Desang diabetes magazine diabetes news

NEWS

3RD TYPE

The health of people with diabetes is being

put at risk due to the failure of doctors to

recognise which type of diabetes they

have, a new study in the journal Diabetes

Care has reported. In the first study of

its kind, researchers from the University

of Surrey, examined the primary care

records of more than 2 million people,

assessing the frequency of different types

of diabetes and the accuracy of diagnosis.

Particular focus was given to those who

developed Type 3c diabetes. Type 3c

diabetes occurs as a result of pancreatic

inflammation, abnormal growth of tissue

on the organ or surgically removing part or

all of the tissue, which affects the body's

ability to produce insulin.

Researchers discovered that up to 97%

of people who have previously experienced

pancreatic disease are misdiagnosed,

typically with Type 2 diabetes, rather than

the correct condition, Type 3c. Those with

Type 3c diabetes would require insulin

therapy more urgently than those with

Type 2 diabetes. The researchers were

also surprised to find that adults were

more likely to develop Type 3c diabetes

than Type 1 diabetes, showing that this

under-recognised form of diabetes is more

common than previously thought and could

pose a potential threat to public health.

Senior author of the report, Professor

Simon de Lusignan from the University of

Surrey, said: "Greater awareness of Type

3c diabetes, also termed 'pancreatogenic

diabetes', within the medical profession

is required immediately to improve

management of this disease, which

now has a higher incidence than Type 1

diabetes in adults."

In a report for Diabetes Daily, Sysy

Morales writes, "A large 18-country study

published in the prestigious journal, The

Lancet, shows that high fat intake is

not responsible for raising one's risk of

death. Researchers instead indicate their

findings suggest too many carbohydrates

are actually raising our risk for early death.

"Consistent with most data, but in

contrast to dietary guidelines, we found

fats, including saturated fatty acids, are

not harmful and diets high in carbohydrate

have adverse effects on total mortality. We

did not observe any detrimental effect of

higher fat intake on cardiovascular events.

HIGH FAT GOOD, CARBS BAD

New measures have been put forward

that support older people with diabetes

who are 'let down' by the care system.

Professor Alan Sinclair has commented

that older people with diabetes are, "often

overlooked and over medicated" and

it was time to give them the "care and

attention" they deserve.

He was speaking following the fourth

meeting of the Older People's Diabetes

Network (OPDN) in September and

ahead of the publication of his guidelines,

An International Position Statement on

the Management of Frailty in Diabetes.

The document formalises a frailty service

model spanning primary, secondary and

community care in a bid to prevent frailty

and ensure the early management of

the condition. Professor Sinclair adds,

"Frailty has become recognised as a

new complication of diabetes in ageing

ELDERS LET DOWN IN CARE

Our data across 18 countries adds to

the large and growing body of evidence

that increased fats are not associated

with higher cardiovascular disease or

mortality," wrote the researchers.

While the study does not prove that

excess carbohydrates cause early death

by heart disease, it does show that fat in

the diet is not the culprit it has long been

thought to be and having too little might

only continue to do harm.

The researchers also added a

recommendation which said, "Global

dietary guidelines should be reconsidered

in light of these findings."

populations and needs to be a priority for

action."

The international guidelines provide a

series of recommendations in key areas

that will support clinicians in everyday

clinical practice to manage more

effectively the complex issues seen in

ageing individuals with frailty.

Also speaking at the event, King's

College London's Professor Angus

Forbes, who is the Foundation of

European Nurses in Diabetes (FEND)

Chair in Clinical Diabetes Nursing, said

glycaemic variability may be an "important

factor" in understanding mortality hazard

in this population. His talk, Survival in

Older Life with Diabetes - Variations

on the Bottom Line, concluded that

guidelines should consider more dynamic

risk models as well as individualisation in

relation to glycaemic control.

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