Differences In Incidence Of Diabetic Retinopathy Between Type 1 And 2 Diabetes Mellitus: A Nine-year Follow-up Study

Differences in incidence of diabetic retinopathy between type 1 and 2 diabetes mellitus: a nine-year follow-up study

It is estimated that more than 200 million people worldwide currently have diabetes and that number is predicted to rise by over 120% by 2025.1 It has become a chronic disease with several complications. Diabetes mellitus (DM) is classified as type 1 diabetes (T1DM) or type 2 diabetes (T2DM), gestational diabetes, monogenic diabetes and secondary diabetes.2 There is a current trend towards more children developing T1DM and more than half a million children are estimated to be living with the disease.
The most important ocular complication is diabetic retinopathy (DR), a common cause of blindness in Europe.3 Development of DR is similar in both DM types. DR screening uses a non-mydriatic fundus camera, a cost-effective way of screening DM populations.4 Screening frequency varies according to DM type.5 Our group rolled out a screening programme in 2000 that included general practitioners and endocrinologists,6 and we reported an increase in the incidence of DR in a previously published study.7
In this study, we determine the incidence of any-DR, sight-threatening retinopathy (STDR) and diabetic macular oedema (DMO) in patients with T1DM and its differences in patients with T2DM.
Materials and methods
Setting: The reference population in our area is 247 174. The total number of patients with DM registered with our healthcare area is 17 792 (7.1%).
Design: A prospective, population-based study, conducted from 1 January 2007 to 31 December 2015. A total of 366 patients with T1DM and 15 030 with T2DM were screened.
Power of the study: Our epidemiologist estimates the detection of Continue reading

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4 Best Yoga Poses To Keep Diabetes Under Control [With Pictures Inside]

Regularly practising yoga in addition to eating healthily and other healthy lifestyle habits can help diabetics and pre-diabetics manage their blood sugar levels.[1]
The best yoga for beginners with diabetes includes postures and breathing exercises that are designed specifically to target and stimulate the pancreas. By improving blood flow to the pancreas, yoga postures for diabetes rejuvenate the organ’s cells and improve its ability to produce insulin for the body.
How can yoga benefit people with diabetes?
Regular yoga training helps in improving mental and physical health. Practicing the various yoga asanas helps the body’s endocrine system and each organ at the cellular level. In fact, yoga postures that help in relaxation, stretch the pancreas. This can stimulate the production of insulin-producing beta cells and also promote to balance weight and mental attitude.
Here are our expert tips for people with diabetes on how to exercise safely.
Yoga poses for diabetes
Nishrin Parikh, GNC Expert, Founder of the “Yoga Strength” and the oldest female to contest the Asian Bodybuilding Championships, explains four yoga poses that have been found to be especially beneficial for diabetics:
Pose #1: Bhujangasana or Cobra Pose
Bhujangasana is particularly beneficial for people with diabetes and one of the primary poses for diabetes.
Benefits of Bhujangasana:
Increases flexibility
Improves respiratory and digestive processes
Strengthens the back muscles
Eases the strain and pain after long working hours
How to do Bhujangasana:
To start the pose, lie on your stomach and plac Continue reading

All over-40s should have a diabetes check, with millions put on diet, says health watchdog

Every single person aged 40 and over should be offered an NHS diabetes check, with millions ordered to go on strict diets by GPs, under new plans.
New recommendations from the National Institute of Health and Care Excellence (Nice) say “intensive lifestyle change programmes” will be routinely offered to those whose weight or habits is jeopardising their health.
Almost five million people identified as at risk of diabetes should be offered slimming classes, fitness sessions and lifestyle coaching, with places prioritised for 1.7 million people whose blood sugar levels puts them in greatest danger.
To find them, every person aged 40 and over should be offered an assessment of their health and family history, along with millions more patients as young as 25 whose ethnic group heightens their risk.
Nice said the NHS checks should be carried out in workplaces, shops, and libraries, as well as in thousands of GP surgeries, pharmacies and opticians. And it said the public should be encouraged to take their own assessments, using an online tool.
Health officials said around five million people without diabetes are currently in danger of developing it, because their blood sugar levels have crept up to at least 5.5 mmol/l.
Following tests, around 1.7 million people at greatest risk - meaning a reading of at least 6.5 mmol/l - will first be offered a place on intensive lifestyle change programmes, Nice said.
Officials said ultimately, it would be cost-effective for the NHS to find places for up to five million patients .
Coaching will involve at least eight sessions, with one-to-o Continue reading

New Diabetes Research from Gallup and Sharecare

According to the Gallup-Sharecare Well-Being Index™, the national prevalence of diabetes climbed to a new high of 11.6% in 2016, up from 10.6% in 2008. If the diabetes rate had held steady at its 2008 level, 2.5 million fewer U.S. adults would have the disease today.
Key findings in the new Gallup-Sharecare State of Well-Being: The Face of Diabetes in the United States report reveals that some groups including seniors, those with low income, and middle-aged blacks and Hispanics are approaching or even exceeding a 20% diabetes rates.
Additional insights include:
Diabetes rates rise alarmingly with age; seniors (age 65 and up) have a 23.6% prevalence of diabetes.
Among regions in the U.S., the South has the highest prevalence of diabetes (12.8%); the West has the lowest prevalence (10.3%).
Among the four major race and ethnic groups in the U.S., the diabetes rate is highest among blacks (14.7%) and lowest among Asians (5.7%).
Income and education levels have an inverse relationship with diabetes — prevalence falls as education and income levels rise.
Among occupations, transportation workers have the highest self-reported diabetes rate, while physicians have the lowest rate.
To learn more, click the download button and click on The Face of Diabetes in the United States. Continue reading

Acupuncture for Diabetes

More than 3,000 years ago, ancient practitioners of Chinese medicine pioneered what we now call acupuncture treatment. In acupuncture, practitioners stimulate specific activation points on your body to treat different medical conditions. This is most commonly done by inserting tiny, sterile needles into those points. Modern acupuncture is becoming more and more popular to treat a variety of health conditions. The World Health Organization recognizes acupuncture as effective in treating more than 100 conditions. These conditions include chronic pain, migraine headaches, and even diabetes.
There’s still a lot we don’t know about how effective acupuncture is for treating diabetes symptoms. But some of the newest research seems to confirm that it’s at least safe and somewhat effective. One laboratory study indicated that acupuncture could help regulate your pancreas function and insulin levels. And clinical trials imply that the anti-obesity effect of acupuncture could work with traditional diabetes treatment to reduce the impact of some diabetes symptoms.
The acupuncture techniques recommended to treat type 1 and 2 diabetes vary dramatically, just as the treatments of Western medicine differ. These are two different diseases within the diabetes spectrum. Methods are prescribed according to which diabetes symptoms you wish to treat. There are acupuncture techniques to help with weight loss, metabolism, organ function, and nerve pain. One of the more vigorously studied acupuncture techniques that addresses diabetic neuropathy is the wrist-ankle treatment. The treatment inv Continue reading