Is it really true that more people have diabetic ?

[Spablauw_]

Hello,

I mean yes, more people have diabetes nowadays, obesitas is one of the world's biggest health problem, etc...

I asked myself this question when I came accros this image (see image)
You can see that in 1900 nephropathie was a common cause of death and in 2010 it's a less common cause of death but you can see that diabetes became one of them.

Since nephropathie affects people with diabetes and it is sometimes one of the reasons diabetes is discovered, I wonder if part of that people that died from nephropathoe didn't have undiscovered Diabetes ? And that the number of people with diabetes increased because simply more people were diagnosed ?

If you look at all the forms of diabetes we have nowadays and how many people have pre diabetes and already take medicin and are therefore being considered as 'diabetic'. I bet a lot of people that had diabetes a long time ago were never discovered and that's why (for me) it's hard to say how much the people with diabetes really increased over a period of time.

I hope you understand what I meant, I just wanted to share my opinion on this issue !

 

[JoKalsbeek]

Hello,

I mean yes, more people have diabetes nowadays, obesitas is one of the world's biggest health problem, etc...

I asked myself this question when I came accros this image (see image)
You can see that in 1900 nephropathie was a common cause of death and in 2010 it's a less common cause of death but you can see that diabetes became one of them.

Since nephropathie affects people with diabetes and it is sometimes one of the reasons diabetes is discovered, I wonder if part of that people that died from nephropathoe didn't have undiscovered Diabetes ? And that the number of people with diabetes increased because simply more people were diagnosed ?

If you look at all the forms of diabetes we have nowadays and how many people have pre diabetes and already take medicin and are therefore being considered as 'diabetic'. I bet a lot of people that had diabetes a long time ago were never discovered and that's why (for me) it's hard to say how much the people with diabetes really increased over a period of time.

I hope you understand what I meant, I just wanted to share my opinion on this issue !

Diabetes has been correctly diagnosed since the achient greeks (From what I understand through a urine test. If it *tasted* sweet...). The condition, both T1 and T2 has been known for a long time, and T2 used to be a matter of elderly people's pancreas giving out slowly... It hasn't been until the last few decades/50 years or so, that people've been getting T2 earlier and earlier, mainly because we've started following the EatWell plate (Or as you may know it, going by your handle, De Schijf van Vijf). Obesity is a global epidemic, and since it is a precursor to diabetes and non-alcoholic fatty liver disease, well... With T1 you just kicked the bucket within days, until injecting insulin became a thing. With T2 it may have gone a little slower, but I do think it would be discovered before or when kidneyfaillure set in. The massive thirst, frequent urination and sweet urine would be present long before kidneys'd fail, methinks. Besides... Great strides were made in the discovery of kidneydiseases in that time period, so it is likely that it was diagnosed more often because they were able to, where before it was just a guessing game? https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3400763/ On top of that, one cause for renal faillure is also hypertension... And for the conservation of food we used to use a lot more salt in the 1900's than we do nowadays. So that could've been an issue.

Not something I expected to be googling at 2 a.m., but it's warm, and I can't sleep anyway.
Jo