Why are complications of diabetes on the rise - at the Advanced Technologies and Treatments for Diabetes Conference - Blog report from Day Two
Complications of diabetes on the rise
The session ended on a less positive note – a much quoted recent paper on the resurgence of the complications of diabetes.
For many years, the incidence of all the complications related to diabetes, including eye disease and cardiovascular disease, has been decreasing. But no more.
For a number of hotly debated reasons, the rates of these complications are now on the increase and, of course, the question that everyone is asking is why?
And the conclusion was interesting.
Improvements need to be made, of course.
- Registries need to be more robust.
- Case management needs to be better.
- Innovations are desperately needed particularly to reach underrepresented minorities. And, arguably, a shift in focus away from HbA1c to time in range.
But, whilst all of this debate rages, it’s important to recognise that mortality in people with diabetes is also diversifying.
Quality indicators and intervention strategies need to focus on areas where people with diabetes are dying. And it’s not all in areas that you might have, at first, thought – sepsis sometimes caused by chemotherapy, flu, liver disease and amputations are now all leading causes of death.
So, by focussing all our efforts on one area and firefighting on a narrow range of complications, have we left the door open to other causes of death to sneak up on the diabetes community?
It is a sobering thought to end Day Two with.
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