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#Myth 1 -Diabetes is the leading cause of blindness, heart attack, kidney disease, and amputation.

Akram.Elsaadany

Akram.Elsaadany

Member
Messages
21
Location
Cairo
Type of diabetes
Type 1
Treatment type
Insulin
Diabetes is the leading cause of blindness, heart attack, kidney disease, and amputation. Is Myth OR true ?

TRUTH: Actually, it’s “poorly controlled” diabetes that can cause these outcomes.

It’s no wonder even some of the most educated people with diabetes think complications are inevitable; every time you hear about complications,
there’s no distinction made between those who have wellcontrolled diabetes and those whose diabetes is poorly controlled.

Those of us who manage our diabetes well are likely to enjoy a longand healthy life, says psychologist Dr. William Polonsky.

The benefits of well-controlled diabetes is reflected in the numbers
The Diabetes Control and Complications Trial (DCCT) and follow-

risk of the following complications by the following percentages.
• Eye disease—76 percent reduction
• Kidney disease—50 percent reduction
Nerve damage—60 percent reduction
• Cardiovascular disease—42 percent reduction
• Nonfatal heart attack and stroke—57 percent reduction

The twenty-year United Kingdom Prospective Diabetes Study (UKPDS)—the largest clinical study of diabetes ever conducted,
with more than 5,000 patients—proved that lowering blood glucose reduces microvascular and macrovascular (small and large

blood vessels) damage in people with type 2 diabetes just as in those with type 1. Controlling blood glucose was found to reduce
the risk of the following complications by these percentages.
• Retinopathy (eye disease) and neuropathy (nerve damage)—25 percent reduction
• Vision loss greater than—33 percent reduction
• Kidney disease—33 percent reduction
• Strokes greater than—33 percent reduction
• Diabetes-related deaths—25 percent reduction

Keeping diabetes, not just blood sugar, well controlled reduces the risk of complications by the following percentages.
• Controlled blood pressure can reduce the risk of cardiovascular
disease by 33–50 percent, the risk of microvascular
complications by 33 percent, and the decline in kidney
function in early kidney disease by 30–70 percent
• Control of blood lipids, HDL and LDL cholesterol, and
triglycerides can reduce cardiovascular complications by 20–
50 percent
• Detecting and treating diabetic eye disease with laser therapy
can reduce the development of severe vision loss by an
estimated 50–60 percent
• Comprehensive foot care programs can reduce amputation
rates by 45–85 percent


Thank You For Your Time :)


My Reference is

50 Diabetes Myth than Can Ruin your Life and the 50 Diabetes truth that can save it , Riva Greenberg ,
“Implications of the United Kingdom Prospective Diabetes Study.” 2003. Diabetes
Care 26: S28–S32.
“The Diabetes Control and Complications Trial and Follow-Up Study.” 2008.
National Diabetes Information Clearinghouse. http://diabetes.niddk.nih.gov/
dm/pubs/control/.
Parker-Pope, Tara. “Diabetes: Underrated, Insidious and Deadly.” 2008. New
York Times. http://www.nytimes.com/2008/07/01/health/01well.html.








 
of well-controlled diabetes is reflected in the numbers
The Diabetes Control and Complications Trial (DCCT) and follow-

risk of the following complications by the following percentages.
• Eye disease—76 percent reduction
• Kidney disease—50 percent reduction
Nerve damage—60 percent reduction
• Cardiovascular disease—42 percent reduction
• Nonfatal heart attack and stroke—57 percent reduction
Click to expand...

Correct - good control reduces the excess risk, but even well controlled diabetics in these studies were more likely to suffer from here complications than healthy people.
 
Also, bear in mind what they define as "well controlled" A lot of those on this forum aim for far better than that!
 
Thanks for the input. Yes, complications are not inevitable and the more we can do to control blood sugar the less the risk will be. It would be nice if the media made it clearer that good control is so important and it would also be nice if the UK NHS set tighter targets for HBa1C. UK NICE targets are quite sensible but too many GPs and DNs set looser targets for their patients
 
FergusCrawford said:
Also, bear in mind what they define as "well controlled" A lot of those on this forum aim for far better than that!
Click to expand...

The major conclusion drawn from the UKPDS was that lifethreatening complications of type 2 diabetes can be reduced by
more intensive management using existing treatments. For instance,lowering blood pressure to less than 130/80 mmHg significantly
reduces strokes, diabetes-related deaths, heart failure, microvascular complications, and vision loss and reduces the incidence of cardiovascular
complications. At the 2008 ADA Scientific Conference,a panel of experts agreed that keeping blood glucose levels at or
near the current recommended target range—between between 70 mg/dl (3.9 mmol/1) and 130 mg/dl (7.2 mmol/1) fasting and less
than 180 mg/dl (10 mmol/1) two hours after a meal with less than 140 mg/dl (7.8 mmol/1) being “normal”—reduces damage to the
small blood vessels that causes kidney disease and eye damage, andthat keeping one’s A1C under 7 percent reduces the risk of complications
by approximately 40 percent.


Tip to Make You Tops ;)

The landmark 1993 Diabetes Control and Complications Trial (DCCT)—the major clinical study conducted from 1983 to
1993 on 1,441 volunteers with type 1 diabetes—proved that keeping blood glucose levels as close as possible to normal (thenondiabetic A1C value is between 4 percent and 6 percent) can slow the onset and progression of, and significantly reduce therisk of, eye, kidney, and nerve damage. In fact, the trial demonstrated that any sustained lowering of blood glucose helps, evenif a patient has had a history of poor control—and the same holds true for type 2 diabetes
 
Daibell said:
Thanks for the input. Yes, complications are not inevitable and the more we can do to control blood sugar the less the risk will be. It would be nice if the media made it clearer that good control is so important and it would also be nice if the UK NHS set tighter targets for HBa1C. UK NICE targets are quite sensible but too many GPs and DNs set looser targets for their patients
Click to expand...

You know Here in Egypt too the same problem (Media :( )
so i prepare my self to start spread awareness here as i will record Videos for that translated into english and Arabic Too ...., Pray for me :)
 
Akram.Elsaadany said:
You know Here in Egypt too the same problem (Media :( )
so i prepare my self to start spread awareness here as i will record Videos for that translated into english and Arabic Too ...., Pray for me :)
Click to expand...



I think your a very informative and devoted person. Well done and keep it up! :doctor:
 
Akram.Elsaadany said:
Diabetes is the leading cause of blindness, heart attack, kidney disease, and amputation. Is Myth OR true ?

TRUTH: Actually, it’s “poorly controlled” diabetes that can cause these outcomes.

Wrong ! Good control merely reduces the risk of complications it doesn't eradicate them.
Thus any level of control can be associated with complications.
Click to expand...
 

No Sir , I don`t Agree With You
i know alot of peop;es born with it and die around 80 years old without any Complication ,
Have Faith and trust in God ..,

by The Way Search about Book Called ( Diabetes Solution For Dr.Bernstien ) and read his story with diabetes :) and how he got all complication in 40 years old and start Low Carb Diet and now he is about 90 years old and healthy because of Low Carb ..,

Read papers associate with his life with diabetes :) ...,
Dr bernstien is one of the biggest Diabetes doctors now days :)

Thank you in advance :)
 
justbe said:
'TRUTH: Actually, it’s “poorly controlled” diabetes that can cause these outcomes.'

Just the opposite, I think. It's probably very helpful for the NHS to make claims like this, because it means they don't have to increase funding, just pressure patients more.

In reality, if you look at the stats for things like retinopathy, you'll see that people who've been a diabetic for 20 years have something like a 75% chance of serious complications. That is not a few careless people not managing their condition. That is either lack of solutions, or lack of solutions that work for real human beings.

Really, what do you expect? No one can be expected to replace an automatic system like a pancreas, using daily manual efforts, careful planning, etc., and do as good a job as the original, which monitors microscopic amounts, every moment of your day, and adjusts by tiny dosages constantly.

Once we all have closed-loop pumps + CGM, that will be mostly solved. In the mean time, we can manage it AS BEST WE CAN, as HUMAN BEINGS. But I feel it's disingenuous to pretend that this is just about bad vs. good patients now.
Click to expand...

Thank you for posting this. I'm depressed and fed up feeling that the complications I suffer as a result of diabetes is as a result of me being "bad" and "not looking after myself properly". Yes, we have to take responsibility for our condition; but we also have to accept that we can't be in perfect control of it constantly and learn not to beat ourselves up about it and feel we are "bad" or "wrong". Nor should anyone suffering complications be made to feel it is all their fault. Other wise that's just a road to giving up altogether.
 
Hooked said:
Thank you for posting this. I'm depressed and fed up feeling that the complications I suffer as a result of diabetes is as a result of me being "bad" and "not looking after myself properly". Yes, we have to take responsibility for our condition; but we also have to accept that we can't be in perfect control of it constantly and learn not to beat ourselves up about it and feel we are "bad" or "wrong". Nor should anyone suffering complications be made to feel it is all their fault. Other wise that's just a road to giving up altogether.
Click to expand...

Like x 10 !:)

Let's face it, we have enough to deal with on a daily basis in diabetes management, as well as sometimes other people's judgements on us. Not only regarding diabetes but pressures in today's society.

We don't need a constant guilt inducing critic in our lives, and when that person is ourselves we can't just run away from them :eek: I think that if we stopped to think what we would feel if we were as horrible to other people as we are to ourselves, we would be mortified :rolleyes:

Be as kind to yourself, as you would be to others. You know your'e worth it ;)

Signy
 
Hooked said:
Please don't force your beliefs on me, and I won't force mine on you.
Religion has no place on discussions on how to manage diabetes.
Click to expand...

Excuse me i dont force my beliefs on you , i don't talk about religion any more , trust in god doesn't mean religious any more
By the wAy its okay
I don't force you , its just my opinion about this matter you can accept or refuse
Sorry if i interfere you

Best regards :)


Sent from the Diabetes Forum App
 
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