Intensive blood glucose control lengthens people with type 1 diabetes

fer's profile photo   01/08/2015 9:47 a.m.

People with type 1 diabetes who intensely control their blood glucose levels shortly after diagnosis are prone to live more than those who do not, according to a recent report led by the Pittsburgh University School of Public Health, inThe United States, whose results are detailed in the magazine 'Journal of the American Medical Association'.

The data of a long observational and monitoring study financed by the National Institutes of Health (NIH)Deaths in the last decades among the participants who had good early control of blood glucose.

"Now we can say with confidence the doctors and patients that the good early control of blood glucose reduces the risk of early mortality in people with type 1 diabetes, which is generally diagnosed in young children and adults," says author Trevor Orchard,Professor of Epidemiology at the Pittsburg Public Health School."These results also eliminate any persistent concern that intensive therapy can lead to an increase in mortality," he adds.

The study for the control and complications of diabetes (DCCT) and the subsequent observational study of epidemiology of control and the complications of diabetes (Edic) have significantly modified treatment protocolsFor type 1 diabetes and the improvement of people's perspectives with the disease in the last decades, Griffin explains p.Rodgers, director of the National Institute of Diabetes and Digestive Diseases and the Nih kidney (Niddk).

"Thanks to findings in recent years since the milestone of DCCT/Edic studies, millions of people with diabetes can prevent or delay weakening and frequently mortal complications of the disease," Rodgers stands out."NIH's mission is to help improve life through biomedical research. These types of results provide evidence that what we help people live longer and have healthier lives," he adds.

Type 1 diabetes occurs when the body does not produce insulin, a hormone that is needed to convert energy into energy.By regularly monitoring their blood glucose levels and adjusting insulin doses, patients can work to keep blood glucose in a normal range.

1,441 volunteers

As of 1983, the DCCT involved 1,441 volunteers between the ages of 13 and 39 years with type 1 diabetes of recent appearance.Half was randomly assigned to intense efforts to maintain blood glucose, also known as blood sugar, as close to normal levels as possible;While the other half was assigned to the conventional treatment at the time, which simply tried to prevent glucose levels would go down or rise so much so that patients experience symptoms and blurred vision or difficulty breathing.

The analysis ended in 1993, when it was discovered that the intensive group had less problems in the eyes, nerves and renal.All participants were instructed in the intensive blood glucose control techniques and good early blood glucose control was recommended for all people with type 1 diabetes. Next, the EDIC study was launched to continue with theHealth monitoring of all participants.

Since 1983, 107 trial participants have died, with 64 in the group that originally received standard treatment, compared to 43 in the intensive treatment group.The most common causes of death were cardiovascular diseases by 22 percent;Cancer in 20 percent and acute diabetic complications in 18 percent, all more common in the group that originally received conventional treatment.

Accidents or suicide were the fourth most common cause of death by 17 percent.An average of the highest glucose level and an increase in proteins in the urine, a diabetic renal disease marker, were the main risk factors of death.

"These results are based on previous studies that suggest that the increase in proteins in the urine greatly explains the shortest life expectancy for people with type 1 diabetes," says Orcher."Our results emphasize the importance of good early glucose control, since this reduces the risk of an increase in urine protein, in general, as well as the diabetic renal disease itself," he adds.

Although this work detected a link between the intensive control of blood glucose and the decrease in mortality in people with type 1 diabetes, Dr. Orchard and his colleagues observed that the results cannot be extended to people with type 2 diabetes.Uncreated previous have shown contradictory results for type 2 diabetes.

(EuropePress)

fer's profile photo
fer
01/08/2015 9:47 a.m.

@fer - Diabetes Tipo 1 desde 1.998 | FreeStyle Libre 3 | Ypsomed mylife YpsoPump + CamAPS FX | Sin complicaciones. Miembro del equipo de moderación del foro.
Co-Autor de Vivir con Diabetes: El poder de la comunidad online, parte de los ingresos se destinan a financiar el foro de diabetes y mantener la comunidad online activa.

  

And the water wets ... put obvious hahaha :)

Laire's profile photo
Laire
01/08/2015 4:13 p.m.

22 años. Tipo 1, debut 06/2014.
22 u. Lantus por las mañanas + Apidra

  

@Laire indeed, it seems obvious and common sense, but the article goes more by the way of finding the fact, I mean that it is confirmed that people who have received an intensive education in the treatment of their diabetes from day one from day oneOf their debut, they lengthen life more because they have more effort and rigor in their care, compared to those that are not so strict, that apparently, it has been shown that they die before.

Anyway, a truth known to all but is now demonstrable!;-)

fer's profile photo
fer
01/08/2015 4:42 p.m.

@fer - Diabetes Tipo 1 desde 1.998 | FreeStyle Libre 3 | Ypsomed mylife YpsoPump + CamAPS FX | Sin complicaciones. Miembro del equipo de moderación del foro.
Co-Autor de Vivir con Diabetes: El poder de la comunidad online, parte de los ingresos se destinan a financiar el foro de diabetes y mantener la comunidad online activa.

  

And if it is not longer at least it seems.;-)

Sherpa41's profile photo
Sherpa41
01/08/2015 5:12 p.m.

En 1922 descubrieron la insulina, en 1930 la insulina lenta. ¿Que c*** han hecho desde entonces?

  

:)) :)) :)) :)) :)) :)) :)) :)) :)) :)) :))

Like the joke of the guy who goes to the doctor and he says: "You must stop smoking, drink and have sex", and the guy asks "if I do this I will live more?", To which the doctor answers"No, but it's going to be done of Laaaaargo!"

fer's profile photo
fer
01/08/2015 5:42 p.m.

@fer - Diabetes Tipo 1 desde 1.998 | FreeStyle Libre 3 | Ypsomed mylife YpsoPump + CamAPS FX | Sin complicaciones. Miembro del equipo de moderación del foro.
Co-Autor de Vivir con Diabetes: El poder de la comunidad online, parte de los ingresos se destinan a financiar el foro de diabetes y mantener la comunidad online activa.

  

Heh, he loves that the ironies catch me.: \ ">

Although I, if I had to write that titular article, apart from the fact that these researchers have some delay, that intensive control extends the duration of the disease.> :)

Sherpa41's profile photo
Sherpa41
01/08/2015 8:48 p.m.

En 1922 descubrieron la insulina, en 1930 la insulina lenta. ¿Que c*** han hecho desde entonces?

  

Well, I would have liked to also extend the Dr the type II [-(because although difficult ... I like my life !!!
Kisses

nina45's profile photo
nina45
01/09/2015 7:22 a.m.

Diabetica tipo II desde Diciembre de 2012 pero descendiente de diabéticos desde nacimiento
Medicacion: metformina de 850 gr mañana, mediodia y noche.
Ultima glicosila 6
Lema: "If you want a positive life, spent time with positive people!"

  

But if most stupid studies like this are usually aimed at types 2.

You know the typical "eating well is better than eating badly for diabetics" "Exercise is good in patients with diabetes" ...

I would make one that titled "the deep delay in diabetes researchers and because they are paid for studying these asshole."

Sherpa41's profile photo
Sherpa41
01/09/2015 2:43 p.m.

En 1922 descubrieron la insulina, en 1930 la insulina lenta. ¿Que c*** han hecho desde entonces?

  

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