[Diabetes-talk] FW: Death rates decrease from Diabetes

Sat Jun 22 17:13:49 UTC 2013

Hi Mike and fellow diabetics,

This is Bill Lewis, reviewing my three month experiences with ht e 
remarkable herbal and vitamin treatment tat has almost completely removed my 
awareness of neuropathic symptoms of ingling, burning, aching, and numbness.

I must apologize for punting the ball on this matter, because I find that 
there are numerous causes for neuropathy and, consequently, numerous 
treatment modalities.  Therefore, if you have problems with neuropathy, may 
I suggest you contact your doctor, indocrenologist, diabetologist, etc. and 
request information and guidance regarding your particular problems.  Some 
medications are covered by insurance, while herbal and vitamin compounds are 
ujsually not covered.

In my case, the treatments do work and I am most happy about that.  The 
compound cablets are purchased from my podiatrist's office for cash.  They 
are three-in-one compounds and cost me $35 per bottle of 60 cablets--one 
month's supply per bottle, and I use two different combinations--two 
boattles of pills per month.  They can possibly be purchased for less by 
shopping the health food and herb shops, so do your comparison shopping and 
see what you find, if you need to.

My own bottles contain vitamin B-12 and B-6.  The four herbs are all 
allegedly created to reduce the symptoms of neuropathy.  I still don't know 
if that means it helps heals the nerve fibers or just covers them over, like 
aspirin covers the pain from headaches without curing the causes.

So, to each of you, good hunting and good health.
-- Bill Lewis, Wichita; <billlewis31 at cox.net>

-----Original Message----- 
From: Joy Stigile
Sent: Friday, June 21, 2013 9:48 PM
To: Diabetes Talk for the Blind
Subject: Re: [Diabetes-talk] FW: Death rates decrease from Diabetes

Hi Mike!

Thanks for sharing such great news!  I am sure those statistics are due to
home blood testing and knowing about what ingredients are in the packaging
of foods, and of course, exercise.

As the old saying goes "keep on truckin'".  We all need to remember this
saying when we have a bad day because it can pay off many years later for
us.

Warmly, Joy

----- Original Message ----- 
From: "Mike Freeman" <k7uij at panix.com>
To: "Diabetes Talk for the Blind" <diabetes-talk at nfbnet.org>
Sent: Friday, June 21, 2013 5:45 PM
Subject: [Diabetes-talk] FW: Death rates decrease from Diabetes

Methinks the message below puts the medical panicking about diabetes
currently in vogue in proper perspective. Long live skepticism!

Mike

From: acb-diabetics-bounces at acb.org [mailto:acb-diabetics-bounces at acb.org]
On Behalf Of Nancy Matulis
Sent: Friday, June 21, 2013 11:46 AM
To: acb-diabetics at acb.org
Subject: [acb-diabetics] Death rates decrease from Diabetes

According to a population-based study of 2 cohorts in the United Kingdom and
in Canada, the overall excess mortality risk from having diabetes vs not
having this disease has dropped by about half since the mid-1990s.

The collaborative work by researchers in Sweden, the United Kingdom, and
Canada is published online June 20 inDiabetologia.

In 2009 compared with 1996, the excess risk for mortality in patients with
diabetes vs patients without diabetes decreased from 90% to 51% in the
province of Ontario, Canada and from 114% to 65% in a representative sample
of patients seen in primary care in the United Kingdom.

"About 14 years ago, the excess mortality associated with diabetes was often
quoted as a 2-fold increased risk; now it has gone down to about 50%," lead
author Lorraine Lipscombe, MD, from Women’s College Hospital and the
University of Toronto, in Ontario, told Medscape Medical News.

For clinicians, "it's good news," she noted. "This is evidence that we are
doing a better job of taking care of diabetes," and "we can counsel patients
that we are better able to manage them and keep them healthy for a longer
period."

How Does Diabetes Affect Survival in a Modern Cohort?

Dr. Lipscombe and colleagues say that a recent review of prospective studies
suggested that diabetes was linked with an approximate 80% increased risk
for mortality, but many of the data came from before 2000. Newer research
hinted that this rate was much lower now.

To investigate this, she and her colleagues set out to look at contemporary
rates of mortality and examine changes over time. They used 2 databases, one
of around 10 million Ontario residents covered by a provincial healthcare
plan and the other covering more than 3 million patients seen in
primary-care practices in the United Kingdom who are part of
<http://www.thin-uk.com/> The Health Improvement Network (THIN).

>From 1996 to 2009, the prevalence of diabetes in adults aged 20 and older
increased from 5.4% to 11.4% in Ontario and from 3.2% to 5.9% in the United
Kingdom (THIN population).

"The reasons for this discrepancy [between the 2 cohorts] are unclear but
may be related to differences in factors known to influence the incidence of
diabetes, such as screening programs, ethnicity, eating habits, or
physical-activity patterns," the authors write, adding that further research
is needed.

Dr. Lipscombe explained that they included diagnoses of both type 1 and type
2 diabetes, but they were unable to differentiate between the 2.

The excess risk for mortality in patients with diabetes vs patients without
diabetes fell over time for all age groups during the study period: it was
approximately 25% to 40% lower in those below the age of 64 years and 50% to
65% lower in those aged over 64 years.

Adjusted Mortality Rate Ratios for Adults With vs Without Diabetes in 1996

Age (y)

Ontario database

THIN UK database

20 – 44

1.98

2.30

45 – 64

2.48

2.60

65 – 74

1.45

1.46

> 75

1.63

1.75

Total

1.90

2.14

Adjusted Mortality Rate Ratios for Adults With vs Without Diabetes in 2009

Age (y)

Ontario database

THIN UK database

20 – 44

1.70

1.79

45 – 64

1.94

2.23

65 – 74

1.16

1.24

> 75

1.23

1.25

Total

1.51

1.65

By 2009, the excess risk for mortality in patients with diabetes compared to
their age-matched peers without diabetes was 70% to 79% higher in 20- to
44-year-olds, about double in 45- to 64-year-olds, and 15% to 25% greater in
those aged 65 and older.

The oldest individuals were more likely to have other comorbidities, which
may explain why, compared with younger people, they had a lower rate of
mortality related to diabetes, Dr. Lipscombe suggested.

The decline in deaths related to diabetes was similar in men and women.

UKPDS Likely Influenced the Better Outcomes

"We're much more aggressive with glucose control, blood-pressure control,
and lipid treatment, so that has probably led to healthier populations," she
speculated. "We're [also] screening more often and detecting diabetes at an
earlier stage."The overall narrowing in the mortality gap may reflect
changes in practice guidelines that followed the 1998 United Kingdom
Prospective Diabetes Study (UKPDS), which showed that intensive management
of type 2 diabetes led to better outcomes, Dr. Lipscombe said.

This study was supported by the National Diabetes Surveillance System
funding from Ontario's Ministry of Health and Long-Term Care and an
unrestricted grant from AstraZeneca and Novo Nordisk Scandinavia. Dr.
Lipscombe was supported by the Canadian Diabetes Association/Canadian
Institute of Health Research (CDA/CIHR) Clinician Scientist Award and
currently receives support from a CIHR New Investigator Award. Disclosures
for the coauthors are listed in the article.

Nancy Matulis

ACB Maine Secretary

Sent from my iPad

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