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Type 1 Diabetes and Mortality

Dr. Fran Cogen Health Pro December 14, 2010
  • Do New Insulin Regimens and Increasing Technology Improve Survival Rates?   Much has been written about the improved quality-of-life that has been associated with the analog insulins, basal/bolus multiple daily dose injections, and insulin pump therapy. With the addition of continuous glucose ...

4 Comments
  • Anonymous
    KS
    Dec. 14, 2010

    Dr. Cogen - this seems to say that the intensive regimen when used from early in diagnosis can decrease mortality rates but may not be able to rectify higher mortality associated with less intensive regimens even if someone switches?

    • Dr. Fran Cogen
      Health Pro
      Dec. 14, 2010

      KS: I don't think one can necessarily interpret from this study that a change in life expectancy will not improve unless one started intensive therapy early. The study describes a cohort in Allegheny County and did not actually state just which regimen of insulin they were employing. Just by using a glucometer that may provide more accurate glucose...

      RHMLucky777

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      KS: I don't think one can necessarily interpret from this study that a change in life expectancy will not improve unless one started intensive therapy early. The study describes a cohort in Allegheny County and did not actually state just which regimen of insulin they were employing. Just by using a glucometer that may provide more accurate glucose trends may make a difference along with the ability to measure hb A1c. (this technology became more common in the 1980's). The Diabetes control and complication trial published in 1993 definitively proved that by increasing injections (intensive insulin therapy) prospectively one could decrease microvascular complications and more recently demonstrated decreased macrovascular complications. So, the fact that we have better insulins, increased technology and the ability to modify insulin regimens based on the needs of our patients- I believe- will increase life expectancy. I hope these comments shed more light on the subject. 

       

      DrC

    • Anonymous
      dawn donaldson
      Jul. 12, 2011

      hello, my sister has just been diagnosed with type a(is it, it says 1 and 2 on here) i really cant find what im lookin for on here and was hopin mayby u could help me to help her understand.? our uncle suffered with the same but he ended up that way through drinkin to much, obviously due to his unstability it was never very easy to gain any real information...

      RHMLucky777

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      hello, my sister has just been diagnosed with type a(is it, it says 1 and 2 on here) i really cant find what im lookin for on here and was hopin mayby u could help me to help her understand.? our uncle suffered with the same but he ended up that way through drinkin to much, obviously due to his unstability it was never very easy to gain any real information at any point. i do have some understandin but not alot. i would so appreciate any advice u can give me as she is terrified and will not look on the net because shes scared shell find something that she doesnt want to deal with. at the end of the day she has been ill - badly 4 about 2 years now and its only now they have realised. she was tested but they dismissed it origonally. anyway im so sorry to put on u, i have very little time to get on the comp at the best of times, due to havin a disabled son. if u could either e-mail me on ddonaldson2@hotmail.co.uk, or call me on 07967152913 i would so much thank u i really dont know how to help her. she needs to talk with some1 that has been through it. she is terrified of going in2 a comma n has blown it way out of proportion, (please dont get me wrong i understand the condition, i just feel unsure as to how is the best way to help her understand what she is up against. unfortunatly our uncle used to take to much or to little of his insulin on purpose to scare the family, which obviously worked. anyway she hasnt got an appointment 4 2 more weeks, which i think is discusting. they didnt give her ANY info at all. she even thought she was going to have to learn how to find a vien, so ive been reassuring her best i can with the few facts i know, but that is limited. because she has had to cope with this 4 nearlly 2 years they thought another 2 weeks wouldnt matter, little did they know what its doing to her. she has a boy of 3 and is terrified she could end up in a comma. sorry for comin on so strong its just as my child has a very very rare condition that has only proven to effect 250 people in the world i know what its like not knowin, n its more than just that u need some1 who has 'truely experienced it 1st hand' anyway sorry to bother u but please find it in ur heart to help me help her thank you. my name is Dawn Donaldson x