Life Expectancy And Survival Analysis Of Patients With Diabetes Compared To The Non Diabetic Population In Bulgaria
This study looked at data from 2012-2015 using national databases. Even in this short period of time we see improvements across both Type 1 and 2 and across genders.
While the non-diabetic population did not move at all in their life expectancy, Type 1s, Type 2s, Type 1 females, and Type 2 females all gained around an additional year, on average. Moreover, by 2015, the overall life expectancy of people with diabetes was about the same as the non-diabetic population .
Early Age Of Type 1 Diabetes Diagnosis Linked To Shorter Life Expectancy Compared To Later Diagnosis
Life-expectancy for individuals with younger-onset disease is on average 16 years shorter compared to people without diabetes, and 10 years shorter for those diagnosed at an older age
Being diagnosed with type 1 diabetes at a young age is associated with more cardiovascular complications and higher risk of premature death than being diagnosed later in life, independent of disease duration. The findings, published in The Lancet, come from a large observational study in Sweden that followed over 27,000 individuals with type 1 diabetes and more than 135,000 matched controls for an average of 10 years. With around half of individuals with type 1 diabetes diagnosed before the age of 14, the authors stress the need to consider wider and earlier use of cardioprotective measures such as statins and blood pressure lowering drugs in this high-risk population.
“Although the relative risk of cardiovascular disease is increased after an early diabetes diagnosis, the absolute risk is low”, says Dr. Araz Rawshani from the University of Gothenburg in Sweden who co-led the research. “However, age at disease onset appears to be an important determinant of survival as well as cardiovascular outcomes in early adulthood, warranting consideration of earlier treatment with cardioprotective drugs.”
The impact of type 1 diabetes on younger people should not be underestimated, and there is a need to consider adding recommendations about age of onset in future guidelines, say the authors.
Are All Patients With Type 1 Diabetes Destined For Dialysis If They Live Long Enough Probably Not
Over the past three decades there have been numerous innovations, supported by large outcome trials that have resulted in improved blood glucose and blood pressure control, ultimately reducing cardiovascular risk and progression to nephropathy in type 1 diabetes . The epidemiological data also support the concept that 25–30% of people with T1D will progress to end-stage renal disease . Thus, not everyone develops progressive nephropathy that ultimately requires dialysis or transplantation. This is a result of numerous factors, including the competing CV risk of death as well as blood glucose and pressure control. Good glycemic and blood pressure control have been documented in long-term trials to markedly slow nephropathy progression, with effects of blood pressure control seen as early as 2.5 years and of glucose control at 5–7 years . It is well documented that the presence of diabetic kidney disease increases the risk of CV events and death in persons with diabetes . Moreover, this is independent of hypertension.
Managing Type 1 Diabetes Takes Constant Work And Planning I Never Get A Break
“Type 1 diabetes is very unique,” says Ramage. “If I’ve been diagnosed with type 1, I’ve had one of my organs fail. And the pancreas is a vital organ, not like an appendix. It’s key for glucose metabolism, which we need to live. Imagine if my heart stopped beating properly and that every 10 beats I was the one responsible for making sure … it’s of that gravity,” she says.
“Diabetes never takes a break. I check my blood sugar around six times a day, and probably in the middle of the night at least three nights a week,” says McKean. “I also give insulin when I first wake up, and then anytime I eat or my blood sugar goes high during the day.”
Even more taxing can be the mental energy required to manage type 1 diabetes. “There’s constant thinking that goes into diabetes — calculating how many carbs you’re eating, if it’s worth eating them, wondering if you’re a bit tired because your blood sugar is high or if you just didn’t sleep well, not to mention playing detective if your blood sugar is not what you expected,” McKean says.
People with type 1 diabetes are just like the rest of us; sometimes they wish they could just relax. “My endocrinologist noted that my blood sugar levels are consistently in a good range during the week, but not so much on Saturday and Sunday,” says Grady Cecile, 45, a senior services worker in North Carolina. “I jokingly told him, ‘That’s because I don’t have diabetes on the weekend!’” In reality, having type 1 means being “on” every day of the week.
How Advocating For Your Health Can Help Extend Your Life With Diabetes
As always, the most important step a person living with diabetes can take to improve the quality of their life — and potentially extend it — is to speak up for themselves to get the quality of social and medical support they need. “Ask your provider questions, request the ability to access a diabetes educator, and make an effort to be as proactive as possible,” Rinker says.
Self-advocacy shouldn’t stop at the doctor’s office door, though; it’s important to speak with family members and friends so that they understand how to lend a hand, whether it’s recognizing , or knowing which snacks to stock up on before the next holiday get-together. A review published in November 2013 in the journal Diabetes, Metabolic Syndrome and Obesity suggested that support from friends and family can help you adhere to your diabetes management plan.
Follow these steps to help manage diabetes and potentially lengthen your life:
The Importance Of Preventing Diabetes Progression And Heart Disease
“What’s important to remember, in the absence of cardiovascular disease, is life expectancy is going to depend on the progression of diabetes,” Rinker says. This means it’s important to eat well, exercise, and take medicine if recommended by your doctor.
Equally crucial, be sure to prevent or manage any additional conditions, such as heart disease, high blood pressure, or chronic inflammation. When a person is diagnosed with diabetes, their healthcare provider will require them to be examined for heart disease and take care to reduce their risk of developing it in the future. To that end, a diabetes diagnosis can be the first step to managing or reversing more life-threatening conditions, potentially leading to a longer life.
“To someone who is depressed about the diagnosis of diabetes, I’ll say, ‘This disease is going to make you do things you should be doing anyway. You should be eating well and exercising anyway.’ It might actually prolong their lives because they’ll be doing things they wouldn’t have done before the diagnosis,” Dr. Munshi says.
For some people, these measures can have incredible benefits: A report published in September 2017 in the British Medical Journal suggested maintaining a healthy weight and lowering blood glucose levels may even help reverse type 2 diabetes.
Why Do Females With Diabetes Have A Shorter Average Life Expectancy
Again, let me repeat the disclaimer: Average life expectancy says nothing about the life of an individual. A woman with good glucose control has, in my opinion, no reason to expect any shorter life than her non-diabetic peers.
To the question at hand though, another presentation at EASD 2020 looked at this in some detail. Juergen Harreiter presented “What you need to consider for individualised gender-sensitive care”. This looked at the gender differences in diabetes risk and treatments.
Sure enough females with diabetes are at a higher risk of coronary heart disease and stroke than their male counterparts.
and a 40% greater risk of all-cause mortality.
Specific reasons, backed up by data, were light on the ground except for this cited study.
In the above graphs, we have four drugs commonly used to reduce the risk of heart disease. For three of them women were routinely under-treated. With males receiving more aggressive treatment, it is not surprising they live longer.
Life Expectancy For Diabetes Patients And How It Can Be Improved
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Diabetes, for far too long, has been characterized as a condition that shortens the life expectancy. Earlier, it was a condition that was diagnosed in people in their late forties or fifties. According to a study in 2010, diabetes cuts off an average 8.5 years from the lifespan of a 50-year-old man with diabetes as compared to the one without diabetes.
Over the years, easy availability of processed foods, sedentary lifestyle and stress, diabetes is affecting millions of young adults today.
Additional Symptoms Of Type 1 Diabetes In Babies And Toddlers
- Weight loss
- Failure to thrive, a condition involving weight loss or inability to gain weight combined with stunted growth
- Colic or fussiness that just won’t let up
- Poor-quality sleep that doesn’t improve no matter what you try
- Bedwetting, especially after successful potty-training
All of these symptoms are a result of hyperglycemia—too much glucose circulating in our bloodstream, also known as high blood sugar. Any person experiencing hyperglycemia, particularly after a viral illness, should seek immediate medical help.
What Is The Life Expectancy For Someone With Type 1 Diabetes
Research published in the Journal of the American Medical Association reported that people with type 1 diabetes live about 11 years less than average; however, new research also suggests this differential can be reduced with good glycemic control. Most people with type 1 diabetes die from complications of type 1 diabetes such as heart disease or kidney disease. Thus, preventing complications and following a healthy lifestyle that prevents heart disease and controls blood sugar are the best things people with type 1 diabetes can do to live a long, healthy life.
Why Having Diabetes Doesnt Necessarily Mean Youll Die Sooner
It’s true that, when you consider heart-related cardiovascular complications, men and women with diabetes tend to have higher rates of early death than their peers without the disease, according to research. But it’s also true that no two people with diabetes are the same, and how a person manages his or her blood sugar is key when considering how the disease might affect your life span.
“Having diabetes won’t necessarily change someone’s life expectancy — it’s how diabetes progresses. For every individual, diabetes is going to progress differently,” says Joanne Rinker, RD, CDE, director of practice and content development at the American Association of Diabetes Educators. “If it progresses at an extremely slow rate, because diabetes is so individualized, it might be so slow that it does not impact their life expectancy whatsoever.”
Instead of thinking only about how diabetes will impact your life span, experts suggest that people with the condition should take a broader look at their overall health. “Diabetes is not a singular disease that one should focus on. Focus on how you can improve the different risk factors that can impact the functioning of the heart and other organs,” says Medha Munshi, MD, director of geriatric diabetes programs at the Joslin Diabetes Center in Boston. “It’s important to think, ‘What are the factors that would impact my length of life?’”
But Keeping Hba1c In Check Can Mitigate This Early Mortality
The average British adult with type 1 diabetes loses about eight life-years compared with nondiabetic age peers, according to a modeling study.
Drawing upon national data from the U.K., the “average” person with type 1 diabetes — age about 43 — could expect to live 32.6 more years, reported Adrian Heald, MD, of Salford Royal Hospital in England, and colleagues.
That’s against an expectancy of 40.2 additional life years for an average 43-year-old without diabetes, the group reported in Cardiovascular Endocrinology & Metabolism and simultaneously at the virtual European Association for the Study of Diabetes 2020 meeting.
The extent of life-years lost also differed among the sexes. Specifically, women with type 1 diabetes lost about 8.5 years of life-expectancy versus a nondiabetic female; in men the figure was about 7 years.
People with type 2 diabetes also had shorter life expectancy, albeit by less than those with type 1 diabetes.
The “average” person with type 2 diabetes — age 65 — can expect 18.6 years of additional life, versus 20.3 years for an equivalent population free of diabetes. These life years lost were similarly mediated by sex, as females with type 2 diabetes saw about a 2-year shorter lifespan while males saw a 1.4-year shorter lifespan.
The fact that women weren’t spared the shortened life expectancy with diabetes also came as a surprise.
“It’s actually something people can relate to, it’s tangible to them,” Heald said.
Can You Die From Diabetes Type 1 And Type 2 Life Expectancy
Diabetes is a disease which is caused either due to the lack of proper production of insulin by the pancreas or due to the improper use of insulin in the human body. This gives rise to the blood sugar level or the glucose level in the body as it is the hormone insulin which is responsible for the breakdown of the carbohydrates and the other essential nutrients in the food to release the much-needed energy by the cells. It is a disease which adversely affects the primary function of metabolism in the body thereby exposing our body to several other complications.
Diabetes affects different people in different manners and as such, it takes several forms. The most common type of diabetes is type 1 and type 2 diabetes. There are various factors and causes which contribute to each type and form of the disease.
Due to the several complications that are associated with this condition, diabetes is often considered a deadly disease that can kill you. It is not uncommon to hear of people who have died of diabetes in the past few years. In this article, we shall further deep dive into the various issues that diabetes accompanies and might lead to the death of the diabetic patient.
Complications Which Might Be A Cause Of Worry For Diabetes:
The following complications in diabetes might be a factor why people should beware and treat diabetes in the most effective manner.
As per the American Diabetes Association, 44 percent of the diabetes patients tend to suffer from serious kidney disorders.
There are several heart-related diseases which might affect our body if we suffer from diabetes. The blood vessels and the nerves supplying blood might get damaged resulting in serious conditions including death.
The problem of high glucose and pressure levels can lead to damage in the various nerves of the body, including those that control the heart, kidney, arms, legs, amongst other nerves. When this condition occurs, there are chances that death might take place due to diabetes.
Sometimes, there are chances that the problem of high blood glucose level might lead to high levels of ketone cells being developed in the body. This leads to the problem of Diabetes Ketoacidosis which is often very dangerous and might even lead to death.
Other Serious Complications:
Several other complications might lead to serious damage to the nerves and vessels leading to the death of diabetic patients. Some of these complications include gum diseases, amputations of different body parts, as well as other deadly complications.
How A Diabetes Diagnosis May Actually Improve Life Quality
Many people live with diabetes for years before being diagnosed, but once they are, they can approach the condition head on. As a result of their efforts, many people may actually find their quality of life is better than it was before diagnosis.
“Once they have the diagnosis and take action — whether that action is just behavioral change because they didn’t have diabetes for long, or behavioral changes combined with a medication regimen — they feel that they have a much higher quality of life after they were diagnosed,” says Rinker.
Study Finds Childhood Diabetes Lowers Lifespan By 18 Years
People who develop diabetes during childhood may die up to 20 years sooner than people without diabetes, according to research findings by scientists in Sweden and the U.K. A study of more than 27,000 individuals with type 1diabetes discovered that the average lifespan of women diagnosed with the disorder before the age of 10 years was 17.7 years shorter – the range was 14.5–20.4 years – than that of their diabetes-free counterparts. For men, a diagnosis before 10 years of age was associated with a 14.2 years average shorter lifespan . Lifespan was also on average 10 years shorter for men and women combined, when disease developed later, between 26–30 years of age, according to the research results, which were published in The Lancet.
“These are disappointing and previously unknown figures,” comments Araz Rawshani, M.D., Ph.D., researcher at the department of internal medicine, Sahlgrenska Academy, Gothenburg University, and the Swedish National Diabetes Registry. “The study suggests that we must make an even greater effort to aggressively treat patients diagnosed at an early age to reduce the risk of complications and premature death.”
The research team reports its findings in a paper titled, “Excess mortality and cardiovascular disease in young adults with type 1 diabetes in relation to age at onset: a nationwide, register-based cohort study.”
What Is The Difference Between Type 1 And Type 2 Diabetes
The major process that happens in type 1 diabetes is that the pancreas can no longer produce insulin. Type 2 diabetes is more a result of insulin resistance , that is, it takes a large amount of insulin to move glucose out of the blood and into the cells. Over time, people with type 2 diabetes also may experience decreased insulin production in the pancreas. In type 1 diabetes, over time, the body can also develop insulin resistance — especially in people who gain a lot of weight while using insulin. This means there is some overlap in treatment and diet for people who have had diabetes of either type for a long time.
What Is The Treatment For Type 1 Diabetes Can It Be Cured
Currently, type 1 diabetes cannot be cured. People with type 1 diabetes require injectable insulin because their pancreas does not produce enough on its own. There are different types of insulin and different routes of administration. Most people with type 1 diabetes use both a long-acting insulin , and inject additional insulin before or after meals to match the carbohydrate content of the meal. An insulin pump may also be used to optimize insulin delivery to the body’s needs.
- Unfortunately, one of the major side effects of insulin is weight gain. People with type 1 diabetes can reduce weight gain by:
- Eating a healthy low-carbohydrate diet,
- Getting plenty of exercise, and
- Learning to use insulin correctly in order to use just the right amount
- Diet and level of activity.
How Did People With Type 1 Diabetes Survive Historically
We hate to break it to you, but they didn’t.
Looking at historical records from pioneering diabetes doctors Joslin and Allen before the advent of medical insulin, we see that they were only able to keep patients alive for months, sometimes more than a year, by starving them to death. Literally.
Dr. Elliott Joslin proudly wrote that, “Whereas formerly the prognosis for children less than 10 years of age was measured in months, today it is rare for a child to live for less than one year.” Ultimately, all of Joslin’s pre-insulin patients died. 100 percent of them. Those who didn’t starve succumbed once their insulin production dropped to zero.
But of course we now know that the onset of type 1 is a messy affair. The autoimmune process that drives it doesn’t happen overnight. Insulin production lingers for many months in a phenomenon called the diabetes honeymoon.
So, history can only show us how long we can suffer starved in the honeymoon phase of the disease, not how long a full-fledged type 1 will last sans insulin in today’s modern world.
DKA is the leading cause of death in people with T1D under age 24. But stats indicate that there are only several-thousand deaths from DKA per year in the whole country. Most cases occur right at disease onset, and most receive some sort of medical intervention in a timely manner. The
The Lifespan Of Individuals Living With Type 1 Diabetes:
People with type 1 diabetes cannot produce insulin that causes the building of excess glucose in the blood. People who have been diagnosed with this condition have to be given insulin supplements to maintain the glucose levels.
People with this condition are diagnosed in their youth, hence these people have to live with this condition for a relatively long period of time than people with type 2 diabetes.
According to the reports of Journal of American Medical Association ; men with type 1 diabetes have a shortened lifespan of 11 years than normal men. Women with the condition have their lives cut short by 13 years.
The impact on the heart health appears to be one of the leading causes for this. However, it has also been found that adults with type 1 diabetes younger than 50 years of age have been dying from the conditions caused by the issues in the management of the disease – diabetic coma caused by extremely low blood sugar levels and/or ketoacidosis caused by lack of insulin in the body.
Type 1 diabetes is extremely cumbersome to manage with the concern to get the right amount of insulin be delivered at the right time of the day keeping in mind the diet that one is consuming.
The Lifespan Of Individuals Living With Type 2 Diabetes:
People with type 2 diabetes cannot utilize the insulin produced by the pancreas leading to accumulation of glucose in the blood. While type 2 develops much later in life than type 1, it remains undiagnosed for years in which the host can develop other health complications. Type 2 diabetes is more of an inflammatory disease, hence it is more damaging to the body.
A 2010 report by the Diabetes UK claims that type 2 diabetes reduces the lifespan by 10 years. A 2012 Canadian study claimed that women aged over 55 years with type 2 diabetes lost on an average of 6 years while men lost 5.
Most of this early death comes from complications such as heart attack, stroke, and kidney failure. People with the condition also tend to be depressed and inactive all of which tend to make the lifespan shorter.
However, a recent Dutch study found encouraging results that people with type 2 diabetes and an average age of 66 tend to have the same death rate as those without diabetes.
The Lifespan Of Individuals Living With Type 3 Diabetes:
Type 3 diabetes, also called Gestational Diabetes, develops when women experience an onset of elevated blood sugar levels in pregnancy. It develops when the woman’s body is not able to make and effectively use the insulin it needs for pregnancy. With little insulin, glucose builds up in the blood to high levels.
Women with uncontrolled gestational diabetes tend to have a higher risk of having infants with heavyweight, which can cause complications during labor. There is also an increased risk for high blood pressure, obesity and type 2 diabetes to both the mother and the child. These further complicate matters during labor and if uncontrolled, can cause the death of both the mother and the infant.
Gestational diabetes develops during the late phase of pregnancy. If properly managed, blood sugar levels usually return back to normal after delivery. However, if the sugar levels are not kept in check during pregnancy, it can pose a risk for the development of type 2 diabetes to women. The lifespan of such women with type 2 diabetes will be similar to the relations and statistics associated with type 2 diabetes.