"The trouble is though Edie has taken intensive/tight control to mean low carb. That is rather obvious from his comment. He has never had any concept as to how type 1's control THEIR diabetes or in fact how insulin works or even how different food groups effect blood sugars. "
How do type ones control THEIR diabetes ?
Very poorly it would appear !
NHS Statistics for 2008 2009:
Percentage of Type 1 diabetics with HbA1c greater than 7.5 per cent = 71.4 per cent.
Percentage of Type 2 diabetics with HbA1c greater than 7.5 per cent = 33.4 per cent.
Percentage of Type 1 diabetics with HbA1c greater than 10.0 per cent = 33.6 per cent.
Percentage of Type 2 diabetics with HbA1c greater than 10.0 per cent = 14.3 per cent.
These results are very similar to those found in 2006 – 2007 and 2007 – 2008.
Hence the 20 years plus reduced life expectancy.
Eddie
3 comments:
What a message of doom and gloom. I hope no mothers of young T1s are reading your blog.
Check the source of your statistic, a paper designed to bring awareness of diabetes from DUK. The statistic used is referenced to an outdated paper. There is in fact very little evidence as to mortality rates but there is one ongoing study, from the US.
"Life expectancy at birth for someone diagnosed with type 1 diabetes between 1950 and 1964 the estimated life expectancy at birth was just 53.4 years"
So it was actually 19 years loss of life expectancy.
But look at what has happened since then
For those diagnosed with type 1 diabetes between 1965 and 1980, their life expectancy improved by 15 years. At the same time, the life expectancy for the general U.S. population only improved by one year.
The gap between life expectancy for people with type 1 diabetes (diagnosed between 1965 and 1980) and the general U.S. population is now just four years.
A smaller long term study in Leceister confirms this improving trend.
To return to the NHS statistics. A blanket figure actually tells little.
Dividing groups up tells us more. "There are appreciable sub group differences in the rates of achieving target glucose control. Younger age, more social deprivation and Asian or Black ethnicity were associated with higher risk glucose control
Very few children and adolescents achieve the 7.5% target. There are biological reasons for that. In very young children there is a danger of hypos causing damage to the developing brain. Growth results in frequent changes to the metabolism .The influence of hormones particularly in puberty can also cause huge fluctuations in glucose levels. This is one reason that more children are now being offered pump therapy. The longterm results of this won't be seen for some years.
I would think the majority of those who comment on blogs/forums are reasonably well educated and well motivated. They control THEIR blood glucose levels and achieve HbA1cs within the targets, they have received some sort of diabetes education, from other people with T1, from courses or from books.
What many people with T1 diabetes in the UK seem to lack is this timely education.
TOPF
Pittsburgh Epidemiology of Diabetes Complications http://www.ncbi.nlm.nih.gov/pubmed/20739685?dopt=Abstract
Cochrane Intensive glucose control versus conventional glucose control for type 1 diabetes mellitus (protocol)
http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD009122/full
Thank you for your comment.
I will come back to you when time permits.
Eddie
Some of these idiots are probably the same Type 1's who constantly posted in the Type 2 forum on DCUK, and they have the nerve to complain. It is they who have no concept as to how Type 2's control their Diabetes.
Graham skinny T2 for over three and half years on 1x500mg metformin nightly and don't even know how food groups effect BG lol!
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