Dietary diversity is gaining prominence in assessing diet adequacy of individuals and households in developing countries. Dietary diversity or food variety is not known in Tobago. Dietary diversity (DD) has been universally identified as a key element of high quality diets. As dietary factors are associated with increased risk of chronic diseases and undernutrition, local and international dietary guidelines recommend to improve the diversity of the diet.
Insulin and glucagon are potent regulators of glucose metabolism. For decades, we have viewed diabetes from a bi-hormonal perspective of glucose regulation. This perspective is incomplete and inadequate in explaining some of the difficulties that patients and practitioners face when attempting to tightly control blood glucose concentrations. Intensively managing diabetes with insulin is fraught with frustration and risk. Despite our best efforts, glucose fluctuations are unpredictable, and hypoglycemia and weight gain are common. These challenges may be a result of deficiencies or abnormalities in other glucoregulatory hormones. New understanding of the roles of other pancreatic and incretin hormones has led to a multi-hormonal view of glucose homeostasis.