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NHS Direct doctor says... NO testing when taking Metformin
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<blockquote data-quote="JohnEGreen" data-source="post: 1136205" data-attributes="member: 223921"><p>Small improvements in blood glucose levels could help the NHS save £5.5 billion and make significant improvements for people with diabetes, according to a study.</p><p></p><p>Better glucose control could help avoid almost a million serious medical complications associated with diabetes, such as blindness, amputation and kidney failure over 25 years, researchers found.</p><p></p><p>IMPACT 2 is a study based on data and population modelling. It is the outcome of a collaboration between Diabetes UK, JDRF and Sanofi, and the analysis was completed by IMS and the York Health Economics Consortium.</p><p></p><p>It looked at people with diabetes and the financial benefit earlier intervention for better controlling blood glucose could have across a 25 year period.</p><p></p><p>The findings highlighted a significant impact for people with diabetes and NHS budgets could be made if small changes were introduced.</p><p></p><p>‘Real improvements’</p><p></p><p>Dr Mike Baxter, consultant advisor to Sanofi Diabetes and lead author of the study, said: “Diabetes is a major healthcare problem with a large and increasing number of people in the UK suffering from avoidable microvascular complications such as kidney disease and foot amputations because their blood glucose levels are too high.</p><p></p><p>“IMPACT 2 quantifies the reduction in the number of complications, and the potential cost avoidance if modest improvements to patients’ blood glucose levels were made.</p><p></p><p>“There is the potential to generate real improvements in outcomes for patients with diabetes by making even small but sustained improvements in their blood glucose levels.”</p><p></p><p>People with type 1 diabetes are routinely still receiving poorer care and are less likely to be meeting NICE recommended blood glucose targets, when compared to people with type 2 diabetes.</p><p>Karen Addington, chief executive of JDRF in the UK said: “People with type 1 diabetes are routinely still receiving poorer care and are less likely to be meeting NICE recommended blood glucose targets, when compared to people with type 2 diabetes.</p><p></p><p>“The IMPACT 2 results show the benefit to people living with type 1 diabetes and the NHS in providing appropriate care, support and education to help people manage their condition.”</p><p></p><p>Chris Askew, Diabetes UK chief executive added: “IMPACT 2 demonstrates that even small improvements in blood glucose levels can result in huge benefits for people with diabetes with the potential to stop 23,000 people suffering severe kidney failure, almost 160,000 leg ulcers and amputations and over 50,000 people suffering severe loss of vision.</p><p></p><p>“This should be a priority for all those involved in providing care for people with diabetes. Preventing type 2 diabetes through public health initiatives is of course the best way of reducing spend long-term, however much greater efforts are needed to ensure all people with diabetes get the support and care they need for a good quality of life and better health outcomes.”</p><p></p><p>The NHS spend on diabetes is already considerable and on the increase. IMPACT 1 showed that diabetes costs the NHS £10 billion each year, which equated to around £1 million an hour.</p><p></p><p>Nearly 80 per cent of these costs are attributable to treating avoidable complications, which could potentially be reduced through better management of diabetes, including improved blood glucose control.</p><p></p><p>And how can that be achieved it would pay them to give T2's meters and strips to self test and to support LC diets.</p></blockquote><p></p>
[QUOTE="JohnEGreen, post: 1136205, member: 223921"] Small improvements in blood glucose levels could help the NHS save £5.5 billion and make significant improvements for people with diabetes, according to a study. Better glucose control could help avoid almost a million serious medical complications associated with diabetes, such as blindness, amputation and kidney failure over 25 years, researchers found. IMPACT 2 is a study based on data and population modelling. It is the outcome of a collaboration between Diabetes UK, JDRF and Sanofi, and the analysis was completed by IMS and the York Health Economics Consortium. It looked at people with diabetes and the financial benefit earlier intervention for better controlling blood glucose could have across a 25 year period. The findings highlighted a significant impact for people with diabetes and NHS budgets could be made if small changes were introduced. ‘Real improvements’ Dr Mike Baxter, consultant advisor to Sanofi Diabetes and lead author of the study, said: “Diabetes is a major healthcare problem with a large and increasing number of people in the UK suffering from avoidable microvascular complications such as kidney disease and foot amputations because their blood glucose levels are too high. “IMPACT 2 quantifies the reduction in the number of complications, and the potential cost avoidance if modest improvements to patients’ blood glucose levels were made. “There is the potential to generate real improvements in outcomes for patients with diabetes by making even small but sustained improvements in their blood glucose levels.” People with type 1 diabetes are routinely still receiving poorer care and are less likely to be meeting NICE recommended blood glucose targets, when compared to people with type 2 diabetes. Karen Addington, chief executive of JDRF in the UK said: “People with type 1 diabetes are routinely still receiving poorer care and are less likely to be meeting NICE recommended blood glucose targets, when compared to people with type 2 diabetes. “The IMPACT 2 results show the benefit to people living with type 1 diabetes and the NHS in providing appropriate care, support and education to help people manage their condition.” Chris Askew, Diabetes UK chief executive added: “IMPACT 2 demonstrates that even small improvements in blood glucose levels can result in huge benefits for people with diabetes with the potential to stop 23,000 people suffering severe kidney failure, almost 160,000 leg ulcers and amputations and over 50,000 people suffering severe loss of vision. “This should be a priority for all those involved in providing care for people with diabetes. Preventing type 2 diabetes through public health initiatives is of course the best way of reducing spend long-term, however much greater efforts are needed to ensure all people with diabetes get the support and care they need for a good quality of life and better health outcomes.” The NHS spend on diabetes is already considerable and on the increase. IMPACT 1 showed that diabetes costs the NHS £10 billion each year, which equated to around £1 million an hour. Nearly 80 per cent of these costs are attributable to treating avoidable complications, which could potentially be reduced through better management of diabetes, including improved blood glucose control. And how can that be achieved it would pay them to give T2's meters and strips to self test and to support LC diets. [/QUOTE]
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