Northerner
Admin (Retired)
- Relationship to Diabetes
- Type 1
Hi, I wrote to Balance following the letter that appeared where someone had been upset by the fact that including diabetes meant that your 'heart age' was usually really scary and not taking the slightest account of keeping fit with good control, which is what we are supposed to do to keep our hearts healthy.
This is the response I got from Balance, which I find confusing still and was wondering if it's just me - they seem to be saying, yes it's true your heart is effectively damaged (as if you'd had a heart attack), but that good control will help reduce the risk of damaging your heart. I think it would be more useful if there was a study that could tell us what sort of control those that had died from heart attacks had had, as compared to those who hadn't. Shouldn't the message be 'Current figures show that most diabetics are dying of heart attacks. In the future, with better control, we can reverse that trend and get more diabetics NOT having heart attacks or CVD.'? I didn't find this encouraging at all.
(Sorry this is so long-winded!)
This is the response I got from Balance, which I find confusing still and was wondering if it's just me - they seem to be saying, yes it's true your heart is effectively damaged (as if you'd had a heart attack), but that good control will help reduce the risk of damaging your heart. I think it would be more useful if there was a study that could tell us what sort of control those that had died from heart attacks had had, as compared to those who hadn't. Shouldn't the message be 'Current figures show that most diabetics are dying of heart attacks. In the future, with better control, we can reverse that trend and get more diabetics NOT having heart attacks or CVD.'? I didn't find this encouraging at all.
Dear Alan,
Thank you for your email to Balance magazine regarding the Flora Heart Age calculator; congratulations for sustaining such a high level of fitness.
You are correct in thinking that good diabetes control can significantly reduce your risk of developing long-term complications of diabetes, which include amongst others cardiovascular disease.
Unfortunately, the statistics are alarming. Cardiovascular disease is a major cause of death and disability in people with diabetes, accounting for 44% of fatalities in people with Type 1 diabetes and 52% of people with Type 2 diabetes. The risk of death from coronary heart disease is the same for people with diabetes as people without diabetes who have had a previous heart attack. For references, please see below.
The positive message that good diabetes control can significantly reduce your risk of developing long-term complications, such as cardiovascular disease, is emphasised throughout Diabetes UK's work. Unfortunately, we are not in a position to comment on another organisation's tool.
If you have any further enquiries, please don't hesitate to get in touch.
Kind regards
Kind regards,
Kate Flagg
Publishing Coordinator
Diabetes UK
One person is diagnosed with diabetes every three minutes. Three people die from its complications every hour. It doesn't have to be like this, let's... GET SERIOUS - we simply need your name & email address - www.diabetes.org.uk/GetSerious
References
Morrish NJ, Wang SL, Stevens LK et al (2001). Mortality and causes of death in the WHO multinational study of vascular disease in diabetes. Diabetologia 44 suppl 2; s14–s21
Data from the American Diabetes Association suggest that deaths from cardiovascular disease are higher in people with diabetes in America accounting for 65 per cent of diabetes deaths: www.aafp.org/afp/20031015/1569.html
Schramm TK, Gislason GH, Kober L et al (2008). Diabetes patients requiring glucose lowering therapy and nondiabetics with a prior myocardial infarction carry the same cardiovascular risk: a population study of 3.3 million people. Circulation 117 (15); 1945–54
(Sorry this is so long-winded!)