Showing posts with label diabetes. Show all posts
Showing posts with label diabetes. Show all posts

Friday 28 August 2015

Five million adults in England 'at risk of diabetes'

Five million adults in England 'at risk of diabetes'

  • 26 August 2015
  •  
  • From the sectionHealth
Blood test
Image captionPublic Health England analysed blood-sugar levels to estimate the number of people at risk of developing type-2 diabetes
Up to five million people in England are at risk of developing type-2 diabetes, according to new data from Public Health England.
Type-2 diabetes is closely linked to diet and obesity and affects about 3.2 million people across the UK.
The NHS says diabetes causes 22,000 early deaths and costs the health service more than £8bn each year.
But health experts believe more than a quarter of people can reduce the risk of developing the condition.
Diabetes arises when the body loses the ability to use or make insulin, a hormone that helps regulate the amount of sugar in blood.
Public Health England (PHE) says its latest analysis shows about five million adults in England are now pre-diabetic, also known as non-diabetic hyperglycaemia.
That means they are at risk of developing type-2 diabetes.
Public Health England says its calculations have produced the most accurate and robust estimate so far.
Last year, research published in the British Medical Journal suggested a much higher figure - one third of all adults in England - and the charity Diabetes UK quotes a UK-wide figure of about 18 million people at risk of developing diabetes.
But these calculations used a broader definition of pre-diabetes than that used in this latest analysis.
Some doctors have questioned the value of the pre-diabetic diagnosis, arguing that only a small number - perhaps one in 10 - will go on to develop diabetes.

Diet and exercise

But the NHS is preparing to roll out a diet, weight loss and exercise programme that has been shown to reduce the diabetes risk for a quarter of those who take it up.
PHE chief executive Duncan Selbie said people needed support if they were to combat the risk posed by type-2 diabetes.
"We know how to lower the risk of developing type-2 diabetes: lose weight, exercise and eat healthily, but it's hard to do it alone," he said.
"PHE's evidence review shows that supporting people along the way will help them protect their health, and that's what our prevention programme will do."
Diabetes UK chief executive Barbara Young said it was important to warn people about a condition that could have devastating complications such as blindness, amputations and early death.
"As well as helping to reduce the human cost of type-2 diabetes, this would also go a long way to helping to reduce costs to the NHS," she said.
"The NHS spends 10% of its entire budget managing diabetes And unless we get better at preventing type-2 diabetes, this figure will rise to unsustainable levels."

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Tuesday 16 December 2014

With correct foot care and education, limb loss can be avoided

  • With correct foot care and education, limb loss can be avoided

Diabetes amputations are 'too high' say health bosses

Diabetes amputations are 'too high' say health bosses

Insulin and blood-checking equipment for diabeticsDiabetics have to monitor their blood sugar levels

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The number of diabetics in Cornwall, Devon, Dorset and Somerset who have had amputations due to their condition is too high, health bosses have admitted.
About 1,500 procedures to remove limbs were carried out in the four counties over three years.
Charity Diabetes UK said 80% of amputations were avoidable if more care was available to prevent complications.
Health bosses said they were "acutely aware" of the situation and were improving education about diabetes.
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Diabetes and amputation
  • The risk of amputation comes from damage done to nerves and blood vessels
  • Extremities of the body such as feet are worst affected
  • With correct foot care and education, limb loss can be avoided
Source: Diabetes.co.uk
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Diabetics must know their blood sugar level to stop it going dangerously high or low.
Poorly-managed blood glucose levels can lead to serious complications such as blindness, amputations and stroke.
Of the 1,562 amputations among diabetics carried out across the counties between 2010-2013, 528 were classed as major - above the ankle - statistics from Public Health England said.
The national rate for major amputations at that time was 0.9 per 1,000 people with diabetes. Areas across South West England saw rates of between 0.8 to 1.5.
Phaedra Perry, from Diabetes UK, said evidence showed amputation levels were reduced in areas where teams with the right expertise were in place.
However, diabetic Jacqueline Heather, from St Austell, Cornwall, said patients, not just health staff, had to be "aware of what to look for",
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Number of major amputations 2013-13
  • National rate is 0.9 per 1,000 people with diabetes
  • NHS NEW (Northern, Eastern and Western Devon) Devon Clinical Commissioning Group CCG area - 1.5
  • Somerset - 1.4
  • Cornwall - 1.2
  • Dorset - 1
  • Torbay and South Devon - 0.8
Source: Public Health England
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Dr Gary Lenden, from the NEW (Northern, Eastern and Western Devon) Devon Clinical Commissioning Group - which had the highest rate in the counties - said: "It's something we're clearly concerned about and acutely aware of."
He said managers saw the need "to improve the education for primary care teams" and staff were also working on improving education for patients so they had an "understanding of their own condition".
He added that staff were also working on "getting diabetes teams into the community".

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Tuesday 20 November 2012

Diabetes: 1-in-3 inpatients suffer NHS error, report to claim

Diabetes: 1-in-3 inpatients suffer NHS error, report to claim

David JosephThe care of David Joseph was criticised by the ombudsman

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Almost one-in-three diabetic inpatients in Wales has experienced at least one NHS medication error, a new report by Diabetes UK Cymru is to reveal.
The charity is concerned because the number of people with diabetes in Wales rose more than a quarter in five years.
Meanwhile figures obtained by BBC Wales show only one of the seven Welsh health boards has taken on more specialist diabetic nurses in the last four years.
One board has cut staffing while the other five have kept the same total.
The Diabetes UK Cymru report to be published on Wednesday reveals diabetes is growing rapidly with an increase of 35,000 people with the condition in Wales over the past five years to 160,000 - a rise of 28%.
By 2025, the number of people with diabetes is forecast to top 250,000 with 66,000 people currently undiagnosed.
Despite the concern, the charity says 70% of adults with type 1 diabetes and 43% with type 2 are not getting simple checks, such as blood glucose tests.
Diabetes UK Cymru director Dai Williams told the BBC Wales Week In Week Out programme: "The cost of diabetes is massive - the bottom line is - it's a ticking time bomb.
"We've got people wandering around with high blood sugars, not even realising it's going to cause a problem."
The report, called State of the Nation 2012, will also claim that 29.8% of inpatients with diabetes experienced at least one medication error while on a ward.
The programme features the family of David Joseph, from Aberaeron, Ceredigion, whose care before his death in 2009 was criticised in April this year by the Public Services Ombudsman for Wales, Peter Tyndall.
Madie JosephMadie Joseph said she 'foolishly' thought her husband would be safe in hospital
Mr Tyndall raised concerns over clinical record keeping by the Hywel Dda health board and made recommendations.
Mr Joseph's widow, Madie, a former nurse, tells the programme: "We thought, foolishly, that patients with diabetes in hospital would be safe and clearly he was not.
"I still don't understand how they [nurses] could have been so mistaken - so ignorant - and it mustn't happen again to another patient."
The family received an apology following the release of the ombudsman's report.
Week In Week Out has also learned about three more complaints about the treatment of diabetic inpatients at Hywel Dda health board hospitals.
Councillor Elizabeth Evans, a senior case worker for Mark Williams MP, tells the programme the complaints received over the past 18 months include concerns over fluid intake and patients not eating properly.
She says: "Every single case would go into hospital for a very different reason. So it was issues about fluid intake, about food, not eating, and obviously any diabetic specialist will tell you that a diabetic needs to eat."
In a statement Hywel Dda health board said it takes any allegation of a breach of professional standards seriously and an investigation was ongoing.
Hywel Dda was the only health board in Wales which has increased the number of specialist diabetes nurses, from seven in 2008/9 to the equivalent of 12.34 full-time staff in 2012/13.
Cwm Taf in the south Wales valleys was the only board to cut staffing, from the equivalent of 14.89 full-time nurses in 2008/9 to 12 in 2012/13.
Cwm Taf Health Board is pioneering a new scheme to cut diabetes-related medication errors in their hospitals.
It is a highly visible branding campaign called Think Glucose and involves raising awareness of diabetes with all staff throughout every ward.
Hypo Boxes on every medication trolley means treatment can be given to patients suffering a hypoglycemic attack quickly; pre-printed medication charts cut the risk of mis-reading doseage; and colour-coded blood sugar monitoring charts mean that dangerously low blood sugar levels go into a red zone - alerting staff of the need to treat the patient quickly.
The campaign has seen medication errors at one hospital, the Royal Glamorgan, decrease from 50% to 6%.
At the moment, Cwm Taf is the only health board running Think Glucose, but other health boards are showing interest - and Hywel Dda says it will be rolling out the programme in the New Year.

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Tuesday 11 September 2012

Diabetes warning for people of Asian


Diabetes warning for people of Asian, African and Caribbean descent

Blood sugar testScientists are trying to find out why some ethnic groups much more likely to develop diabetes

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British people of South Asian, African or African Caribbean descent are significantly more likely to develop Type 2 diabetes than their European counterparts, researchers have warned.
Half had developed the disease by the age of 80 in a study of 4,200 people living in London - approximately twice the figure for Europeans.
The researchers said the rates were "astonishingly high".
The findings were published in the journal Diabetes Care.
Losing control of blood sugar levels increases the risk of heart disease, stroke, kidney failure, blindness and amputations. Type 2 diabetes is often linked to lifestyle and diet.
Some ethnic groups are already known to have a higher risk of Type 2 diabetes. However, one of the researchers at Imperial College London, Dr Therese Tillin, said it may be down to them simply getting the disease earlier in their lives and the figures would even out over time.
But the study showed: "The rates don't slow down as you get older. The astonishing difference continues," Dr Tillin said.

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People from these communities should be screened earlier than the general population - from the age of 25 rather than 40”
Dr Iain FrameDiabetes UK
She warned this could be a sign of things to come with the potential for soaring levels of diabetes around the world as more people lived in cities and enjoyed a calorie-rich diet.
Mystery
The scientists involved said that fat, particularly around the waist, could explain some, but not all of the difference, between the ethnicities.
Fellow researcher, Dr Nish Chaturvedi, said genetics could not explain the difference either as there were similar levels of "risky genes" across all groups.
She said: "There is something else that puts them at higher risk and we're not sure what that is."
Dr Mike Knapton, from the British Heart Foundation and a GP, said: "Awareness is really low considering the magnitude of the problem, even I'm surprised by the figures."
He also warned that failing to deal with diabetes would have huge financial consequences for the NHS.
The director of research at Diabetes UK, Dr Iain Frame, said it was "even more important" for people at high risk to manage their weight.
He said: "People from these communities should be screened earlier than the general population - from the age of 25 rather than 40.
"People need to know their risk of developing Type 2 diabetes and get diagnosed as early as possible. We know that people from South Asian backgrounds can often be living with the condition for around 10 years before they are diagnosed, which increases the risk of complications such as heart disease, stroke, kidney failure, blindness and amputation.

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Monday 10 September 2012

Diabetes cholesterol risk warning


Diabetes cholesterol risk warning


Cholesterol testA simple test can show if cholesterol levels are too high

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The majority of people with diabetes are not controlling cholesterol levels effectively - putting them at increased risk of heart disease, a charity warns.
Diabetes UK says 90% of people with the disease are having annual checks which will show up problems.
But it says the most recent national diabetes audit found many are not then addressing high cholesterol.
Chief executive Barbara Young said it meant the health of thousands was being put at unnecessary risk.
'Easy to control'
About 3.7 million people in the UK have diabetes. The majority - about 90% - have Type 2 diabetes, where the body makes too little insulin or where it fails to make it properly. In those with Type 1 diabetes, the body cannot produce any insulin at all.
The audit includes data on 1.9 million people in England with diabetes.

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It is an issue that is putting the health of hundreds of thousands of people at risk. ”
Barbara YoungDiabetes UK
People with both types of the condition have a higher risk of heart disease than the rest of the population.
Cardiovascular disease is linked to 44% of deaths in people with Type 1 and 52% with Type 2.
Diabetes UK says that because of the existence of statins - cholesterol-lowering drugs - it is relatively easy to control high cholesterol.
People with Type 2 diabetes also have twice the risk of stroke within the first five years of diagnosis compared with the general population.
Barbara Young said the findings were worrying, adding: "It is not clear why the high number of people having their annual cholesterol check is not translating into better cholesterol control, but it is an issue that is putting the health of hundreds of thousands of people at risk.
"It will often be appropriate to prescribe medication such as statins, but it is no good doing this without explaining the importance of taking the medication regularly and the potentially devastating consequences of not doing so.
"Other ways people can help improve their cholesterol levels include losing weight, exercising daily, reducing alcohol consumption, stopping smoking and eating a healthy diet, low in fat."

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