Diseases vs economic situation
A pharmacist friend reported the following cases to me as we were having a tea time discussion.
- A 45 year old man came with the diagnosis of diabetes and hypertension. His prescription included, glibenclamide 5mg, once a day, metformin 500mg once a day, enalapril 5mg, once a day, Vitamins and calcium. His height was 154 cms and weight was 68kgs. My pharmacist friend advised the patient to take the glibenclamide 15 minutes before breakfast, BP medicine 30 minutes after breakfast and metformin after lunch. He gave counseling based on a brochure on the importance of diet control, exercise and taking medicines timely and regularly. He was advising the patient on the importance of avoiding foods like samosa and biryani, especially those bought from roadside stalls, when the patient smiled and gave a response. He said "I am a cleaner for a bus. I have three growing children to feed. I work from morning to night. There is no chance for me to eat biryani."
My friend told me he felt really bad, giving advice and telling things that do not suit the situation.
A few years ago, BP and diabetes were called lifestyle diseases. Why are they hitting the poor now? What is wrong and where is it wrong?
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