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<blockquote data-quote="phoenix" data-source="post: 449125" data-attributes="member: 12578"><p>When I was first diagnosed, I was scared to change my fixed diet composition as prescribed by my doctor. I refused to visit my family and stayed at home. I had a thoroughly miserable Christmas, and missed an opportunity to see my grandchildren at that stage in their lives. I'll never get that Christmas back. As it is, this will be my 9th Christmas since my official diagnosis, I still have all my faculties, still have a good HbA1c . I think that sharing festivities with others is an important part of mental well being. Loneliness can be as deadly as diabetes! <a href="http://www.livescience.com/18800-loneliness-health-problems.html" target="_blank">http://www.livescience.com/18800-loneli ... blems.html</a> </p><p></p><p>Diabetes UK was quite rightly drawing to the publics or more importantly policy makers attention that diabetes can have serious consequences. </p><p> The data (from the diabetes audit) show that some areas have many people who don't get the care they need and these people develop complications at far higher rates than others. Take amputations as an example: People living in the most deprived fifth of areas were over 80 per cent more likely to have had an amputation than those in the least deprived fifth of areas. It says something about health inequalities in the UK but the statistic shouldn't be waved like a big stick at people who are already being proactive.</p><p> </p><p> When looking at the data, you also need to be aware of the increase in diagnosed diabetes over the period. It actually increased from 1,900,000 to 2,500,000 an increase of almost a third.</p><p>The report suggests that 50% of newly diagnosed T2s already have complications .</p><p></p><p>The EDIC/DCCT report mentioned earlier is really only relevant to T1 but It shows very clearly that a reduction in HbA1c to below 7% reduces complication risks but that below that point the benefits from further reductions are much smaller.</p><p>The study also showed that for people with T1 that levels below this were associated with a higher risk of severe hypoglycaemia.</p><p>(and since, surprise, surprise, diet has come up again; subsequent analyses in that study have also looked at diet and complications in that cohort; carbohydrate doesn't seem to be the villain here, indeed fat was positively associated with higher HbA1c and retinopathy in this trial)</p><p> retinopathy</p><p><a href="http://www.medscape.com/viewarticle/496168_4" target="_blank">http://www.medscape.com/viewarticle/496168_4</a></p><p>edit to add another link for those that aren't registered on Medscape</p><p><a href="http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1681380/" target="_blank">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1681380/</a></p></blockquote><p></p>
[QUOTE="phoenix, post: 449125, member: 12578"] When I was first diagnosed, I was scared to change my fixed diet composition as prescribed by my doctor. I refused to visit my family and stayed at home. I had a thoroughly miserable Christmas, and missed an opportunity to see my grandchildren at that stage in their lives. I'll never get that Christmas back. As it is, this will be my 9th Christmas since my official diagnosis, I still have all my faculties, still have a good HbA1c . I think that sharing festivities with others is an important part of mental well being. Loneliness can be as deadly as diabetes! [url=http://www.livescience.com/18800-loneliness-health-problems.html]http://www.livescience.com/18800-loneli ... blems.html[/url] Diabetes UK was quite rightly drawing to the publics or more importantly policy makers attention that diabetes can have serious consequences. The data (from the diabetes audit) show that some areas have many people who don't get the care they need and these people develop complications at far higher rates than others. Take amputations as an example: People living in the most deprived fifth of areas were over 80 per cent more likely to have had an amputation than those in the least deprived fifth of areas. It says something about health inequalities in the UK but the statistic shouldn't be waved like a big stick at people who are already being proactive. When looking at the data, you also need to be aware of the increase in diagnosed diabetes over the period. It actually increased from 1,900,000 to 2,500,000 an increase of almost a third. The report suggests that 50% of newly diagnosed T2s already have complications . The EDIC/DCCT report mentioned earlier is really only relevant to T1 but It shows very clearly that a reduction in HbA1c to below 7% reduces complication risks but that below that point the benefits from further reductions are much smaller. The study also showed that for people with T1 that levels below this were associated with a higher risk of severe hypoglycaemia. (and since, surprise, surprise, diet has come up again; subsequent analyses in that study have also looked at diet and complications in that cohort; carbohydrate doesn't seem to be the villain here, indeed fat was positively associated with higher HbA1c and retinopathy in this trial) retinopathy [url=http://www.medscape.com/viewarticle/496168_4]http://www.medscape.com/viewarticle/496168_4[/url] edit to add another link for those that aren't registered on Medscape [url=http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1681380/]http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1681380/[/url] [/QUOTE]
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