‘Lack of focus’ on diabetes risks
The number of people with Type 2 diabetes is increasing, largely due to higher obesity rates
A survey of 7,500 members of the public found 70% were unaware the condition was linked to cardiovascular disease.
We are doing research on diabetes quality care. This survey helps explain some findings.
I teach on a VA inpatient service. Given my many years of ward attending, I have accumulated many sayings (oft quoted by the housestaff). One saying refers to type II diabetics as having coronary artery disease even if we have not yet diagnosed it. I assume (as does the NCEP and JNC 7) that type II diabetics deserve secondary prevention for coronary artery disease. That means that we can assume that they have disease already.
“There is no short term fix for conditions such as diabetes. Health services must take the long term view and prevent the heart attacks, strokes, blindness and kidney damage that diabetes can cause.”
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{ 3 comments… read them below or add one }
Well it’s simply wrong IMO to say there is no short-term fix for diabetes.
There are all sorts of bariatric surgeons out there who’d be happy to argue otherwise. That being said, the epidemic of obesity, syndrome X and their concomitant manifestations of Diabetes, Coronary Artery Disease, Stroke and Hypertension (the 4 horsemen, so to speak) will continue to plague us as long as we accept the current urban paradigm.
Make up a graph showing the incidence of Type II Diabetes superimposed on the average per capita caloric consumption … my guess is they track nicely.
There’s an easy fix … it just doesn’t come in a pill bottle.
DB, how do we contact you aout next week’s grand rounds?
What I find scarry is the marketing of this disease. We see attractive people talking about how easy the blood test is and how they manage diabetes. People also use the disease as an excuse for their weight problems. More should be done to make people aware of the health risk of excessive weight.