Future of Diabetes

Diabetes is already the world’s most costly epidemic. By 2020, in countries such as the US, Malaysia and Indonesia over 10% of the population will be diabetic and there will be over 300m diabetics worldwide.

Up to 5% of GDP and over 25% of many public healthcare budgets globally will be typically being spent on dealing with the consequences of diabetes. Unlike Type 1 diabetes, which is a largely stable closed loop, genetic predisposition and, in the main, controlled by patients and healthcare systems in an effective manner, Type 2 diabetes constitutes over 90% of the diabetic population and is the big growth challenge in the healthcare arena: It is already receiving widespread coverage in mass media and, given the link to obesity, has already been termed “diabesity.” As economic conditions have driven greater concern and visibility of the cost of treating a chronic disease for which there is yet no cure, over the next decade the societal burden of diabesity will become a mainstream political issue: Treatment cost per patient will be a primary concern but, by the end of the decade, the host of initiatives already being launched to decrease the disease will not have started to control the diabetes tsunami in any significant manner.

Posted on date March 13, 2010 by author Tim Jones

Insights from the Diabetes Deep Dive Workshop

Well I guess you don’t see any individual benefit discussing this post so be it, there is no reason to be sarcastic. .

What do you mean by Type 1 being “a largely stable closed loop, genetic predisposition and, in the main, controlled by patients and healthcare systems in an effective manner?”

You know, Igal… I want to, first off, say that I appreciate your reminding us of how big of a problem this is world wide, and a growing problem, at that… and how it needs to be taken very, very seriously, by both patients and doctors. I want to let you know that, though I appreciate that you want to us all to be informed, it might be wise to consider the tone of some articles before posting them, because so many can come off as so offensive, and somewhat arrogant. “Diabesity” comes off as such a mocking term to me… Sort of like “let’s make fun of the fat people cus they gave themselves “Diabetes,” and shame them into not eating any more crap, so we don’t all go broke” kind of thing… This statement “which is a largely stable closed loop, genetic predisposition and, in the main, controlled by patients and healthcare systems in an effective manner” is also wildly incorrect; it sort of implies that Type 1 is genetic, and Type 2 is from eating too much, and only from eating too much. In fact, it is Type 2 which is genetic, and Type 1 may have a genetic element – but there are MANY, many people on this community who have NO other relatives who are Type 1. In most instances, it seems to be provoked by an infection/illness which caused a severe autoimmune reaction. Also, in most instances, Type 2 is easier and more stable to control. I can easily follow a low carb diet, and never have to deal with 200s, much less 300s, or more. I don’t have to second guess my body constantly as to all the billion variables patients with Type 1 have to take into account whenever they dose insulin.

The problem in itself is multi-faceted, with eating habits just being one of the potential factors. Many of the people being diagnosed with Diabetes, as of late, are not overweight – and it has been discovered in a recent study which I posted in here, somewhere, that impaired receptors for both insulin and leptin, caused severe Diabetes with NO obesity. All you have to do is take a poll in here of all the people who are Type 2 and not overweight. I am sure you will get quite a few responses (and no, these are not misdiagnosed people.) There are many factors which are not yet known – and being largely ignored by the media, and most of the medical community, and consequently the population, over sensationalizing weight issues. Just as proof that weight alone does NOT cause Diabetes, just watch some of those shows where they have the stories of people 1,000 lbs overweight, and they do NOT have Diabetes.

The reality is that Endocrine diseases, overall, are increasing world wide… Majorly. And many of those, themselves, cause insulin resistance, followed by severe weight gain, and Diabetes. It is a Domino effect. Doctors often ignore patients, and their symptoms for years, and years, and are often uninformed, and tell people that they are fine when their blood glucose levels reach ‘150’ or even 300. Every day there’s someone new in here going on about how they don’t know they have Diabetes, cus their doctor said they were fine! THIS is the kind of sleepy sailor we got going on at the helm of this ship. The problem is affected by many, many aspects… Not just obesity.

I hope you don’t get too many angry responses… but it’s a pretty flame-inducing article.

Excellent responses by all to this article with so many problems to it, not to mention its patronizing tone. One more correction: Type 2 is no longer understood to be 90% of diabetics. With about 20% of Type 2’s being misdiagnosd Type 1’s or LADAs, that reduces it to about 72%.

Here’s a blog entry (I wrote) on environmental contaminants and diabetes:

http://ourhealthandenvironment.wordpress.com/2010/06/02/can-environmental-contaminants-contribute-to-the-development-of-diabetes/

Type 1 is not only genetic; it is also increasing. Type 2 may only be linked to obesity in people exposed to higher levels of contaminants…

We should buy an ETF that tracks the increase in diabetes.

Not to mention. How many people who were hypglycemic earlier in life that cross over. I weighed 110 for about four decades. Then because of physical impairments couldn’t be a active. Even at 155 lbs. I 'm not exactly obese.

Exchange Traded Funds equals ETF ?? …I had to google., because I just don’t know all the abbreviations , being used on boards etc. …and this is what I found !
Can you help Anthony H , please ?

I am a Type 2 Diabetic and this is the view I am speaking from…

The future of Diabetes is that it will flourish and still be the elephant in the room!

I have never understand why Breast Cancer and HIV gets all the attention and more people DIE of complications due to Diabetes.

People are more ashamed to admit they are diabetic then to admit they had an STD. I had some hope with the Michelle Obama’s mission with children’s obesity but I have not her a thing about it since it was first spoken.

People are taught about diabetes till they are touched with it. I didn’t care about anything till it affected me.

The significant ways of changing are things people are not willing to do…

Type 2 is also linked to ethnicity, lifestyles, genetics and working the night shift. I have all of these in my family. It is interesting you contaminants because non Caucasian ethnic groups tend to live around places like waste treatment plants, chemical plants, garbage dump sites, and toxic dump sites. So with your theory, perhaps non Caucasian groups living in before mentioned areas may have a higher incidence of diabetes. This would be an interesting study.

Well, I guess when that tsunami comes, we diabesity types will all survive…we float you know!

The tsunami has arrived …the cost for Canadian tax payers is horrendous : $ 13.9 billion a year … a great concern

Regardless of the cause of the diabetes there are things individuals can do to make their own situation better. However, no health care system / government can enforce personal choices. Unless they are to control our food supply…that sounds a bit unacceptable.
And you can’t tax people to the point of making ‘wise’ choices. Smoking didn’t stop after taxing it and that is an optional activity. Eating is not optional - choice of food is option…but who is to say cake gets taxed and rice does not since it’s a grain? Both rise glucose quickly. Too much big brother for my liking.
Educate and hope for the best.
Oh and PRAY for a cure!

Actually, Type 2 diabetes does not constitute 90% of the diabetic population. About 5-10% have classic, rapid-onset Type 1; about 10-15% have slow-onset Type 1 (also called LADA, which is autoimmune diabetes and not linked to obesity); and 75-85% have Type 2. (See John Walsh’s books and all scientific studies that use antibody testing (the gold standard for Type 1 autoimmune diabetes) to determine diabetes type.) So the autoimmune diabetes population (not preventable) is much larger than you portray.