Effect of temperature in diabetes patient
Diabetes mellitus (DM), commonly known as diabetes, is a group of metabolic diseases characterized by chronic hyperglycemia due to problems with insulin secretion, insulin action or both [1,2]. Globally, diabetes has been on the rise, and affects not just highincome countries, but has also spread and markedly increased among middle-income countries, which has claimed 1.5 million deaths [3]. In the Philippines, 4.6% of the general population have DM according to the 2003–2004 National Nutrition and Health Survey [4]. The increase in DM prevalence in the country through the years may be attributed to multiple factors, which include but are not limited to sedentary lifestyle, variety of food consumption, and even climate change .Effects of climate change, particularly how temperature affects human health, have been thoroughly studied with relatively similar patterns of increased risk in elderly and among patients with cardiovascular diseases in different cities and countries across the globe
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Diabetes is well-known as one of the many chronic diseases that affect different age groups. Currently, most studies that evaluated the effects of temperature on diabetes mortality focused on temperate and subtropical settings, but no study has been conducted to assess the relationship in a tropical setting. We conducted the first multi-city study carried out in tropical cities, which evaluated the temperature–diabetes relationship. We collected daily diabetes mortality of four Philippine cities from 2006 to 2011. Same period meteorological data were obtained from the National Oceanic and Atmospheric Administration. We used a generalized additive model coupled with a distributed lag non-linear model (DLNM) in determining the relative risks. Results showed that both low and high temperatures pose greater risks among diabetics. Likewise, the study was able to observe the: (1) high risk brought about by low temperature, aside from the largely observed high risks by high temperature; and (2) protective effects in low temperature percentile. These results provide significant policy implications with strategies related to diabetes risk groups in relation to health service and care strategies
