Showing posts with label #diabetes. Show all posts
Showing posts with label #diabetes. Show all posts

Wednesday, August 23, 2023

Media Forum Dissects: Diabetes, Obesity, and the Sweetened Beverage Tax

PANDESAL FORUM

A media forum held in the 84-year-old Kamuning Bakery in Quezon City discussed the proposal to increase the excise tax on sweetened beverages. Called the “Pandesal Forum,” the event welcomed health and economic experts to dissect the issue, citing recent available data on diabetes and obesity rates in the Philippines as sources. The forum sought to understand why diabetes and obesity rates in the country continue to rise despite efforts to reduce consumption of sweetened beverages through the excise tax. 

The panel of experts invited to the forum included Chona Patalen, Senior Science Research Specialist from the Food and Nutrition Research Institute (FNRI) of the Department of Science and Technology (DOST). According to data from the FNRI, the per capita consumption of sweetened beverages has decreased significantly from 2015 to 2019. This decline was most evident among urban households. The Sweetened Beverage Tax was implemented in 2018 and imposed a P6.00 tax per liter on beverages which contained added pure sugar or non-caloric sweeteners like aspartame, or a combination of both. A tax of P12.00 per liter was imposed on beverages which contained High Fructose Corn Syrup or HFCS. 

Obesity and Diabetes Rates Continue to Rise 

In addition, consumption of sweetened beverages has decreased across all age groups in the Philippines, with adolescents and adults showing the sharpest decline. In contrast, Ms. Patalen shared obesity rates among Filipinos have only increased from 2015 to 2018, and even up to 2021. Among those aged 20 and above in the country, 38.6% are overweight and obese. This data translates to 17.8 million Filipinos who are overweight, and 5.6 million who are obese. 

The data for Diabetes rates in the Philippines shows the same story. From 2013 to 2019, the number of Filipinos with borderline diabetes has more than doubled, translating to about 17.6 million people. In 2018 when the Sweetened Beverage tax was proposed, the reasons cited for the tax included helping curb obesity and diabetes rates. As the data shows, the number of Filipinos with obesity and diabetes continues to rise, despite the imposition of the excise tax on sweetened beverages. The FNRI is currently conducting the 2023 National Nutrition Survey, which is held every 5 years, which will reflect more updated obesity and diabetes rates, among other health measures.  

An Increase in Excise Tax will Impact Middle- and Lower-Income Classes 

Another member of the media forum panel was Dr. John Paulo Rivera, Executive Director of the Asian Institute of Management (AIM) Andrew Tan Tourism Center. Dr. Rivera is also the Chief Economist of Oikonomia Advisory & Research, Inc. In his discussion he noted that it is important to discuss the proposal to increase excise taxes on sweetened beverages because of the impact it may have on inflation, particularly on food. “As of the moment, inflation rates continue to be high, but we see this declining by the end of 2023 up to 2024,” explains Dr. Rivera. “However, if the excise tax on sweetened beverages is pursued, it will have an impact on consumption among middle and lower classes of consumers. This is because of the role that sweetened beverages play in their daily lives. If additional taxes are imposed on sweetened beverages, the prices of these will increase and will make purchasing them harder for consumers to purchase. While we understand that the goal of the excise tax is to limit consumption of sweetened beverages, we should also ask the question if these consumers have alternatives to these sweetened beverages.” 

Dr. Rivera goes on to explain that while upper income classes may find alternatives easily, those in the lower brackets may not be able to do so, and as such the excise tax will impact their daily lives. If a tax is imposed, prices will similarly increase and consumers will bear the brunt of the impact. He adds that perhaps the government can find other ways to increase revenues other than an excise tax. In addition, he proposes that if the government would like to limit consumption of sweetened beverages, projects to help improve physical activity like public open spaces to counter diseases can be given focus. 

Exercise is Medicine: Physical Activity and a Balanced Diet against Obesity and Diabetes 

“We promote exercise because it serves as a hub to change lifestyles,” shares 3rd panel member Prof. Hercules Callanta, National Coordinator for "Exercise is Medicine" of the Philippine Association for the Study of Overweight and Obesity (PASOO). Prof Callanta is also a faculty member of the College of Human Kinetics of the University of Philippines Diliman. He relates that when people start doing exercise, they start to notice other aspects of their health, like the need to diet and even to sleep better. While it is common knowledge that having a balanced diet and being physically active are the keys to avoiding illnesses, Filipinos do not always practice both. 

He clarifies however that while workouts are great for keeping fit, everyone should just start moving every day to be healthy. “We should all just start moving, start looking at our plates, adapting the “mind over plate,” he adds. He also supports the idea of walking more or even biking, taking the stairs, and avoiding using transportation if possible. 

Professor Callanta adds that to help curb obesity and diabetes, there is a need to make nutritious food more affordable. “What we want to see is for healthy food to be more affordable especially for the poorer portions of the grand population,” he explains. He also adds that improving physical activity rates among Filipinos should also be a priority of the government by promoting more walkable places in communities. 

The forum ended with the conclusion that, as the data shows, to help reduce obesity and diabetes rates the solution lies not in taxation but in the need for proper diet and exercise. 

Monday, April 24, 2017

What You Need to Know About Diabetes


Diabetes is one of the most common illnesses among many Filipinos. However, did you know that you can have diabetes and be unaware of it? To prevent diabetes from becoming more serious, you should be aware of important medical facts so you’ll be able to treat it properly.

“Many people are being affected by diabetes, and some aren’t even aware that they have it. Poorly managed diabetes can lead to severe health complications such as heart disease, blindness, kidney failure, and a blood vessel disease that may require amputation. That is why it’s vital to learn more about diabetes and if needed, seek proper treatment immediately,” says MediCard president and CEO Dr. Nicky Montoya.


Here’s what you need to know about diabetes:

What is diabetes? Diabetes is a health complication wherein the body either can’t produce insulin or does not use insulin properly. Insulin is a hormone that enables the body to use glucose that is found in food for energy. There are several types of diabetes but the most common ones are Type 1, where the pancreas does not produce insulin; and Type 2, where the pancreas does not produce enough insulin or the body does not use insulin properly.

What are its symptoms? People with diabetes experience frequent urination, excessive thirst, constant hunger,  irritability, blurry vision, extreme and unexplained fatigue, wounds or cuts that are slow to heal, weight loss even if you are eating more, and tingling, numbness or pain in the hands and feet. In some cases, individuals with diabetes don’t show any symptoms. That is why it is very important to visit your doctor regularly for check-ups.

What are its complications? People with diabetes are more at risk of having other serious health problems. They are more prone to infections. High glucose levels and high blood pressure can also lead to cardiovascular disease, kidney disease, nerve disease and eye diseases, among others. To avoid complications, it’s important to regularly monitor and maintain your blood glucose levels, blood pressure and cholesterol.

How is it treated? To prevent complications of diabetes, Dr. Montoya recommends that diabetics should have a meal plan prescribed by a dietitian. Eating healthy and engaging in physical activities will help the body break down insulin better and convert glucose into energy. Some need to take insulin injections and oral agents, pills which help diabetics produce more insulin or utilize insulin better. Always remember to visit a diabetes specialist regularly to monitor your glucose level.

What should I do to prevent diabetes? To reduce your risk of diabetes, get moving and have a regular exercise routine like 30 minutes of walking a day. Dr. Montoya also recommends reducing your consumption of alcohol and processed sugars such as candies and sodas while adding more food rich in monounsaturated fats in your diet like avocados, nuts and olive oil.  

Learn how to combat diabetes. MediCard has numerous free-standing clinics located in key cities nationwide that offer endocrinology consultations. Visit a MediCard clinic near you or check out their website at www.medicardphils.com for more information.