On many occasions women with fibroids have asked us to recommend a good, experienced doctor who specialises in fibroids. We tend to point them in the direction of the two doctors on our Ask the Expert panel, Dr Nigel Hacking and Mr Adrian Lower.

Because we get this question a lot we started looking into whether we can put together a resource of highly recommended doctors and consultants in the UK who have expertise in fibroids. Whilst doing this we came across an article on the Mail Online which we thought would be a good start and be useful to our readers.

The Mail Online spoke to 40 leading gynaecologists and interventional radiologists in the UK and asked them: “If your own nearest and dearest were to need fibroid treatment, to whom would you refer them and why?”

Based on the answers provided the Mail Online put together their top ten fibroids experts cautioning that this is a guide, not a scientific study and there are many more highly-skilled consultants throughout the UK.  Their list is below.

Please note this was put together in 2011 and we’ve therefore updated some job titles.

Mail Online’s Top Ten Fibroids Experts (UK)

Mr Ertan Saridogan, Consultant Gynaecologist, University College Hospital, London

What the Mail Online said:

“Has huge expertise with fibroids and is probably the best in the country for keyhole myomectomy. He’s a delicate surgeon who is kind and has great empathy for his patients. As a fertility expert, he takes exquisite care with nearby structures such as the fallopian tubes, so his patients will have the best possible chance of a successful pregnancy.”

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Professor Anna-Maria Belli,  Consultant Radiologist, St George’s Hospital, London

What the Mail Online said:

“Has pushed hard to get embolisation accepted. Technically she’s superb and she’s warm too. Patients love her — she cares about them, takes their views on board and will do all she can to ensure they get the best possible treatment.”

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Professor Issac Manyonda, Consultant Gynaecologist, St George’s Hospital, London

What the Mail Online said:

“A fine gynaecologist and an international figure who has distinguished himself  in the field of open myomectomy for large fibroids, and is one of the lead investigators in a  new major trial comparing  myomectomy with embolisation.  He has treated huge numbers  of patients, which he has  followed up over many years with excellent results. Uteruses after his treatment are beautifully neat!”

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Mr Alfred Cutner, Consultant Gynaecologist, University College Hospital, London

“A highly-skilled laparoscopic gynaecologist, who would be an excellent choice for fibroids. He’s a warm person who’d do his best to tailor the right treatment for each patient.”

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Dr Paul Crowe, Consultant Interventional Radiologist, Birmingham Fibroid Clinic

What the Mail Online said:

“An excellent operator who set up the service in the West  Midlands and does a huge number of fibroid operations that have yielded first-class results. With Paul Crowe, it’s  not just about technical excellence — he is also patient- centred and manages to make them feel they are in the driver’s seat at all times.”

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Mr Adrian Lower, Consultant Gynaecologist and Minimal Access Surgeon, Consulting Rooms, London

What the Mail Online said:

“Sometimes he is described as the king of fibroids. He doesn’t work in the NHS, but does everything excellently. His background is in fertility problems and he will remove even large fibroids superbly by keyhole surgery, so his patients will have an excellent chance of pregnancy. He also has a very good bedside manner.”

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Dr  Anthony Nicholson, Consultant Radiologist, Leeds General Infirmary

What the Mail Online said:

“One of the leaders in interventional radiology, he is charismatic and popular with patients. He can be counted on  to give unbiased advice. He  works closely with gynaecologists and will always refer patients  to them if he thinks the patient will benefit.”

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Dr Woodruff Walker, Consultant Diagnostic and Interventional radiologist, Royal Surrey County Hospital, Guildford 

What the Mail Online said:

“He is undoubtedly one of the pioneers of uterine artery embolisation and has blazed a trail in this country. An acknowledged expert who has done more fibroid embolisation than anyone else, he has achieved outstanding results. Extremely personable, and patients have complete and well-deserved faith in what he does. He won’t push anyone into anything.”

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Dr Nigel Hacking, Consultant Radiologist, Southampton General Hospital 

What the Mail Online said:

“Approachable and has done a lot of work extending the availability of interventional radiology both here and abroad. Highly-skilled with the manual dexterity and hand-eye coordination needed. He knows when to embolise and when he’s done enough. This is vital because you want to starve the fibroid of its blood supply, but not damage the supply to nearby structures.”

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Mr Adam Magos, Consultant Gynaecologist,  Royal Free Hospital, London

What the Mail Online said:

“He has been in the forefront of developing hysteroscopic myomectomy (where the fibroid is removed via the cervix, using a hysteroscope, a narrow, telescopic camera with instruments attached — there are no abdominal cuts). He also collects and appraises his own results and presents these to peers at meetings, and is a keen researcher. This is the sign of a quality surgeon who is interested in what he’s doing and is open to new ideas.”

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The Mail Online also noted these highly recommended experts who didn’t make the top ten:

Mr Andrew Kent, Consultant Gynaecologist  and Minimal Access Surgeon, Royal Surrey  County Hospital, Guildford

What the Mail Online Said:

“Technically a superb keyhole surgeon  in a very high-profile centre,  who operates beautifully. Fibroid patients would be in very safe hands with him.”

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Professor Lesley Regan, Clinical Professor, St. Mary’s  Hospital, London

What the Mail Online said:

“A top gynaecologist with a great  interest in fibroids who would do her best for her patients without forcing her views on them. She would put all the options to each patient fairly and then help them to decide.”

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Professor Jonathan Moss, Professor of Interventional Radiology, Gartnavel  General Hospital, Glasgow

What the Mail Online said:

“An enormously dedicated and highly skilled radiologist of the highest order  and with the right mindset — which is  that all options should be on the table for all women who are needing fibroids treatment.”

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Mr Yacoub Khalaf, Consultant Gynaecologist, Guy’s Hospital, London

What the Mail Online said:

“Has a big fertility practice and will operate on large fibroids by open  surgery, taking meticulous care. A  well-rounded gynaecologist who is totally dedicated to his patients.”

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Professor Tony Watkinson, Consultant Radiologist, Royal Devon  & Exeter Hospital

What the Mail Online said:

“Lovely with patients and gives them choices. He will explain what he  knows about fibroids and the alternatives, too. If they then decide on embolisation, he will look after them very well.”

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Mr George Pandis,  Consultant Obstetrician and  Gynaecologist, University College  Hospital, London

What the Mail Online said:

“Being a very good gynaecologist is  about much more than how good  you are with a scalpel and telescope.  It is also about how kind you are  and how good you are if things happen to go wrong. He ticks all of these boxes, taking excellent care of his patients.”

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We hope you’ve found the above list helpful and we thank the Mail Online for compiling this list.  You can read their original article here

Over the years there have been numerous questions and concern about the impact chemicals in hair products have on our health. This concern has been heightened in the black community for some time, particularly with respect to relaxers (chemical hair straighteners).

Several studies have been conducted exploring if there is a link between hair products and fibroids, cancer and other conditions, but these have been inconclusive. When a link has been shown researchers have been cautious explaining that association doesn’t mean causation – i.e. they couldn’t prove that relaxers actually contribute to the development of fibroids or cancer and therefore they all recommended that more research should be conducted.

Latest Research

In June of this year, researchers from Rutgers University in New Jersey published the results from their research into specific hair products and whether their use is associated with an increase in breast cancer risk.  In this study, researchers looked at 4,285 African America and white women; 2,280 had breast cancer and 2,005 didn’t. The study compared those with breast cancer to those who didn’t have breast cancer to determine if differences existed that may  be linked to breast cancer risk.   The women were aged 20-75 and were from New York City and ten counties n New Jersey.

The study aimed to determine if hair dyes, relaxers and deep conditioners containing cholesterol or placenta were associated with an increased risk in developing breast cancer. In order to explore this researchers collected vast amounts of data on the women who took part in the study. This included socio-demographic data and their exposure to known risk factors such as family and personal history of breast cancer, smoking, alcohol consumption and more. They also asked participants about their use of the previously mentioned hair products, what shade of dye they used and  how long they used these products for.

What did they find?

The researchers found that for African American women there was a 51% increase in their risk of developing breast cancer among those who used dark brown or black hair dye. They also found that in African American women there was a 72% increase in oestrogen-positive breast cancers amongst those who used dark brown or black dyes and a 36% increase in oestrogen-positive breast cancers in those who used dyes more frequently.

In white women they found a 74% increase in breast cancer risk in those who used relaxers and a large increase in risk in women who used both relaxers and hair dyes. They also found that use of hair dyes resulted in a 54% increase in risk of developing oestrogen-positive breast cancers whilst relaxer use caused a 2.6 fold increase in oestrogen-negative breast cancers.

There was no link between deep conditioners and breast cancer.

What does this mean?

The researchers concluded that “these novel findings support a relationship between the use of some hair products and breast cancer.”

When speaking about their work, lead author of the research paper, Adana Llanos said

“Just because we found these associations doesn’t mean that if you dye your hair dark, or any colour, you’re going to get breast cancer, but at the same time, the study points to something else we should be mindful of.”

The results exposed a significant association with oestrogen-positive breast cancers so the current hypothesis is that the dyes may contain chemical compounds that are similar to oestrogen or stimulate pathways that cause the production of oestrogen. It was hard to determine this as women in the study weren’t asked what brands of products they used so researchers couldn’t explore the actual chemicals within these products that women were exposed to. But Alana Llanos said:

      “There must be some role for oestrogen for sure.”

Her research team recognise that there were limitations to the study and that further work is needed to truly understand the link between hair products and breast cancer risk.

Our Thoughts

The Lake Foundation is pleased to see more research in this area being conducted and this work needs to continue until we have a definitive answer as to whether hair products affect our health or not. In the meantime, we would advise that women take a look at this research and make an informed decision as to whether they should continue using hair dyes and relaxers.  We always say  people should exercise caution in the use of products where there is found to be a credible association with cancer, or any disease, until a clear answer can be provided on whether that association means that a particular product contributes to the development of a disease.

More Information

You can read the full research paper for this study here

In September, the World Cancer Research Fund published the latest data from their Continuous Update Project on cancer prevention highlighting what increases and decreases our risk of developing cancer.

Their summary is a very concise, easy-to-read booklet based on the latest evidence on risk factors for cancer. One of their main messages is that one third of the most common cancers could be prevented by a healthy diet, maintaining a healthy weight and being physically active.

Their summary is divided into three sections:

• Strong evidence on what increases cancer risk
• Strong evidence on what decreases cancer risk
• Cancer prevention recommendations

When looking at what increases cancer risk, factors such as being overweight or obese, consuming alcohol, processed meat and red meat are listed as well as a number of other factors. Whilst non-starchy vegetables, fruit,  physical activity, dietary fibre, wholegrain and a number of other factors are listed as reducing cancer risk.

The WCRF end their summary with a list of cancer prevention recommendations as follows:

• Be a healthy weight
• Move more
• Avoid high calorie foods and sugary drinks
• Enjoy more grains, veg and beans
• Limit red meat and processed meat
• Don’t drink alcohol
• Eat less salt
• Avoid mouldy grains and cereals
• Don’t rely on supplements, eat a healthy diet
• If you can, breastfeed your baby

WCRF Continuous Update Project is an ongoing initiative to review global research on cancer prevention focusing on how lifestyle factors such as diet, exercise and weight impact our risk of developing cancer.  Based on these findings the WCRF will update their Cancer Prevention Recommendations which they hope will provide the public, governments and charitable organisations with accurate information on how to reduce cancer risk.

For more information you can download the full summary below or visit the WCRF’s website.

We took a break from our blog series, Inspirational People in Healthcare, but this week it is back! We’ll continue recognising people in healthcare who are making a significant difference in their field.

We hope you’ll enjoy reading this blog series and please do email us the details of anyone in healthcare who inspires you and we’ll include them in this series. Today we focus on Miss Samantha Tross.

Miss Samantha Tross is a Consultant Orthopaedic Surgeon at Ealing Hospital in London with general orthopaedic experience and has a specialist interest in Lower Limb Arthroplasty.  Miss Tross is the first black female Orthopaedic Consultant Surgeon in the UK, specialising in minimally invasive surgery and is one of the women who make up the 5% of Orthopaedic Consultants Surgeons in the UK who are female.

As well as her clinical work she is an Associate Editor of the Journal of Medical Care Reports, an Examiner for Imperial College Medical School’s final examinations, Programme Director for Core Surgical Trainees at Ealing Hospital, Associate Professor of Orthopaedics at the American University of the Caribbean and an  Education Supervisor and mentor for young surgeons.

She is a member of both the Royal College of Surgeons of England and Scotland, and received her medical degree from the University College London.  She obtained her surgical training at a number of London teaching hospitals including St Georges Hospital, The Royal London and Guy’s & St Thomas’.

Miss Tross has been recognised in the JP Morgan Black Powerlist of 100 most influential Black Britons every year since 2011, was named in Tatler’s Doctor’s Guide in 2013 as one of Britain’s top 250 Consultants, has been featured in numerous publications and is the recipient of the 2016 Black British Business Image Award.

You can listen to Miss Tross talk about her average day as a surgeon in the video below and you can find out more about her work here

The Lake Foundation teamed up with Diabetes UK in early 2017 to deliver a Diabetes Community Champions project in Croydon aimed at the black community.

Diabetes affects 1 in 13 people in Croydon with over 19,000 affected and an additional 6400 people who don’t know they have it. Diabetics are three times more likely to develop renal failure, 2.5 times more likely to develop heart failure and twice as likely to develop stroke. Additionally, in Croydon, 38% of amputations are in diabetics and 14% of sight loss occurs in diabetics.

There are a number of high risk groups in Croydon including the black community who are three times more likely to develop diabetes than their white counterparts and hence there is a need to focus on this community.

Diabetes costs Croydon £123.7M per year, these costs are related to treatment, management of complications and wider societal costs such as informal care, social care and lost productivity.

Through out project 17 diabetes community champions were recruited and trained and they have been able to reach hundreds of people with the key messages about diabetes and its prevention. The Lake Foundation has now moved to the Caribbean and Diabetes UK is continuing with this work. A full report will be available in 2018 but you can read a short update here.

Friday 17^th November was the second annual Caribbean Alcohol Reduction Day. This year’s theme was: Drink Less, Reduce Cancer and to mark the day the Healthy Caribbean Coalition, in collaboration with PAHO, CARPHA and CARICOM, hosted a webinar on Alcohol and Cancer in the Caribbean.  This was a very informative and interesting webinar which featured three speakers:

• Dr Kevin Shield – Alcohol Consumption and Cancer in the Caribbean
• Dr Maristela Monteiro – Alcohol Policies in the Caribbean
• Dr Rohan Maharaj – Alcohol use among the elderly in the Eastern Caribbean: Associations with NCDs and psycho-social issues

Alcohol Consumption and Cancer in the Caribbean

The first presentation was delivered by Dr Kevin Shield. He started by providing some background into cancer in the Caribbean explaining that the latest data, from 2012, shows that in the Caribbean about 21,000 new cancer cases are diagnosed every year and just over 13,000 deaths per year in the region are due to cancer.  When we look at the number of cancers in the Caribbean caused by alcohol, it is estimated to be 650 cancer cases per year or put another way 3.1% of all cancers diagnosed in the Caribbean are due to alcohol consumption. Looking at the number of cancer deaths in the Caribbean due to alcohol, 2.9% of all cancer deaths are due to alcohol consumption or 387 deaths per year.

Dr Shield  stated that in the Caribbean, on average, an adult consumes 1.2 alcoholic drinks per day, but there is a difference amongst countries with some countries drinking less and other drinking significantly more.

Dr Shield explained the  link between cancer and drinking stating that numerous studies have been conducted that have determined how drinking causes cancer. Data suggests that alcohol causes cancer in the following ways:

• By our bodies converting alcohol into a cancer-causing chemical (i.e. a chemical that can damage our DNA)
• By affecting our hormone levels and various pathways in the body

Through research links have been found between alcohol and cancers of the mouth, upper throat, food pipe, voice box, breast, bowel and liver.  The number one cancer impacted by alcohol is breast cancer.

Based on all of these factors the  International Agency for Research on Cancer  has classified alcohol as a type 1 carcinogen, which means there is the highest level of evidence to suggest that it does cause cancer. So drinking is a major problem.

The question then is: how can we prevent the cancers that are caused by alcohol? The solution is to reduce alcohol consumption and Dr Shield stated that there are three cost effective and feasible approaches that can be taken:

• Restrictions on access
• Banning advertising
• Increasing excise taxes

This presentation ended on a fairly positive note highlighting that many Caribbean countries have not fully introduced these three measures which means that there is potential to make a huge difference in tackling alcohol and cancer in the Caribbean.

Alcohol Policies in the Caribbean

We then heard from Dr Maristela Monteiro who gave an overview of alcohol policies in the Caribbean. She started by explaining that as part of the voluntary global non-communicable diseases target for 2025 there is a goal to reduce harmful use of alcohol by 10%.  WHO and PAHO, in consultation with a number of organisations, developed a global strategy to reduce harmful use of alcohol and they provided recommendations on 10 policy areas and countries are to try to implement as many as possible. They describe particular recommendations as “best buys” especially for low to middle income countries and these were the three areas mentioned by the previous speaker (restrict access to alcohol, enforce bans on advertising and raise taxes on alcohol).

Dr Monterio then went through each of these three policy areas giving an assessment of how successful Caribbean countries have been with their implementation. She started first with whether countries have a national alcohol policy in place.  Out of the 14 Caribbean countries that they looked at only three had some form of national policy.

Dr Monterio then looked at policies to restrict access to alcohol:

• Licensing: most Caribbean countries have a licensing system, 12 out of the 14 countries. Licensing systems restrict access by imposing rules and penalties to those who wish to sell alcohol such as not selling to minors, the license also has a fee and this may limit the number of businesses who choose to sell alcohol.
• Restrictions on hours, locations and days of sale of alcohol: only three Caribbean countries were fully compliant in this area.
• Minimum drinking age: most Caribbean countries have a minimum drinking age, only three don’t.  The majority of countries in the Caribbean with a minimum drinking age have set this at 18, some have set this at 16.  It was felt that 18 was a relatively low age restriction and this could be increased to 21 to have more of an impact.

Dr Monteiro then discussed taxation. She stated that in the Caribbean most countries have some taxation of alcohol, but these taxes were introduced many years ago and have not been adjusted for inflation. This means that taxation is not having the impact that it should as taxes are fairly low and are not acting as a deterrent.

Finally Dr Monteiro discussed restrictions on advertising and explained that this was the least developed area of policy in the Caribbean.  She explained that this is a major problem as 20% of students are exposed to alcohol advertising daily and research has shown that this is associated with an increase in alcohol consumption. She explained how persuasive these advertising campaigns are and some of the tactics used to encourage people to drink –  companies focus on alcohol as an antioxidant, that consuming alcohol causes weight loss and improves your mood (this communicates the message that alcohol is healthy)  and equating drinking alcohol to business success.

Action needs to be taken to address advertising as research as shown that youths are more exposed to advertising than adults so there is a concerted effort by the alcohol industry to reach young people and make them life-long drinkers.

Alcohol Use and the Elderly

Finally we heard from Dr Rohan Maharaj who summarised a very interesting piece of research carried out across four Caribbean countries on alcohol use and the elderly.  The research consisted of participants from Puerto Rico, Barbados, the US Virgin Islands and Trinidad. The data was collected from April 2013 to May 2015 and they determined whether people were ever-drinkers, current drinkers, problem drinkers or heavy drinkers and related this to various psycho-social and health issues.  Their main conclusions were:

• Generally there was wide use of alcohol across all participants
• 5-6% of participants were involved in potentially harmful alcohol use
• Males were more likely to be problem or heavy drinkers
• There was an association between alcohol use and stage 1 hypertension
• There was an association between alcohol use in ever-drinkers and cancer
• A higher proportion of those with lower educational achievement admitted to alcohol use
• Those who were employed were more likely to be drinkers (thought to be because they had more disposable income)
• Those who reported earlier initiation of sexual activity reported heavy drinking
• Those who had issues with domestic violence (current or past) had reports of problem drinking
• Heavy and problem drinkers tended to be lower educated males, living in Trinidad, married, physically active and employed with high rates of hypertension and being diabetic.

Dr Maharaj and his team will be doing a follow up study with participants in the next 2 to 3 years and this will give them the opportunity to further explore the link between alcohol use, cancer and other non-communicable diseases.

Conclusion

This was a very informative webinar  and it’s so important that we get some of this information out to the public as we know that many people are not aware of the link between cancer and alcohol consumption.

For more information you can listen to a recording of the webinar here

The Caribbean Tourism Organisation has declared 2018 as the Year of Wellness and Rejuvenation in the Caribbean. With this in mind The Lake Foundation in collaboration with Noire Wellness are exploring organising a fibroids wellness retreat and we would be grateful if you could complete the following survey.

This survey will help us understand if there is a need and interest in this type of event.  We want to determine whether this type of event would be a useful form of support for women affected by fibroids.

Any and all feedback is welcome and we would be very grateful if you could share this survey with anybody that you think would have an interest in this event.

Yesterday, we attended the CARICOM Marijuana Commission’s public consultation in Basseterre, St Kitts. This was an interesting, and at times heated, discussion which aimed to inform their report on marijuana use in the Caribbean.

The commission has been tasked with examining the health, social, economic  and legal issues surrounding the use of marijuana and to make recommendations to heads of government on whether the drug classification of marijuana should be changed. They will also make recommendations on, if marijuana is to be re-classified, what legal and administrative conditions should apply.

Yesterday’s consultation was one of many that the Commission has conducted throughout the Caribbean enabling them to reach a wide and diverse audience. In addition,  the Commission itself represents a range of stakeholders including commissioners from the fields of law, social work,  medicine, science, religion, law enforcement and psychology,  and they have youth representation.

Introduction by the Commission

In this public consultation we first heard from Prof Rose Marie Belle-Antoine who gave a brief introduction and provided some background into their work. She explained that the information obtained from the consultation would be combined with the information from other consultations, the St Kitts National Marijuana Commission and their own research on the medical, economic, social and legal implications to provide recommendations for policy changes to heads government in the Caribbean. She also mentioned that there was a need for public education on some of these issues as there are many people who are not informed about marijuana.  She explained the importance of looking at social justice issues (e.g. who gets arrested), gender issues (we hear a lot about the men but what happens to women and what is the impact on families), law enforcement (do they turn a blind eye to some marijuana use), the impact on productivity and addiction issues.

Prof Belle-Antoine also explained that internationally marijuana is classed as a narcotic so if the Caribbean re-classifies marijuana they would need to understand the implications for the Caribbean internationally – would we become a “rouge state.” Here she said we can learn some lessons from Jamaica who have already decriminalised marijuana.

Prof Belle-Antoine also touched on research being conducted in Barbados with prisons to understand if there is any real link between marijuana and crime.  She ended by stating that another important aspect of their work is understanding the  risks of marijuana use and what safeguards can be implemented.

The Public’s View

After Prof Belle-Antoine’s introduction the floor was then opened up to the public for comments and feedback. Overall the audience was in favour of legalising marijuana or decriminalising it. There was a feeling that it shouldn’t be illegal to use a plant  and that an adult should have the right to make an informed decision as to whether they use marijuana or not.  There was an overwhelming feeling that  vast amounts of data on marijuana already exists that give a clear picture of the  benefits and harms showing the benefits do outweigh the harms. Therefore many felt that a decision could already be made on whether we should reclassify marijuana, a report would delay things further. There was frustration about the consultation itself with a few people stating that it felt like “just talk.”

Several members of the public were able to give concrete examples of the use of marijuana for therapeutic purposes – chronic pain, nausea, cancer, liver disease etc. Many mentioned the historic and religious use of marijuana. One participant was able to provide a comparison between alcohol and marijuana showing that alcohol was significantly more harmful than marijuana – alcohol causes 1 million deaths a year and there has been no known death caused from marijuana itself.

The audience raised the huge economic potential in developing a safe marijuana industry in the Caribbean. It  was felt it could help to diversify our economies as many islands are heavily dependent on the tourism industry. It was highlighted how versatile marijuana is with one attendant showing the panel a book made from marijuana.  There was concern that if a marijuana industry is developed, large foreign companies would find a way to exploit our resource and no financial benefit would be reaped by Caribbean islands.

Conclusion

The evening ended with the commissioners answering some questions on the time-frame for the report and how much influence they would have on governments to implement their recommendations. The Commission explained that they are working as hard as they can to collate all the information and will produce a comprehensive report.  They stated that their report won’t be binding but they hope it would be influential and lead to change, but change does take time.

This was an interesting discussion and we do hope that the report published by the Commission will lead to change in the laws on marijuana and that we can develop a thriving industry that creates wealth for our nations.

Further Information

The CARICOM Marijuana Commission is still keen to hear from the public on this issue and is inviting anybody with an interest in this topic to submit their views to them in writing at marijuana@caricom.org

For more information on the work of the Commission, please visit their website http://caricom.org/marijuana-commission

Let us know what you think about this issue by leaving a comment below.

Every year, on 14^th November, the world comes together to recognise World Diabetes Day.  Created by the International Diabetes Federation and the World Health Organisation in 1991 to address the escalating threat that diabetes poses, this is a day that aims to raise awareness by reaching a global audience. This year’s theme is: ‘Women and Diabetes – Our Right to a Healthy Future.’  ‘Why the focus on women?’  You may ask. The stats say it all.

Women and Diabetes

Currently there are over 199 million women living with diabetes throughout the world and research suggests that this could rise to a staggering 313 million women by 2040. Diabetes is the ninth leading cause of death in women with 2.1 million deaths per year being due to this condition.  Forty per cent of women with diabetes, around 60 million women, are of reproductive age. The complication here is that women with diabetes are more likely to have fertility problems and without access to pre-conception planning there is a higher risk of death and illness for both mother and child during pregnancy.

Additionally, one in seven pregnant women develop gestational diabetes. This is a type of diabetes that only develops during pregnancy. If it is not managed properly it can negatively affect both the expectant mother‘s and baby’s health.  In most cases, after pregnancy, gestational diabetes resolves on its own, but the mother is then at a higher risk of developing type two diabetes.

Finally, women with type 2 diabetes are ten times more likely to have coronary heart disease than  women who don’t have diabetes.

Due to these facts and figures there is a need to focus on women, raise awareness and ensure that health services are equipped to address the specific needs of women with regards to diabetes.

Black Women and Diabetes

Black women are at a significantly higher risk of developing diabetes than their white counterparts. In the US, diabetes affects 25% of black women in the 55 and over age group and it is the fourth leading cause of death in black American women of all ages.

Black women in the UK are also at increased risk of developing diabetes  and diabetes rates in the Caribbean and Africa are also high.

It is thought that the increased risk in black women is due to multiple factors including genetics and black women being more likely to have high blood pressure,  to be obese and be physically inactive.

What Can We Do?

Diabetes can be prevented by adopting a healthy lifestyle. We should endeavour to:

• Maintain a healthy weight
• Eat a healthy diet
• Get active: it doesn’t have to be structured exercise, just anything that increases your heart rate such as gardening, brisk walking, dancing, cycling, playing with the kids

Let’s all spread the word about the prevention of diabetes so that we can stop more women, especially black women, from developing this condition.

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References

International Diabetes Federation

American Diabetes Association. Diabetes in African American Communities Advocacy Fact Sheet.

With 1 in 4 people in the UK suffering from a mental health issue, there is a need to find experienced counsellors who provide an effective and high quality service, OH Services does just that.

Founded in 2010 by counsellor Olivia Haltman, OH Services aims to support people through the difficult periods of their life. They are committed to providing a safe, confidential and non-judgemental environment where people can open up and get the support they need.

They provide one-to-one counselling, EMDR therapy, group therapy, workshops and seminars for adults and young people from all walks of life. They understand that people have different needs and deal with traumatic experiences in different ways, and therefore provide a tailored programme of support that ensures the right approach for each individual.

Founder, Olivia Haltman, is an accredited Integrative Humanistic Counsellor and an Eye Movement Desensitization Reprocessing (EMDR) Therapist.  She is also a member of British Association for Counselling and Psychotherapy (BACP), EMDR UK & Ireland and BAATN (Black and Asian Therapist Network). Ms Haltman has over 10 years experience working in the mental health sector having worked for organisations like Mind and established her organisation to support people who want to develop their lives on a personal level and reach their best potential. Of her approach to tackling mental health issues she says:

“I believe everyone is different, with unique needs and aspirations so I use an integrative approach to apply and integrate the most suitable solutions for my clients. Within my practice, I also apply (where necessary) a holistic approach to help clients enjoy the essential benefits of wellbeing and healing processes.”

OH Services works with a range of clients and issues, and if you’re experiencing some form of anxiety or trauma, or just need someone to talk you through an issue then please contact OH services. You can find their contact details here and for more information visit their website.