Thursday, 21 August 2008

10% Of Deaths In 20 To 79-Year-Olds Caused By Diabetes, UK

�New figures� reveal that more than one in ten (11.6 per cent) deaths among 20 to 79-year-olds in England can be attributed to diabetes, warns leading health charity Diabetes UK.



If flow trends stay, one in eight (12.2 per cent) deaths among 20 to 79-year-olds will be attributable to the consideration by 2010. This work is based on data that shows adults under 80 with diabetes ar around twice as likely to die as those without the condition and women with diabetes have a greater increased endangerment of death compared to their male counterparts.


Douglas Smallwood, boss executive of Diabetes UK, said: "These new figures are truly alarming and confirm that diabetes is one of the biggest health challenges facing the UK today. There ar currently 2.3 zillion people diagnosed with diabetes and more than half a 1000000 people ar unaware they have the condition.


"Good self-management, cognisance, and improved access to specialist diabetes care services are all-important if we are to curb this growing wellness crisis and see a reduction in the number of people dying from diabetes and complications attributed to the condition."


Primary Care Trusts (PCTs) with the highest percentage of diabetes-attributable deaths are areas with a higher than average proportion of the population over 40 and where thither are large numbers of over 40s of Asian and Black origin, world Health Organization are at greater risk of infection of developing Type 2 diabetes. These areas besides have high levels of deprivation compared to PCTs with the lowest balance of deaths.


The percent of diabetes-attributable deaths varied at PCT level from 9 per cent in Buckinghamshire [i] to 17 per cent in Newham, East London [ii].


By using a method that combines data from old research studies and estimates of diabetes prevalence� with population and mortality data, the work is able to render a more accurate picture of the number of deaths attributable to diabetes than from routine sources which a great deal fail to identify diabetes or diabetes-related complications as the principal cause of death.


Whilst still around twice as likely to die as their peers without the condition, the number of deaths in the jr. age groups is small compared to the old age groups.


Diabetes lav be fateful in a number of ways. Around 80 per cent of people with the shape die of cardiovascular disease (CVD) - high stemma glucose levels can grounds damage to blood vessels which tin can result in a chance event or bosom attack. Diabetes is also the main cause of end phase renal failure (ESRF) - an irreversible decline in kidney function.


A hypoglycemic attack or a "hypodermic syringe" - a condition where the degree of glucose (sugar) in the line of descent drops - can besides lead to death on rare occasions. Similarly, high blood glucose levels (hyperglycemia) left untreated can result in death through diabetic ketoacidosis (DKA) which occurs as a result of a want of insulin.


John Clark, from Dagenham, East London, had Type 2 diabetes and died of eye failure in May this year, aged 51.


His wife, Elaine, said: "John was first base diagnosed with diabetes in 1990 and despite warnings about his high blood pressure and cholesterol levels, continued to smoke, drinkable too much, eat unhealthy takeaways, and not monitor his roue glucose levels properly. He would besides often walk out of check-up appointments if he had to wait to a fault long.


"As a answer, John lost most of his vision from diabetic retinopathy inside three months in 2000; he went completely blind a year later. In July 2007 he had a stroke and spent 17 weeks in hospital. Soon subsequently returning home he began having hard hypos and wasn't feeding so was readmitted for a farther 16 weeks, in which time he lost hexad stone. He was so moved to a nursing home where he died three weeks later.


"From day 1, I struggled to feel specialist diabetes care for John. There was no care group in my area until 2003 and it was only after I became a committee member of a new local mathematical group that I found out about the dangers of diabetes and what services were available.


"Diabetes Specialist Nurses were also under-funded and in short cater where we lived; it was only through a personal contact lens that I managed to find one. As it was never offered, I had to chase for diabetes foot care and despite urgent requests by a District Nurse for John to see a dietician at Christmas 2007 the infirmary could only offer an appointment the following August.


"Even later John died I had to carry the medical examiner to register diabetes as a secondary cause on his death certificate. He explained that as the condition was not the direct causal agency of death, it wasn't usually recorded.


"There necessarily to be better public awareness nigh the serious-mindedness of diabetes and bettor access to care for people with the term. No-one should have to go through what my family and I have."



For further information about diabetes and how to finagle the experimental condition visit hypertext transfer protocol://www.diabetes.org.uk.


i PCTs with the lowest % of deaths attributable to diabetes between 20 and 79 years, 2005:-
Number %


Buckinghamshire 199 9.25%

South Gloucestershire 90 10.02%

Berkshire West 149 10.03%

Wiltshire 177 10.03%

Surrey 406 10.09%

Cambridgeshire 216 10.10%

Hampshire 498 10.16%

Bath and North East Somerset 73 10.37%

Richmond and Twickenham 55 10.39%

North Yorkshire and York 360 10.42%


ii PCTs with the highest % of deaths attributable to diabetes between 20 and 79 years, 2005:-
Number %


Newham 152 17.08%

Brent Teaching 147 16.84%

Tower Hamlets 108 16.02%

Leicester City 204 15.92%

Ealing 160 15.21%

City and Hackney Teaching 104 15.02%

Harrow 108 14.90%

Lambeth 138 14.65%

Waltham Forest 118 14.60%

Lewisham 146 14.59%

Notes


1 In 2005 in that respect were 26, 300 diabetes-attributable deaths among 20 to 79-year-olds - 'Diabetes Attributable Deaths: Estimating the excess deaths among people with diabetes', Yorkshire and Humber Public Health Observatory - http://www.yhpho.org.uk/viewResource.aspx?id=1480


2 The PBS Diabetes Prevalence Model estimates the total number of people with diabetes (diagnosed and undiagnosed) in England, Yorkshire and Humber Public Health Observatory - http://www.yhpho.org.uk/PBS_diabetes.aspx


3 Diabetes UK is the charity for people with diabetes. We fund more than than �7 million of medical inquiry every year, provide entropy and supporting to people with diabetes and military campaign on their behalf. For more data visit hypertext transfer protocol://www.LC191% address: Macleod House, 10 Parkway, London NW1 7AA.

Diabetes UK


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