Early control essential for Type 2 - new study

[Amity Island]

Research led by scientists from the Universities of Oxford and Edinburgh has found that early good blood glucose control can minimise the lifetime risk of diabetes-related complications, including heart attacks, kidney failure and vision loss.

These remarkable findings emphasise the critical importance of detecting and treating type 2 diabetes intensively at the earliest possible opportunity.

Early blood glucose control for people with type 2 diabetes is crucial for reducing complications and prolonging life | University of Oxford

Research led by scientists from the Universities of Oxford and Edinburgh has found that early good blood glucose control can minimise the lifetime risk of diabetes-related complications, including heart attacks, kidney failure and vision loss.

www.ox.ac.uk

 

[Leadinglights]

Research led by scientists from the Universities of Oxford and Edinburgh has found that early good blood glucose control can minimise the lifetime risk of diabetes-related complications, including heart attacks, kidney failure and vision loss.

These remarkable findings emphasise the critical importance of detecting and treating type 2 diabetes intensively at the earliest possible opportunity.

Early blood glucose control for people with type 2 diabetes is crucial for reducing complications and prolonging life | University of Oxford

Research led by scientists from the Universities of Oxford and Edinburgh has found that early good blood glucose control can minimise the lifetime risk of diabetes-related complications, including heart attacks, kidney failure and vision loss.

www.ox.ac.uk

Pretty obvious really.

 

[Amity Island]

Pretty obvious really.

True, but I guess the issue is with getting diagnosed. Without an early diagnosis, we can't have an early treatment/control.

 

[Robin]

Pretty obvious really.

It does suggest that drug interventions, specifically Metformin, Gliclazide, and even insulin should be started aggressively at the earliest opportunity, though, no holding off to see if the patient can manage it by diet alone to start with.

 

[Leadinglights]

It does suggest that drug interventions, specifically Metformin and Gliclazide, should be started at the earliest opportunity, though, no holding off to see if the patient can manage it by diet alone to start with.

Unfortunately that does seem to be the way some GPs will go. Too quick to reach for the prescription pad.
However I had this discussion with my son in law who is a GP and what he said was that they do get a good idea of the people who will not engage with making lifestyle changes and meds are the best option for them.
I think that the people who come on the forum are those who are motivated to making changes but sadly they are in the minority.

 

[Robin]

Unfortunately that does seem to be the way some GPs will go. Too quick to reach for the prescription pad.
However I had this discussion with my son in law who is a GP and what he said was that they do get a good idea of the people who will not engage with making lifestyle changes and meds are the best option for them.
I think that the people who come on the forum are those who are motivated to making changes but sadly they are in the minority.

I got the impression from the quotes in the report, that the study advocates early drug intervention, which is maybe why GPs are quick to reach for the prescription pad, and may mean in future that people who are motivated to change their diet and lifestyle sadly won't be given that option.

 

[rebrascora]

Makes you wonder who funded the research! I hate to be a cynic but drug companies perhaps?

Sad that there has been no proper research done to show that a low carb way of eating can be more powerful than most drugs including insulin, but then where is the profit in that to encourage anyone to fund it.

 

[everydayupsanddowns]

Sad that there has been no proper research done to show that a low carb way of eating can be more powerful than most drugs including insulin, but then where is the profit in that to encourage anyone to fund it.

There do seem to have been several studies into whether low carb is ‘better’ than other approaches for weight loss - and there never seem to be clear winners. It does often seem to be noted that it’s effective for glucose management in those comparisons though(!).

We have members who try low carb and find it either doesn’t work for them (Lucy was one I think), and doesn’t provide the results they were hoping for, or that even if it works, they just can’t sustain it.

I am really pleased low carb (and moderate carb) has been embraced into the mainstream as a viable option, rather than being actively discouraged - it’s great that there are options. But I don’t have a problem with people being offered meds to get a kick-start either I guess?

We’ve several folks who have started on meds, then gradually tapered them diwn and been able to stop them once their menu had been tweaked, and their system had recovered a bit.

 

[JITR]

Early blood glucose control for people with type 2 diabetes is crucial for reducing complications and prolonging life | University of Oxford

Research led by scientists from the Universities of Oxford and Edinburgh has found that early good blood glucose control can minimise the lifetime risk of diabetes-related complications, including heart attacks, kidney failure and vision loss.

www.ox.ac.uk

Please note the 20 year interventional period of the UKPDS project ran from 1977-1997. That was 10 years before Professor Taylor's team at Newcastle University proved that weight loss diets can lead to better outcomes than either of the two approaches tracked in UKPDS.

Here is a link to the new research article: Post-trial monitoring of a randomised controlled trial ofintensive glycaemic control in type 2 diabetes extended from 10 years to 24 years (UKPDS 91).

 

[Drummer]

High glucose was flagged on tests done annually due to my failed thyroid - the test was no longer done after that, and it was not mentioned to me. I only found out about it thanks to being given a printout some years after diagnosis when I mentioned that it was always difficult to get results - about 13 years later. It was still not mentioned though.
I feel that a good sharp kick might do a lot more good than university dons pointing out the frankly obvious, as the idiocy of non disclosure has been mentioned several times on the forum.

 

[maryjaneholland]

Maybe this research will force the NHS to prioritise health screening blood tests and physical health checks and review all of the outdated criteria for quote "lifestyle conditions" like Type 2 Diabetes, as you can't manage medical condition if you don't even know about it!
Feeling very angst-ridden about tainted blood scandal from 1970's to 1996 and the ensuing wheels and cogs of the Establishment all furiously turning to protect the NHS, the government, the doctors and the experts to gaslight all the victims and their families over years and decades, so I get from my GP Surgery in the present punching down comments like "people your age don't get Type 2 Diabetes, I need to check your anus for incontinence as you say you are constantly thirsty and needing to urinate, no I don't need to do blood test as there's nothing wrong with you in your thirties, come back in twelve months if you still have any symptoms"...
The earlier the treatment for rising blood glucose levels the better, really hope I haven't "missed the boat" on that one due to medical negligence by my GP, and by "treatment" I mean anything the patient has capability for, lifestyle changes, exercise, dietary overhaul, medication regime, full physical health checks using working functioning equipment like accurate weighing scales, it's so obvious that long-term NHS funding cuts have in turn led to missed opportunities to diagnose and treat Type 2 Diabetes effecively... 🙄

 

[Burylancs]

Maybe this research will force the NHS to prioritise health screening blood tests and physical health checks and review all of the outdated criteria for quote "lifestyle conditions" like Type 2 Diabetes, as you can't manage medical condition if you don't even know about it!
Feeling very angst-ridden about tainted blood scandal from 1970's to 1996 and the ensuing wheels and cogs of the Establishment all furiously turning to protect the NHS, the government, the doctors and the experts to gaslight all the victims and their families over years and decades, so I get from my GP Surgery in the present punching down comments like "people your age don't get Type 2 Diabetes, I need to check your anus for incontinence as you say you are constantly thirsty and needing to urinate, no I don't need to do blood test as there's nothing wrong with you in your thirties, come back in twelve months if you still have any symptoms"...
The earlier the treatment for rising blood glucose levels the better, really hope I haven't "missed the boat" on that one due to medical negligence by my GP, and by "treatment" I mean anything the patient has capability for, lifestyle changes, exercise, dietary overhaul, medication regime, full physical health checks using working functioning equipment like accurate weighing scales, it's so obvious that long-term NHS funding cuts have in turn led to missed opportunities to diagnose and treat Type 2 Diabetes effecively... 🙄

It was always said that the NHS couldn't afford to diagnose all the T2s out there. That's why they have pushed the criteria upto 48 instead of 45. And typically created a Waiting List on 45 to 48.