and this month marks one full year since our last local case ncds however a crisis with no clear end it will take far longer than a single month a single year or even a medical model like a vaccine to defeat diseases like diabetes instead we must change hearts and minds across society by raising awareness about how we stop the disease from stealing so much from our people and we must ensure those who suffer from it can access the best care possible in fiji around 15 percent of our population are diagnosed with a type of diabetes the real prevalence is likely much higher regardless what we do know is shocking fiji loses out on over 400 million dollars a year in productivity and our people lose more than 264 000 years of healthy living due to ncds those are the wrong numbers but they cannot capture the true weight of the pain our people endure feeling your mobility slip away missing time with your children watching loved ones leave too soon none of that heartbreak can be calculated but it can be averted in fiji we are equipping our health facilities to offer better and more affordable healthcare to fissions living with diabetes and other ncds we are helping our people help themselves through access to better information outdoor recreation and more nutritious food but the economic crisis that has come with a pandemic puts all that work at risk the sooner we get our people vaccinated the sooner we bring our tourism driven economy back to life the more progress we’ll make against this disease it’s that simple fiji was a proud signatory to the pandemic treaty to protect humanity from a future that looks anything like the past year today we are equally proud to enlist in who global diabetes compact once again it is about saving lives through solidarity once again fiji is ready to play its part thank you the who ambassador for non-communicable diseases and injuries is michael bloomberg you’re about to find out why he’s such a fine ambassador this year has been especially hard for the hundreds of millions of people living with diabetes they have been at much higher risk of contracting a severe case of coven 19 and it has become much harder to get the life-saving insulin they need diabetes is one of the top 10 causes of death globally four out of five adults in low income countries are unaware that they are diabetic and 30 million type 2 diabetics have not had access to insulin the good news is that this is solvable 50 million deaths could be prevented by implementing tax increases that raise the price of tobacco alcohol and sugary beverages and that’s just one thing we can do bloomberg philanthropies has been working to protect people from non-communicable diseases like diabetes for years and i’m also glad to serve as who global ambassador for non-communicable diseases and injuries today the who is taking action by launching the global diabetes compact this pandemic has proved the importance of investing in preventive measures like this now in order to save lives in the future so i want to thank the who for leading this global response we’ll be with you every step of the way unicef is proud to join today’s launch of the global diabetes compact with who and the university of toronto an important new opportunity to shine a light on the risks of non-communicable diseases like diabetes the discovery of human insulin 100 years ago is one of the most significant advances in the history of medicine one that transformed the lives of millions of people with insulin dependent diabetes but today the majority of more than 1.1 million children and adolescents with type 1 diabetes do not have access to screening early diagnosis and adequate care including the insulin they need to survive historically global health efforts have focused on combating infectious diseases this focus has left health systems and responses ill-prepared to detect and treat non-communicable diseases like diabetes and to minimize other ncd risk factors like overweight and obesity lack of physical activity and alcohol and tobacco abuse these risk factors can begin early but their effects can last a lifetime as we seek to better recover from the covet covid19 pandemic we need to build stronger primary health systems that can address both infectious and non-communicable diseases like diabetes through this new compact unicef is proud to join forces with the public and private sectors to shape markets and strengthen the supply chain to make insulin more affordable we also need to work together to better regulate the promotion of products like sugary drinks tobacco and alcohol especially to children and we call on governments to make ncds like diabetes the priority in national budgets and to set bold targets around diagnosis treatment and access to insulin unicef looks forward to working with our partners around the world to bring this compact to life and to ensure that every child everywhere can enjoy a healthy and productive future thank you if you have diabetes taking care of your health is critical i remember when my dad was diagnosed with type 2 diabetes and how careful he was about taking his insulin injections regularly and just really looking after himself you are about to meet three people with diabetes who not only watch their own health but they’re activists and advocates for people with diabetes in their own community so they’re looking after other people as well we spoke recently i am going to let the activists introduce themselves to you hello everybody this is this is a great bit of the global diabetes summit where we get to talk about real people making real change hello advocates hello champions i’m going to get you to say hello to our audience one by one p.m you start hi everybody i’m payan from singapore i’ve been living with type 2 diabetes for 25 years and i’m representing vida change hi there my name is deepadhat i’ve lived with diabetes for the past 14 years i come from lebanon and i represent positive home locals hello my name is john peter moro i come from tanzania i have type 1 diabetes for 15 years i represent t1 international always curious about what turned someone into an activist at one point you discovered you had diabetes what was the moment when you realized that you wanted to work really hard to get a better life for other people who have diabetes like you what what happened when did that happen uh it was 2016 and it happened when i was at the college studying medical laboratory so when i went back home for field studies at the hospital and i saw a lot of kids who are diagnosed with a type 1 diabetes especially where most of them didn’t survive many of them died at the hospital and some of them were discharged or where some of them were discharged and um they were never coming back for clinics the other thing that made me turn to advocacy was um i saw a girl in daru salaam who because of their family their family economy she was not able to buy her insulin so the insulin she got from the hospital she used to mix it with the rain water so that the insulin can stay longer that was very painful because that girl died and i decided to change and start advocating for everything that diabetes and the people diabetes needs including strips myself i stayed for six months months without checking my blood glucose at all except when i go to i when i when i went for clinic that the only place where i was able to check the other days i was just staying like i’m okay whether it is my blood sugar was up or down i didn’t know because i was never checked it for almost six months that’s where that’s when i met elizabeth of tijuana international and from there everything changed and i started to advocating for diabetes in general especially for type 1 diabetes um i think the the main thing that happened was my dad was diagnosed with type 2 and for one second it was not just me advocating for myself it was time to add my dad and teach my dad and i looked around and there was no community no rights no one asking or fighting for you know the rights of people living with diabetes and i was like that’s it if no one’s doing it i’m gonna do it myself so i remember that bright and clear when you say the issues or the challenges that the diabetes communities around the world have what are you fighting for what are you pushing for i guess it’s about all about well awareness and it’s not just awareness within the public community it’s also awareness within from the public members of the public awareness within the diabetes community itself how do we interact with others each of each other in a safe environment and the type of language that we use to address each other or when it comes or in the during discussion when it comes to anything that’s related to diabetes i think like some of the most recent challenges that i’ve personally gone through were like during the pandemic we were not on the priority list we were not considered high risk um one of the things i’ve personally struggled with was like the lack of education even like at the medical level you know like you go start an ngo for supporting people in terms of psychiatry and like mental health and they laugh at you they’re like that’s not important for diabetes there are so many things people with diabetes need other than just um the tools they need the support system they need the community they need the mental health support because they easily slip into anxiety and depression and that leads to lack of management and that could lead to many many bad outcomes and in the diabetes talk we don’t talk about these things a lot so we need insulin but we also need mental health awareness we also need um support from uh the world of nutrition we have other needs that are unfortunately very expensive that no one talks about they they have to acknowledge our needs and see us as people with a critical condition um and that’s like the first step unless unless that happens i don’t know how change happens in a country like lebanon and several other countries in the mena region hey you are sitting in singapore so it’s going to be a different situation there how knowledgeable are governments your government and governments in the region about diabetes how are you faring well i guess for us in singapore we are trying very hard to really create awareness about what diabetes is whether in schools and a public creating awareness amongst the community um on a whole in the western pacific region it’s a mix yeah there are countries who are doing pretty well in terms of awareness and understanding of what diabetes is but at the same time we also have countries in the western pacific region which we really really need support and help in terms of creating awareness about diabetes let’s talk action now and how do you create a situation where government’s more aware they’re doing meaningful engagement and people with diabetes around the world are getting the help that they need so rin i think that um people with diabetes have been trying to talk about this and raise this topic and we are finally heard governments have a very important role here here um the compact without governments actually making it happen unfortunately won’t be the breakthrough we are all hoping for but being heard is not enough we need meaningful action we need engagement we need to be included in the decision making and we can help governments find solutions we can use synergy we can um you know be team players and make meaningful impact in the world if we are allowed to they just have to listen to us it’s all about you know people leaders government coming together talking together and sharing what is going on in their own country you know you know you might not know you might never know no another country may just say hey i have a i have a solution for this or i i have a problem can have anybody help me with this or if anybody has a good idea that you have tried any work you maybe can share with me what is your policy or what how do you implement it in your country one way to start this is really through education how we integrate the understanding of diabetes whether whether is it superficial or whether is it a bit more in-depth into the curriculum so for example my students they are learning about what exactly is diabetes and some signs and symptoms you know causes um how it can affect a person’s life in their curriculum in school my suggestion is to spread the awareness to the community through schools and they can try to make diabetes they can put diabetes into the curriculum so that the student the kids can learn diabetes from their schools and also support us the people who live who are living with diabetes to go around the community schools and everywhere where there are people and teach them about diabetes so that um we can be able to to live free because right now a lot of students are to help to to first of all to supply the necessities of diabetes insulin test strips to the hospitals so that everyone with diabetes can get them for free and also to try to help us to spread the awareness of diabetes just the same as they did for hiv we want the community to understand diabetes and we want the community to accept the people with diabetes as a final remark i would like governments look at the covet pandemic and how much they’ve done in a year after the storm and i want them to look at resources how they synergize how they collaborated to find a vaccine and i want them to compare that to the diabetes pandemic that’s been happening for a very long time the fact that it’s been 100 years since insulin and that there are still people dying because they don’t have access to medication i’m just going to make it very short and simple come talk to people living with diabetes and hear our stories [Music] there are 420 million people living with diabetes and it’s quadrupled since 1980. we all know someone with diabetes or we all will know someone with diabetes maybe a person with diabetes in your life doesn’t feel comfortable talking about it because of the stigma shame surround again david from oecd david from whl really shows that there is a substantial increase in the number of patients that we are seeing with diabetes now that we are here a hundred years after the discovery of insulin i think that the global community is really recognizing that there’s still so far to go you still have people who can’t afford it you still have places that say we can’t store insulin because we don’t have a cold chain system in 2021 it’s predicted that 235 million people globally will need humanitarian assistance and it’s particularly challenging for people living with diabetes the global diabetes compact is a golden opportunity to come together and focus on how to support people already living with diabetes but also to prevent people from getting type 2 diabetes it’s a journey that is just started and i think that’s a really good thing because that means that everybody can come on board and give their advice as a person with diabetes it feels great to be connected with others around the globe who are going through a lot of the same issues that i experienced if you look at hiv this was really part of the success the game changer that people living with hiv started to be very vocal on what kind of solutions they need in rural zimbabwe a person cannot be diagnosed in a primary healthcare facility because we don’t have the resources we don’t have the people who can do that so this compact is aiming at that training people at the root i think that the root of diabetes care should really come from primary care physicians because that’s who you’ll most likely to see primary care physicians should be trained to be supportive of their patients mental well-being as they as they either adjust to life with diabetes or as they go through whatever types of things that life throws at them that may impact the diabetes management bringing diabetes into primary care is essential the early we can start to treat these patients and minimize the impact that diabetes can have in the vascular system the better results that we can have insulin has been around for 100 years but we have three major companies that are dominating the market the greatest opportunities for increasing access to insulin particularly in low and middle income countries there’s really better access to greater competition in the form of biosimilar insulin there’s a number of barriers currently preventing that from a systemic perspective but we really think the global diabetes compact provides us the opportunity to engage with the private and the public sector on what exactly are those barriers to reduce the time and cost associated with bringing these biosimilar products to market maybe with the compact we’ll have more manufacturers of insulin better pricing of incident price caps we need all those things [Music] what i really hope with the compact is that we think about the most vulnerable and the most challenging circumstances if we can address the needs in humanitarian settings in low resource settings firstly we’re helping those who are most vulnerable and most in need and secondly the lessons learned and and the solutions found for those areas can can probably be useful for people living with diabetes everywhere i am so passionate about trying to break down the barriers to ensure that the health systems that we work with today are built to sustainably provide the access that people need in years to come i commend dr tetras over the director general that he really picked up on this idea and supports it i want to focus on solutions and i can see that all the people who are interested in joining the compact has the same idea the next five years could bring so much positivity in the diabetes world people who live with and work with diabetes excited about the possibilities of the who’s global diabetes compact the compact is being launched in the anniversary year of the discovery of insulin 100 years ago insulin is on the who’s list of essential medicines but for many it is very difficult to get hold of and also difficult to be able to afford you’re about to hear from people really talking about the challenges of equitable access to everybody to insulin as a medicine but first we’re going to stop off at the university of toronto in canada where they made the best deal of all time paying one dollar for the patent for insulin here’s professor gertler with the story of the discovery of insulin in canada before the discovery of insulin diabetics faced a life expectancy of only a few years after onset of the disease in 1921 frederick banting charles bast and james collup working under the direction of j.j.r mccloud in the university of toronto’s physiology labs developed and purified a pancreatic extract that was safe and effective in human trials insulin was produced initially in u of t’s cannot anti-toxin laboratories beginning in 1922. banding a mcleod would win the nobel prize in physiology and medicine in 1923 for a discovery that has profoundly improved the lives of millions of people around the world that same year banting best and kalip were awarded the patent for their discovery which they promptly sold for a dollar each to u of t to ensure that insulin would remain readily available to any and all who needed it and yet today insulin is still out of reach for millions around the globe and its costs and accessibility have become a major challenge for public health and public policy the world over the discovery of insulin is one of the most important accomplishments in the history of medicine and the university of toronto was enormously proud to have played a leading role in this breakthrough it is in this spirit that we are so pleased to help launch the global diabetes compact thank you all for your dedication to this great cause one of canada’s proudest achievements is the discovery of insulin right here in ontario 100 years ago insulin revolutionized management of diabetes and literally saved millions of lives around the world yet a century later the problem of diabetes is bigger than ever today one in three canadians has diabetes or pre-diabetes and young people in canada face a greater than 50 chance of developing diabetes in their lifetime that’s why here at diabetes canada we have been urging our governments to embrace a comprehensive nationwide approach to improve the prevention screening and management of this disease diabetes canada along with 120 stakeholders from multiple sectors across the country was inspired to develop this approach which we call diabetes 360 based on the success the hiv aids community has had with their 90 90 90 target here at diabetes canada we are confident that with an inclusive holistic and equitable approach to addressing diabetes we can chart a path that will ensure that canada and other countries around the globe improve the care that is offered to people living with diabetes that’s why we’re so pleased to be here today and would like to thank the world health organization for convening this session not only to commemorate an amazing discovery made a hundred years ago right here in canada but also to launch the who diabetes compact this compact represents another important step towards our shared vision we all want to create a world free of the effects of diabetes and we all agree we can’t wait another 100 years to end diabetes thank you living with diabetes is like rebuilding a house around you every day some days the house is solid keeping you safe and warm other days the roof blows off before breakfast at the foundation of this house is insulin 100 years ago there was no house to build this miracle medicine changed lives and gave people with it the option to live now the centenary this fundamental unit of care is still unaffordable to one and two people in need in low and middle income countries some on a low wage must work up to 10 days a month just to purchase 10 ml or one vial of insulin and beyond the price tag insulin in the public and private sectors often fails to meet who’s global action plan target of 80 percent for availability at this summit there’s an opportunity for all of us to come together to make real commitments for change prioritizing access to insulin in global diabetes policy committing to and designating resources to diabetes care in national settings committing to more evidence on insulin use and access in low and middle income countries committing to transparency across the sector and committing to joint advocacy around this critical issue in this moment marking the discovery of insulin we have an opportunity to change this issue for the better and ensure all people in need have a solid foundation that allows us to build on and improve diabetes care for all thank you the question we have to ask ourselves is why 100 years after frederick banting and his team donated the patent for insulin to the university of toronto for one dollar thousands are dying worldwide every year due to affordability issues from diabetes no man woman or child should die for lack of access to insulin in 2021 in india a diabetes diagnosis for many is effectively a death sentence the cost of insulin is as much as three quarters of a poor family’s monthly income and leads to parents making the terrible decision between keeping the child alive and feeding their other children poor management of diabetes and inconsistent supply of the drug lead to debilitating health issues families still sleep on train platforms overnight as they travel across the country to receive free medical care life does not have to be like this with the correct medical support children we work with are thriving attending education and looking forward to a sustainable and healthy future those with diabetes worldwide deserve the chance to dream today 1.1 million children and adolescents live with type 1 diabetes and many suffer from entirely preventable severe disease and complications these complications and traumatizing experiences of being critically ill will affect their lives forever it is not easy being a child with a chronic condition but if you are one you do have the right to the highest attainable standard of health according to the human convention on the rights of the child however despite the fact that all people with type 1 diabetes and about 60 million people with type 2 diabetes need insulin only less than half of low-income countries have general availability of insulin in the public sector we must ensure better access to medicines and equipment that is affordable and of high quality to all additionally we emphasize the need for improved training of healthcare workers in the field in order to improve diagnostics treatment and care standards globally we’re also concerned about the mental health effects of people living with diabetes and believe that schools and communities can be important platforms for support and general management of the disease finally we call on decision makers to engage children and young people in political and programmatic processes in order to achieve meaningful collaborations between generations so we can move forward in the fight against diabetes together have you noticed that delegates at the global diabetes summit they’re coming up with solutions not just mentioning the problems the challenge equitable comprehensive affordable and quality treatment and care for all part of the solution well how about resilient health care systems that can handle prevention management and treatment for everybody you’re about to hear from ministers of health and how they intend to tackle diabetes more effectively in their countries we start with the minister of health for oman your excellencies distinguished guests my dear friend and brother dr tedros ladies and gentlemen greeting from oman it gives me great pleasure to address you at this important event and i would like to take the opportunity to congratulate the world health organization on the launch of the global diabetes compact i would also like to extend my greeting and thank to the university of toronto and to everyone on the 100th anniversary of the discovery of insulin which rely which is a life changer for those who suffer from diabetes diabetes continue to be a major public health burden this debilitating illness is one of the leading causes of premature death morbidity and laws of economic growth worldwide here in oman and over the decades diabetes continued to be our priority and numerous interventions have been introduced with the aim of ensuring holistic and multidisciplinary approach for individuals affected by it in early 1990 the diabetes services were integrated in our primary health care and today all our primary health care facilities run diabetic clinic where patients are managed by qualified teams trained in provision of diabetes management and counseling along with the ability to detect early complication and refer to higher medical services however diabetes continue to be a growing burden in oman at present more than 15 percent of our population are known to be diabetic and we diagnosed more than 6500 new cases a year in addition unfortunately 35 percent of our population are overweight and 30 percent are reported to be obese with most alarming and growing trend among us women and children dear colleagues coffee 19 pandemic has demonstrated the vulnerability of those living with diabetes with higher rates of mortality and morbidity moreover the pandemic has also resulted in the disruption of essential services particularly screening and early detection and this will undoubtedly result in late diagnosis of the disease and delay in detection of disease-related complications ladies and gentlemen there is an urgent need for us to respond to this growing burden of diabetes and invest in all means to control it our work needs to ensure equitable and affordable access to treatment and it’s essential that we advocate for investment in diabetes education and prevention programs finally i upload whoo for their efforts towards drawing the attention to this devastating illness and for ensuring the dissemination of the correct messages through high-level platforms i am sure the global diabetes compact will serve as an important tool for all countries thank you very much foreign [Music] population development politics global the prevention reparage the depistage is the prison charge pathology chronic for example organizations proximity ladies and gentlemen i am so pleased to see the world health organization global diabetes compact being launched today with the aim of making diabetes treatment accessible for all the ones in need today we remember with gratitude the selfless contribution of mr frederick benting a pioneer in the field of diabetes treatment almost 100 years ago mr benting co-discovered insulin and made it available to the world by selling the patent for only one dollar to the university of toronto because of epidemiological transition the disease burden is shifting from communicable to non-complicable diseases in bangladesh non-communicabilities are now estimated to account for 67 percent of all deaths in the country with around 8.3 percent of adults currently having diabetes bangladesh has a long history of combating diabetes in 1956 our national professor dr mohammad ibrahim established the diabetic association of bangladesh on the foundation with no diabetic patients should die untreated unfed or unemployed even if she or he is poor and later on the bangladesh institute of research and rehabilitation in diabetes and doctrine and metabolic disorders popularly known as burden was established and it is now an internationally recognized institution we have a great legacy to carry on and we committed to do so at the united nations general assembly on non-communicable diseases in 2018 bangladesh is focusing very much on strengthening screening and service delivery for diabetes specially at primary healthcare settings including community clinic and sub district health complex in 2019 our dietary journal of health services adopted the second edition of national protocols for management of high blood pressure and diabetes in many primary health care settings developed with who technical support the protocols include guidelines for the detection and management of diabetes at field level we are also ensuring the supply of necessary diagnostic tools agents and medicines at all level of public health care facilities following the resolution adopted by the united nations general assembly in september 2020 our agenda foresees the further strengthening and enhancement of these actions and services to ensure a wider protection and treatment of people living with diabetes who are at higher risk of contracting kovid 19. under the umbrella of essential health service package also aiming at achieving universal health coverage we will continue and improve the implementation of who package of essential non-communicable disease interventions especially at primary health care settings we reiterate our commitment in the fight against diabetes today with sincere gratitude to the organizers of this important even for inviting me and allowing me to send this message thank you foreign [Music] foreign is [Music] a [Music] ms [Music] [Music] excellencies ladies and gentlemen today is a historical day we are all here to launch a unique initiative the who global diabetes compact uniting around a common agenda for reducing the risk of diabetes and ensuring that those diagnosed with diabetes have access to quality care and treatment that is equitable comprehensive and affordable today was the most appropriate day for launching this initiative as the word completes 100 years since the discovery of insulin and of course this initiative is a monumental step being taken to catalyze access to health care services for people of all ages living with diabetes in india it is estimated that around 5.8 million deaths occur due to non-communicable diseases which account for 61 of the total deaths also an estimated 60 to 70 million people suffer from diabetes in this respect my government has launched an ambitious and aggressive national program for prevention and control of diabetes which is being implemented for intervention up to the lowest administrative level awareness for prevention early detection a massive advocacy drive and provision of insulin at all public health institutes are steps being taken aggressively we are committed to ensuring affordable life-saving medicines for treatment of diabetes to all especially the underprivileged dear friends for more than a year now the world has been grappling with one of the worst pandemics ever in history and it is also a reality that an effective response to the diabetes problem has been hampered during the pandemic which needs to be redressed without delay i assert that we must collectively call on all political leaders and governments across the world to make good on their un commitments with decisive inclusive and accountable leadership and appropriate investment if we are to reach the 2025 non-communicable disease targets and 20 30 sustainable development goals the case to act has never been more urgent let us not lose a single opportunity to act well in time with these words i thank you for inviting me to speak today at the launch of this unique initiative thank you the who’s dr hans klug is a champion of action when it comes to tackling non-communicable diseases across europe he joins us now to talk about the management of diabetes and the importance of people-centered care dr klug over to you dear friends colleagues it’s a pleasure to be with you in the european region diabetes places a considerable burden on health systems and populations according to who figures over 60 million people in the region have diabetes often alongside other conditions in past months we have found that diabetes is a risk factor for severe covet 19 disease and death we also know of the interplay between diabetes and other communicable diseases such as tb the urgency of today’s launch becomes even clearer in the light of relatively low coverage of diabetes health services compared to progress of services for communicable diseases investing in diabetes prevention and management while acknowledging the link between communicable and non-chronic diseases leads to better health outcomes something i have experienced myself as a practicing physician in other words putting people at the center when it comes to investments in treatments of comorbidities in the region we have some important lessons to draw on for example learnings on similarities between hiv and ncd chronic care programs with similar challenges in supporting long-term adherence to recommended treatment and monitoring of treatment outcomes these are lessons on integrating comorbidity management using a people-centered approach a step towards universal health coverage and in line with who’s european probe of work congratulations on today’s landmark still to come in our summit dr julianna chan and dr tom frieden they will be talking about the global impact and global range of diabetes do you remember earlier when i mentioned that my dad had type 2 diabetes i’ve i’ve never talked about that in public before but what you will notice about this summit is that many of the participants the speakers are very comfortable sharing that information with you so for instance mark bowen you’re about to hear from him type 1 diabetic fernando alcantara type 2 diabetic very happy for you to know that information let’s start with mark hi there mark hi it’s an honor to speak in such an important historic moment while we celebrate the centennial of insulin we need to build resilient health systems to realize the global diabetes compact’s vision of reducing the risk of diabetes and ensuring that all people diagnosed with diabetes have access to equitable comprehensive affordable and quality management for this we need to work together all the sectors and stakeholders the private the public and the pr the civil society people living with diabetes need to be invited to the decision table in order to build together the best policies and program to provide care and medications they need to have their lives without complications thank you very much [Music] is [Music] is classes many people with diabetes suffer due to lack of education medications and continuing care insulin enables a person to use energy effectively in order to survive and maintain well-being after 100 years since its discovery many people still do not have easy access to this life-saving medication and the supporting system needed to ensure its safe and effective use most people with type 1 diabetes are young and need insulin to survive and stay productive while many people with type 2 diabetes need insulin along with other medications to control blood glucose and prevent acute and long-term complications in 2020 44 experts from five continents published the lancets commission reports on diabetes which provides a roadmap for reducing the global burden of diabetes and the consequences of no action versus actions in 2017 15 000 young people with type 1 diabetes died over 80 percent of these deaths could have been prevented if they were given insulin along with comprehensive care and education over 200 million people with diabetes live in developing world and 3.2 million might die in the next three years mainly due to heart disease and stroke using diabetes team to gather data systematically for empowering self-management and ensuring early use of medications to reduce multiple risk factors 800 000 deaths can be avoided to achieve this concerted actions from the government and community is urgently needed to transform diabetes prevention and care which will save millions of life and billions of dollars diabetes is both a disease and an indication that people are at high risk for other diseases particularly cardiovascular disease cardiovascular disease is the leading cause of death among people with diabetes and yet it can be prevented controlling blood pressure is critical to preventing early death for people living with diabetes fortunately for both diabetes and hypertension it is possible to diagnose and treat through strong primary health care systems resolve works with partners in countries that provide simple patient-friendly care to more than a million patients with hypertension success is based on five components first treatment based on a simple protocol second a consistent supply of medications and supplies third team-based care fourth patient-friendly services and fifth an information system that facilitates patient and program monitoring and quality improvement examples of successful practices include nurse initiated and managed hypertension treatment that makes care both more accessible and more efficient and drug refills for two three or six months for patients with stable blood pressure success also requires financial and political commitment we need to maximize efficiencies leverage markets and increase transparency to bring prices down and improve the quality of drugs and diagnostics hypertension and diabetes can also be prevented through interventions that change the food environment these include front of package labeling and public food procurement policies we can prevent and effectively treat diabetes and hypertension and we must because millions of lives are at stake thank you dr carissa etienne is the director of the pan-american health organization she’s going to be talking about diabetes in the americas and as you’re about to hear she’s personally invested in that topic excellencies distinguished guests colleagues i am pleased to join the global diabetes compact and to pledge my commitment to improve diabetes care in the americas i have lived with diabetes for 33 years so i am one of the 62 million people with diabetes in the americas i know firsthand the challenges of managing the disease especially during the covet 19 pandemic among the most concerning aspects of this pandemic is the impact on people with diabetes and other ncds although the exact toll is yet to be fully understood we are very concerned about the consequences of adverse lifestyle changes the interruptions in health care services and the supply chain disruptions which limits the access to medication this is especially true for insulin which even prior to the pandemic was not accessible to millions of diabetics this impact has perhaps been greatest in people living in vulnerable circumstances such as indigenous people and populations of color who have higher rates of diabetes and are dying from coving at higher rates throughout our response to the pandemic i have highlighted the interconnections between covet 19 chronic diseases and diabetes calling for urgent action to maintain essential services the global diabetes compact will help ensure this focus is realized thank you for your attention thank you dr etienne with more than 420 million people around the world having either type 1 diabetes or type 2 diabetes it is a global epidemic so what happens during a global pandemic with the global epidemic of diabetes we are joined by dr david nabarro he’s the who special envoy for covert 19. hello david colleagues and friends from the world health organization from the university of toronto and from elsewhere all over the world thank you for your invitation to participate in the launch of the world health organization’s global diabetes compact disparities in access to health care have been known about for for a long time and i’ve been focused on them in my role as a public health physician for decades but let’s just think about what we really mean if people don’t access health care that leads to imbalances in population health if they don’t have access to health care it can lead to catastrophic expenditure on trying to get cure for sickness it can lead to real impact on long-term ability to thrive especially when people are experiencing chronic conditions and it’s become really pronounced over the last year as we’ve seen resources diverted to manage the covid pandemic and whilst this is appropriate in the short term in the long term it’s not sustainable and and the consequences of the diversion of resources is leading to increasing incidence in treatable non-communicable and chronic conditions of which diabetes is right in the center let’s build resilient health systems out of the consequences of covid and make sure that we move forward to a better situation altogether some people talk about building back better from covid i talk about moving forward fast and fairly because that’s what we’ve got to do is to move to a better state informed by covid and take advantage of what we are learning as we do it thank you for all you’re doing and let’s keep moving forward on health equity for all everywhere the global diabetes compact is a world health organization lit initiative which will unite stakeholders around a common agenda to reduce the risk of diabetes and ensure that all people diagnosed with diabetes have access to affordable comprehensive quality management [Music] when hiv aids started the cost of treatment of one patient per month was approximately 2 500 us dollars pre-qualification came in and was able to identify quality assured and retroviral medicines the cost of treatment has dropped now to less than 50 dollars we want to believe we can extrapolate this learning the area of diabetes and particularly the area of insulin healthy diet helps keeping energy balance having adequate complex carbohydrates fruit and vegetables legumes in the diet is so important for keeping the glycemic [Music] control one in four adults are not meeting the recommended levels of physical activity and the levels of physical inactivity in adolescence are even higher and they’ll be the adults who are at greater risk of diabetes we also know very worryingly that those people living with diabetes are more likely to be less active so we’ve got a large job to do to promote physical activity to prevent and to support those people living with diabetes and the design and conceptualization of the compact we’ve inserted this attention to live experience in particular with lived experience of diabetes the hiv community they have repeatedly stated that when they finally unpackaged what meaningful engagement of people living with hiv was and how that could support and structure their policies and programs it was a pivotal moment it was a game changer in sort of the attention to to the disease attention to the access affordability availability issues and attention to to the needs of people living with [Music] we might look at the dimension of nutrition and food policies some colleagues would look at healthcare and access to essential drugs and technologies for diabetes might look at the burden disease in terms of surveillance the prevalence of diabetes in our country so all those functions require a lot of coordination and contribution and alignment all together and i think this is the spirit of the compact is to bring all those elements and stream of work together whether at a global level at a regional level or the country [Music] the compact is really important because it is a huge global challenge the increasing burden of diabetes and the increasing rate of premature mortality the compact offers an opportunity for us to all work together to put together the solutions we know can be effective because our common target is to have the the satisfaction of the beneficiary and we want to have that person treated i get excited the same excitement i saw when the data revolution came to hiv patients i am excited that this revolution is coming to the diabetic patients it’s going to take an international village to make the global diabetes compact happen these next speakers are leading the way ifpma is pleased to join the global diabetes compact fourteen-year-old leonard thompson was the first person with diabetes to be treated with insulin in 1922. let us today honor the bravery of leonard and millions of others who lived and are living with diabetes across the world over the decades our industry’s innovation has significantly improved management of diabetes treating diabetes today is like day and night compared to the past we bring solutions across medical education prevention treatment and care inequities remain in terms of access to comprehensive diabetes care of which insulin is just one part together we need to do more to ensure access to treatment for everyone in the global diabetes community we ifpma commend to compact for its vision we are committed to playing our part in partnership with other sectors we are committed to exploring new and collaborative models for improving prevention diagnosis and access to quality diabetes care this includes scaling up existing initiatives developing new ones and assessing sustainable business models for low resource settings if countries invest more in healthy populations and resilient health systems for ncds as part of uhc our collective efforts have the potential to be transformational for people living with diabetes greetings from australia i’m delighted to pledge life for child support for the global diabetes compact of all people with diabetes children and youth are often the most vulnerable most have type 1 diabetes and of course need insulin for their very survival they walk a tight rope every day between dangerous blood glucose extremes at the very time they are growing exploring being educated building relationships and and working to become independent in many many countries they have inadequate access to insulin blood glucose testing skilled health care and even the most rudimentary of diabetes education and until recently in some countries there were almost no adults alive with type 1 diabetes while addressing the entire need is not impossible given sufficient resources life for a child estimates that there are approximately 360 000 young people living with type 1 diabetes in real need of help and support right now so in concert with the centenary we have launched an ambitious plan to expand our support from the 23 000 people we support today to 150 000 young people by the year 2030 and also key to our efforts are the local champions in each country health professionals and in many instances of people living with diabetes themselves with the local expertise the lived experience and the dedication that’s so critical to the positive outcomes that we see dr graham ogle emma clatman and the rest of our small and remarkable team will continue to support these efforts in less resourced countries continue their extensive research around access epidemiology and clinical outcomes and continue their advocacy efforts to improve the level of care and foster sustainability no child should die of diabetes today millions of people worldwide cannot access diabetes care this is especially the case in many low and middle income countries for the past 20 years the world diabetes foundation has worked to change this we build partnership with low and middle-income countries worldwide to improve diabetes care and prevention but the many efforts currently underway are not enough much more must be done urgently to stop the rise of diabetes and its devastating effects the world health communication global diabetes compact which is launched today is exactly what the world needs to accelerate and scale up the global response to diabetes the world diabetes foundation will support the new global diabetes compact in many ways we will mobilize more investments from foundation in the private sector we will expand our engagement with the global community across region sectors and advocate for new partnership big governments and civil society and we will launch a new initiative to put digital resources in the hands of healthcare workers in low and middle-income countries 100 years ago the discovery of insulin transformed diabetes treatment today technology is driving change in healthcare with our new digital health initiative we’ll leverage technology to help healthcare workers deliver the right diabetes care at the right time it is part of our commitment to ensure that all people with diabetes have access to care and treatment in alignment with the global diabetes compact we deeply appreciate this landmark initiative the world has been waiting for this moment the international generic and biosimilar medicines association and its member association are playing crucial part in worldwide patients access to high quality and affordable diabetes treatment including insulin around six percent of population around the world are living with diabetes worldwide four times higher than what it was in 1980 this number is expected to increase even more in this context the generic medicines industry role is critical and it contributes significantly to many diabetes medications in the world like metformin and gliclazite however the patient in all countries need to be treated and many will also require insulin at an affordable price our mission at igba is to continue to make patient access to type 2 treatment including insulin we are continuously working to identify systemic barriers to patient access be it by proposing new approaches for greater regulatory efficiency or shaping market mechanism policies that can lead to improved access as a global organization we are also reaching out to all stakeholders our generic and biosimilar medicine associations who can join our common cause to support worldwide access joining forces with all stakeholders comprising of public sector private sector and people is important it is the only way to ensure that every patient in every country can get the medicine they need and deserve thank you your excellencies ladies and gentlemen even before the pandemic diabetes had entered the top 10 major causes of death worldwide increasing by 70 since 2000. the ncd community faces major barriers to access to diagnosis and care for diabetes leading to severe comorbidities around the world a person living with diabetes undergoes an amputation every 30 seconds one in three people with diabetes live with preventable blindness or vision impairment due to diabetic retinopathy this is a preventable slow motion catastrophe and it has been allowed to happen by policy in action on diabetes prevention and essential care for that we must hold governments accountable and we call for urgent change we applaud who for the compact this is just a first step however and must be followed up urgently with impactful policy decisions by governments we call on who to propose ambitious targets and deadlines no child should die of diabetes everyone should be able to be diagnosed and access the treatment they need at a price which doesn’t break the bank for people or for governments a clear investment case for action on diabetes and its co-morbidities is needed including mental health to support this vision ncd alliance commits as an advocate for policy change and investment and to ensuring voices of people living with diabetes are heard in the complex monitoring and governance we’re an active member of the coalition for access to ncd medicines and products which has a focus on access to insulin and essential supplies for diabetes care to anyone who thinks ncd should take a back seat to the pandemic a reminder that diabetes is among the top three underlying conditions for people who have died of covid19 this is not an either or decision we must act on ncds including diabetes as part of pandemic recovery and for our future health security we thank you this is a time of great historic significance for the global diabetes community regretfully it is also a time for great concern we have seen how healthcare resources have been stretched as health systems across the world struggle to tackle the kovic pandemic and of course we have seen people with diabetes severely impacted by kobe as the world looks to build back better sufficient focus and funding must be directed towards improving diabetes care preventing diabetes and its life-threatening complications and addressing the huge disparities in standards of care that exist globally idf welcomes therefore who’s increased focus on diabetes at this time and of course the launch of the global diabetes compact we see this as an opportunity to address the need for a sustained collaborative effort from all diabetes stakeholders we welcome who’s efforts to involve people living with diabetes in the compact preparations and we look forward to seeing the diabetes community actively involved in the development and implementation of compact initiative we have a broad network of more than 250 member associations and in 168 countries and territories including many low and middle income countries we pledge our support through our advocacy and our awareness activities we will help to build capacity and improve standards of care we will support the compact towards the prevention of type 2 bad diabetes and we will bring our global expertise to support the compact generally this is a historical term you have a chance to rewrite the chapters of the history of diabetes but the close to half a billion of those estimated to be living with diabetes across the world and many more at risk this is a unique opportunity let us not waste it we need to take action on diabetes now perhaps now more than ever and if not now when if not now when that is the challenge from professor bolton the answer is now because you are right here in the global diabetes summit the who’s global diabetes compact is led by dr bente mickelson she joins us right now dr mickelson great to have you thank you so much femi this has been a fabulous day so far and thank you for all using time and especially warm thank you to the heads of state and governments ministry of health people living with diabetes academicians partners you have heard today about tireless efforts to improve prevention and treatment for diabetes yet as we know the number of people with diabetes is going up and access to affordable treatment is not a reality for many in need what’s more diabetes prevalence have been rising more rapidly in low and lower middle income countries these are as we know countries least well equipped with diagnostics medicines and knowledge to provide life-saving treatments for diabetes we have also heard today how the covet-19 pandemic has brought additional pain to people many people who require regular care and treatment for their diabetes has struggled to access that care and people with diabetes are at increased risk for severe diet disease and deaths from cold 19. but the lack of access to affordable insulin and diabetes care is not a new phenomena this is despite the fact that insulin was discovered 100 years ago and again thank you to the the university of toronto and the government of canada we know that five-year-old teddy ryder was one of the first people to receive insulin in 1922. he was an american who had traveled with his mother by train from new york to toronto and it was rewarding he would go on to live 71 years as more with diabetes one of millions of life saved and made better by insulin bringing diabetes care to all who need it is a moral imperative that’s why today we launched a global diabetes compact a new initiative that will bring structure and coherence to our efforts to reduce the burden of diabetes and improve access to affordable treatment the pandemic recovery is actually our chance the hundred years after discovery of insulin is our window of opportunity 2021 must be the year that we get on track so you might wonder what will happen next so the compact will continue to engage people living with diabetes to co-create solutions we will also provide coverage targets this is important to be able to track and trace progress which is important for people living with diabetes for the care of people living with diabetes and also for the policy makers we will be able to provide more quality data for diabetes which is important for the same reasons and of course i will mention the biggest priority is of course to identify pathways in the poorest countries first to be able to provide better care both when it comes to essential diabetes technology medicines and health systems and also education and health care providers let us continue to work together to make sure that through this ambitious and much needed collaboration we will soon be talking about the decline in diabetes as a public health problem let us strive together to use the opportunity to restore after a horrible pandemic and include diabetes into universal health coverage to be better prepared for an other pandemic but more importantly to have more people like terry ryder achieving care getting care to achieve a long life with a lot of prosperity thank you so much for using time with us today and i look forward to work together so by now you know all about the who’s global diabetes compact it is an idea it is not fully formed yet how do we turn it from this idea this plan into concrete action to talk about next steps i’m joined by dr apova goomba she has such an impressive title i’m going to get her to impress you with her very long title dr paulvez so good to see you welcome to the global diabetes summit tell us what you do what’s your official title hi uh i’m happy to be here and thank you for having me um so i’m actually dr poova gomber and i’m originally from india but right now i’m i’m logging in from boston uh because i’m studying at the harvard here dan school of public health i’m doing my master’s in public health here and professionally i’m actually uh trained as a pathologist and i’ve been working in the diabetes community uh for people living with type 1 diabetes through advocacy initiatives and also as a young leader in diabetes at the international diabetes federation so dr apova we’ve had a summit where we have talked about the importance of prevention of diabetes the access to care equity how equitable it needs to be around the entire world so this is the idea of the global diabetes combat but then what i’m wondering is about next steps what do we need to do not talk action i feel this global diabetes compact was one such platform where the lived experiences of people was considered as one of the crucial stakeholders on the table so now where do we go from here so i feel the key there are three key takeaways which i feel are very essential that we’ve done the talking and now we have to just bring it to action so the three takeaways are the important step that we need to ensure there is a more inclusive care in the management of diabetes globally so first would be adding value and emphasis to people lived experiences and actually identifying them as key stakeholders we’ve heard them there are challenges across the globe from people like living with type 1 diabetes or type 2 diabetes and they have been very unique so from here we need to amalgamate a diverse model into into the diabetes care model second would be focusing on research and overcoming the inequities in diabetes care there are so many people even after 100 years of the discovery of type of insulin they still do not have access to insulin or diabetes supply so i think we need to look forward for better insurance modelling better uh innovative payment model so that access to insulin isn’t hampered no every person deserves the right to have access to basic resources for taking his or her care so i think that’s one of the essential key takeaways and third would be basically to create momentum around about chronic diseases like it’s not just about uh a person has diabetes and he’s gonna do it himself it’s about thriving with type 1 diabetes so i think mental health should be integrated into the care model because it’s a chronic condition and a person has to be motivated to take intervention when it comes to management so i think we need to handhold the person living with diabetes handhold and take him to give him that courage to wait will walk ahead forward through global diabetes combat if it’s just baby steps where we gonna get there dr fulva goomba thank you so much appreciate you thank you so much for having me we have heard about the challenges we have had many commitments and plenty of solutions the only thing missing from a global diabetes summit is the action so let’s get to work thank you for being part of the summit thank you for watching

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