"It's difficult to put a number on the people who don't look after their diabetes Alex, even for those who miss the Hba1c targets they could still be managing their diabetes well, remember we don't always see the bigger picture." Then in the same post says "The correlation between high bg and complications is well documented" said here.
So let's have a look at Noblehead's statements, can we ascertain the number of diabetics who do not "look after their diabetes" ? Yes we can. The NHS who publish audits every year and say.
Results for England. The National Diabetes Audit 2010-2011
Percentage of registered Type 1 patients in England
HbA1c >= 6.5% (48 mmol/mol) = 92.6%
HbA1c > 7.5% (58 mmol/mol) = 71.3%
HbA1c > 10.0% (86 mmol/mol) = 18.1%
Percentage of registered Type 2 patients in England
HbA1c >= 6.5% (48 mmol/mol = 72.5%
HbA1c > 7.5% (58 mmol/mol) = 32.6%
HbA1c >10.0% (86 mmol/mol) = 6.8%
These results are very similar to those obtained in previous NHS audits over the past 5 - 6 years.
What about complications and the relationship to poor control of BG numbers.
For every percentage point drop in A1C blood test results (from 8.0 percent to 7.0 percent, for example), the risk of diabetic eye, nerve, and kidney disease is reduced by 40 percent. Lowering blood sugar reduces these microvascular complications in both type 1 and type 2 diabetes. Intensive blood sugar control in people with type 1 diabetes (average A1C of 7.4%) reduces the risk of any CVD event by 42 percent and the risk of heart attack, stroke, or death from CVD by 57 percent.
Source: DCCT/EDIC, reported in December 22, 2005, issue of the New England Journal of Medicine.
Noblehead has posted over 10,000 posts, most about as much use as a rubber beak on a woodpecker, it will ever be thus.
Noblehead has posted over 10,000 posts, most about as much use as a rubber beak on a woodpecker, it will ever be thus.
Eddie
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