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Thursday 2 February 2012

Incentives for Keeping As Near As Possible ‘Normal’ Blood Glucose Levels

People with diabetes have about twice the risk of developing a range of CVD, compared with those without diabetes [Ref 1].

People with Type 2 diabetes have a two-fold increased risk of stroke within the first five years of diagnosis compared with the general population [Ref 2 & 3].

People with diabetes are 10 to 20 times more likely to go blind than people without diabetes [Ref 4].

People with diabetes are twice as likely to suffer from cataracts or glaucoma as the general population [Ref 5].

Worldwide, the rate of leg amputations in people with diabetes is over 15 times higher than in people without diabetes [Ref 6].

The prevalence of depression is approximately twice as high in people with diabetes as it is in the general population [Ref 7].

Chronic painful neuropathy is estimated to affect about one in six (16.2 per cent of) people with diabetes, compared with one in 20 (4.9 per cent) in the age and sex matched control group [Ref 8].

There are further statistics on other complications, but none that I can easily find that show such an easy comparison between diabetics and non-diabetics and provide such strong incentives for keeping blood glucose levels as near as possible to 'normal' levels. 

For diabetic parents two questions to be answered
  1. Do I selfishly satisfy my food pleasures against the known risks for my family?
  2. Are those carbs worth it?


References
  1. Emerging Risk Factors Collaboration (2010). Diabetes mellitus, fasting blood glucose concentration, and risk of vascular disease: a collaborative meta-analysis of 102 prospective studies. Lancet 375 (9733); 2215–2222
  2. Emerging Risk Factors Collaboration (2010). Diabetes mellitus, fasting blood glucose concentration, and risk of vascular disease: a collaborative meta-analysis of 102 prospective studies. Lancet 375 (9733); 2215–2222 
  3. Jeerakathil T, Johnson JA, Simpson SH et al (2007). Short-term risk for stroke is doubled in persons with newly treated Type 2 diabetes compared with persons without diabetes: a population based cohort study. Stroke 38 (6); 1739–1743
  4. Hamilton AMP, Ulbig MW, Polkinghorne P (1996). Management of diabetic retinopathy, London: BMJ Publishing
  5. Ederer F & Taylor HR (1981). Senile lens changes and diabetes in two population studies. American Journal Of Opthalmology, 91, 3, 381–385
  6. Boulton AJM. Foot problems in patients with diabetes, in Holt RIG, Cockram CS, Flyvbjerg A et al (ed.) Textbook of diabetes, 4th edition. Oxford: Wiley-Blackwell
  7. Katon W, von Korff M, Ciechanowski P et al (2004). Behavioral and clinical factors associated with depression among individuals with diabetes. Diabetes Care 27; 914–920
  8. Daousi C et al (2004). Chronic painful peripheral neuropathy in an urban community: a controlled comparison of people with and without diabetes. Diabetic Medicine 21 (9); 976–982

4 comments:

Anonymous said...

What a wonderful post. Thank you for reminding me why I do my best to hold safe BS numbers.

Anonymous said...

The don't bother to test bg numbers and the dire NICE guidelines and NHS treatment for diabetics has lead to what you say.

Anonymous said...

I am a med student and came across your blog recently. My grandfather had diabetes so I do have an interest in your articles here. This article is excellent and the references just what are needed, if a med student can be allowed to say I found this so well written. I had some great teachers whilst at school who very often encouraged me to not only follow the curriculum but when I had time to think 'out of the box' as they used to call it. Now I am a med student we do obviously have to follow our studies as instructed but I do still try to find out the many different views, ideas and practices that are out there. I very much liked this article and I hope to use some of the information contained herein in my future studies.
Thank you so much

G H

Anonymous said...

I feel I must repeat what the first person who commented here said. "What a wonderful post. Thank you for reminding me why I do my best to hold safe BS numbers." It is important to do your best to hold down your bs numbers. We owe it to ourselves and more importantly to our families. My children are still quite young (school age) I plan to be around for as long as possible to see them grow up into their 20's, 30's, 40's and more.
Who knows I may go out tomorrow and get knocked down by a car, or lorry, who knows what is around the corner I cannot do anything about that. But I can keep my bs numbers low to give myself and family a good chance of being around for as long as possible.

Doug