The Big Diabetes Lie

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Age group (years)

Figure 4.1 Projected numbers of people (thousands) with diabetes from 2000 to 2030 by region, and overall global rise in prevalence by age band. Reproduced with permission from Wild S, Roglic G, Green A et al. Diabetes Care 2004;27:1047-1053.

diabetes itself (Danaei etal. 2006). The cardiovascular risk rises with increasing glycaemia from a level well below the threshold used to diagnose diabetes (Table 4.1). This puts raised blood glucose, whether or not high enough to be called diabetes, among the five top determinants of worldwide mortality, accounting for 3.16 million deaths a year (Diabetes Prevention Program Research Group 2002) (Figure 4.4).

The tip of the iceberg

In industrialised societies, and increasingly in the developing world, for every person in the community with diabetes there are many with the metabolic syndrome (Box 4.1) or other forms of'pre-diabetes'. A quarter of the world's adults are estimated to have the metabolic syndrome as defined by the International Diabetes Federation

Figure 4.2 Childhood obesity is increasing the prevalence of type 2 diabetes in young people.

Figure 4.3 Beta cell function in the natural history of T2DM - data from UKPDS. Reproduced with permission from Holman R. Diabetes Res Clin Pract 1998;40(Suppl. 1):S21-S25.
Table 4.1 Relative risk of ischaemic heart disease and stroke for 1 mmol/l increase in fasting plasma glucose, by age group (after adjustment for confounding and regression dilution bias). Reproduced with permission from Danaei G, Lawes CMM, Vander Hoorn S, etal. Lancet 2006;368:1651-9.

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Supplements For Diabetics

Supplements For Diabetics

All you need is a proper diet of fresh fruits and vegetables and get plenty of exercise and you'll be fine. Ever heard those words from your doctor? If that's all heshe recommends then you're missing out an important ingredient for health that he's not telling you. Fact is that you can adhere to the strictest diet, watch everything you eat and get the exercise of amarathon runner and still come down with diabetic complications. Diet, exercise and standard drug treatments simply aren't enough to help keep your diabetes under control.

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