Editor, a present big crisis in focus is the Japanese Tsunami in early March 2011. This is believed to be the biggest tsunami in the human history. For sure, tsunami causes several problems to health system. It is interesting to know the effects of tsunami on the diabetic medicine. It is no doubt that there are several problems in diabetic management in the post-earthquake situation (1). However, the knowledge in the specific cases of tsunami is still low. Indeed, there are some publications in the literature mentioning the effect of tsunami on diabetic care. Interestingly, it is reported that tsunami could significantly induce hyperglycemia and resulted in increased diabetes mortality (2). Ramachandran et al. also noted for a high prevalence of undetected diabetes and impaired glucose tolerance among the survivors from tsunami (3). What is the exact contributing factor to this observation is very interesting and requires clarification. The relation between hyperglycemic episode and stress is mentioned but it might not be the whole solution to the query (3). The problem might be due to the immediate destruction of the health facilities, including the diabetic care system, as seen in earthquake situation (1).
Address for Correspondence: Viroj Wiwanitkit, Wiwanitkit House, Bangkhae, Bangkok Thailand 10160
Phone: +0066 241 324 36 E-posta: firstname.lastname@example.org Recevied: 06.04.2011 Accepted: 21.04.2011
1. Wiwanitkit V. Post-earthquake problem in management of patients with diabetes mellitus: A comment. Diabetes and Metabolic Syndrome: Clinical Research and Reviews 2010;4:97-8.
2. Joshi SR. Tsunami induced hyperglycemia and diabetes mortality--two studies from south India. J Assoc Physicians India 2006;54:105-6.
3. Ramachandran A, Snehalatha C, Yamuna A, Bhaskar AD, Simon M, Vijay V, Shobhana R. Stress and undetected hyperglycemia in southern Indian coastal population affected by tsunami. J Assoc Physicians India 2006;54:109-12.