I recently noted in the media that 1 in 5 residents of Curaçao has type 2 diabetes, and that this situation is placing increasing pressure on our healthcare system.
Type 2 Diabetes
We all need food for energy. Our bodies convert carbohydrates into glucose, which is then used as fuel. Insulin, produced by the pancreas, allows glucose to enter our cells and provide energy.
In the case of type 2 diabetes, the pancreas still produces insulin, but the body’s cells do not use it effectively (insulin resistance). Over time, the pancreas can no longer meet the increased demand for insulin, leading to a deficiency and elevated blood sugar levels. This can cause damage to organs, nerves and blood vessels.
Risk factors include family history, obesity, lack of physical activity, poor diet, certain ethnic backgrounds and aging. The long-term consequences can be serious, affecting both quality of life and healthcare costs. That is why prevention is essential. And for those already living with type 2 diabetes, a healthy lifestyle can significantly reduce risks and complications.
Personal Testimony
I would like to share a personal story. At around the age of 45 (I am now 67), I was diagnosed with type 2 diabetes. At first, I managed the condition with medication alone, but over time I also began daily insulin injections.
I remain under regular supervision by my general practitioner and specialists at the Curaçao Medical Center, and I also undergo periodic check-ups with other specialists, such as an eye doctor.
Looking back, there was a history of diabetes in my family. My professional career involved long hours of sitting, I exercised very little, and I was significantly overweight.
Coming to Terms with the Condition
I still remember the day my doctor informed me during a routine check-up that my blood sugar levels were too high and that I had diabetes. At the time, I was even admitted to the former SEHOS hospital for a period to quickly stabilize my glucose levels.
My specialist explained that I had two choices: remain hospitalized and try to reduce my glucose levels through diet and medication, or return home and adopt a more active lifestyle to lose weight and burn excess sugar in my body.
Since I had enjoyed cycling since childhood, I bought a bicycle and began riding regularly. In the beginning, I could barely manage 3 kilometers due to my poor physical condition.
The most important step during that period was becoming aware of what type 2 diabetes meant for me and for my family. That process took time. Only when I truly understood my situation did I begin to change my lifestyle and live more consciously.
Adapting My Lifestyle
From my experience, type 2 diabetes is a complex condition, partly because prevention often conflicts with our established social habits.
Over nearly eight years, I managed to reduce my weight by more than 30 kilograms, reaching a level appropriate for my age and height. However, as I approached retirement, I gained weight again in a short period. Social life often makes it difficult to stick to a strict routine, and I admit that I still enjoy all kinds of local foods.
The professional guidance I receive from my doctor and specialists at the Curaçao Medical Center has been exemplary. With patience, they have continued to guide me toward adopting a healthier lifestyle. I am now once again working to reduce my weight and maintain acceptable blood sugar levels.
A Call for Awareness
Of course, we must all be mindful of healthcare costs in our country. But it is especially important for those of us reaching older age to maintain a healthy lifestyle so we can enjoy our retirement with a good quality of life.
That is why I encourage everyone to stay active as much as possible. In future blogs, I will continue to write more about this important topic.
Anthon Casperson