"Adapted from BMJ 4 Nov 2023 The Bottom Line: The time to tackle rising type 2 diabetes is T2DaY by Partha Kar consultant in diabetes and endocrinology Portsmouth Hospitals NHS Trust.
England’s 18-40 year olds with type two diabetes now exceed those with type one. In the not too distant past, type two diabetes was associated with middle age rather than youth. Causes for this increase include lifestyle, environmental and societal factors.
About 4% of people with type two diabetes are now under 40 years of age. Worryingly, this rise in type two diabetes is accelerating fastest in the under 40s. It tends to affect people who are socioeconomically deprived, are in minority ethnic groups, and in those with obesity. And the complications are aggressive.
There tends to be a greater risk of the vascular complications of diabetes compared to later onset type two diabetes. There are poorer pregnancy outcomes compared to type one diabetes. If you are diagnosed at the age of 30, you can expect to live 14 fewer years of life. At diagnosis, multi-morbidity is common and even if not present, can develop rapidly.
The 18 to 40 age group are often in education or working. They face transitions from the family home, to university or the workplace. Money tends to be tight. They are considering buying homes or renting. They may pairing off with partners, and they may already have a young family or be planning to start. Increasingly they can’t afford to buy a home, and put off having children till older ages.
There are now about 140,000 young adults with type two diabetes. It is important that the correct diagnosis is made at the outset, and that pregnancy planning and outcomes are prioritised. Dr Shivani Misra from Imperial College London, has published a Type 2 Diabetes in the Young programme that she hopes will be adopted in order to improve the outlook for these young people and their families.
Meanwhile, Government initiatives are needed to reduce socio-economic deprivation, improve healthy food options, improve space for exercise, and improve people’s motivation to look after themselves."
The link to the BMJ paper can be seen here
Although the above paper relates to figures in the UK, I would not be surprised if the result would be similar in many other countries worldwide.
Type 1 Diabetes can develop at any age and requires insulin treatment for survival.
Type 2 Diabetes accounts for around 90% of all diabetes and is more commonly diagnosed in adults.
Gestational Diabetes occurs with high blood glucose during pregnancy and can cause complications for both mother and child.
While type 1, type 2 and gestational diabetes are the most common forms of diabetes diagnosis, other types of diabetes are just as important.
27 comments:
Mind blowing.
I have had 2 brothers with type 1. My youngest brother passed away quite sometime ago because of it. My other brother is on a trial for ozempic. His AIC is down to normal 6.4 and other bloodwork close to normal. After the trial insurance will not pay for the ozempic. The doctors are really trying to find a way to keep him on it. Your report is eye opening.
...sad.
Two grandsons here with Type 1 and now my husband has type 2. Also, a brother with type 2 insulin dependent and a niece with the same. I truly pray for more insight and more help for those who DEPEND on insulin to live.
REPLY TO
DVArtist who said ...
I have had 2 brothers with type 1. My youngest brother passed away quite sometime ago because of it. My other brother is on a trial for ozempic. His AIC is down to normal 6.4 and other bloodwork close to normal. After the trial insurance will not pay for the ozempic. The doctors are really trying to find a way to keep him on it. Your report is eye opening.
Many thanks for your comment and I was sorry to read that two brothers had Type 1 Diabetes.
It is my understanding that current research on Ozempic in Type One Diabetes suggests it may help with weight loss and blood sugar control, but concerns about safety, particularly the risk of diabetic ketoacidosis, limit its widespread use.
You may want to read more here:-
https://pharmagiant.com/can-type-1-diabetics-take-ozempic-for-weight-loss/
All the best Jan
Let's hope for a cure.
Diabetes is no laughing matter for sure.
The rise of type 2 diabetes in younger adults is concerning, driven by lifestyle and socio-economic factors. Early diagnosis and targeted healthcare, along with government action, are essential to improve outcomes and prevent complications.
That is dreadful news. Thank you for the alert.
A very worrying statistic. My daughter was diagnosed with type1 at the age of eighteen. More knowledge and education is needed about this incurable condition. Only last week she was asked by a doctor if she took insulin. I have lost count of the number of doctors that have asked that question. Perhaps if there is another way of staying alive without insulin we would love to know.
Thank you Jan for this article.
God bless you.
My goodness, that is interesting.
That is so worrying. I don't know whether schools can become involved in teaching healthy habits. With so many other demands on their time, it seems unlikely that they could allocate much time to it.
My hubby is type 2, I worry about my son and grandchildren.
Happy Monday, have a wonderful week!
Crazy isn't it. Diet and lack of exercise is to blame. Easy to fix. Everywhere you look people have type 2.
Hello Jan :)
It is worrying that type 2 is on the rise in the younger generation.
It's a scary thought. I was diagnosed as type 2 about 20 years ago. I've brought my A1C down from 11.1 to 7.5.
The rise of type 2 is very scary but not altogether unexpected. The modern lifestyle has a lot to answer for x
My husband is type 2, but he keeps under control.
So many affected by this disease.
This is a very worrying statistic.
Being diagnosed with prediabetes was a wake-up call for me!
This is very disturbing.
Thanks for sharing this important info, Jan.
Very interesting and sad information. I wonder if all the microplastcs and other chemicals from pestricides and fertilizwers that scientists are finding in our food, and bodies, are also a contributung factor?
So sad it is effecting younger groups now, you wonder what all the influences out there are contributing
Gracias por todos tus informes, son interesantes. Besos.
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