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Senior Citizen Health & Medicine
Senior Citizens Experience Jump in Diabetes Cases as
Complications Grow
Prevalence increased by 62%, death rate decreased
by 8.3%
 Jan. 30, 2008 - The annual number of Americans
older than 65 newly diagnosed with diabetes increased by 23 percent
between the 1994 to 1995 period and 2003 to 2004, according to a report
in the January 28 issue of Archives of Internal Medicine, one of the
JAMA/Archives journals.
“The prevalence of diabetes mellitus is increasing,
in part because of population aging, but also in younger persons,”
according to background information in the article. The high rate of
existing diabetes also contributes to a high rate of diabetes-related
complications and premature death.
“Awareness of the importance of active monitoring
and management of diabetes has become more widespread; however,
adherence to recommended practices remains low.”
Frank A. Sloan, Ph.D., and colleagues at the Duke
University Medical Center, Durham, North Carolina, and colleagues
analyzed Medicare program data for patients first diagnosed with
diabetes during 1994 (33,164 patients), 1999 (31,722 patients) and 2003
(40,058 patients).
This data was compared with that of two control
groups consisting of individuals without the disease who were of similar
race and ethnicity to those with diabetes. Death and complications of
diabetes such as cardiovascular, cerebrovascular (damage to blood cells
in the brain), ophthalmic (eye), renal (kidney) and lower extremity
events were recorded.
“The annual incidence of diabetes increased by 23
percent between 1994 to 1995 and 2003 to 2004, and prevalence increased
by 62 percent,” the authors write. After diagnosis, the death rate in
patients having diabetes decreased by 8.3 percent when compared with
those who were not diagnosed with the disease.
Most patients with diabetes experienced at least
one complication within the next six years; for example, almost half had
congestive heart failure.
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Video Report |
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Major differences in blood-sugar control minorities/whites |
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 Sept.
27, 2007 - Watch video - Michele Heisler, M.D., MPA,
University of Michigan Medical School, about a new national
study documenting major differences in blood-sugar control among
African Americans, Latinos and whites with diabetes.
CLICK HERE |
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“Complication rates among persons diagnosed as
having diabetes generally increased or stayed the same compared with
those in the control groups during 1994 to 2004 except for ophthalmic
diseases associated with diabetes,” the authors note.
“In some cases, most notably renal events,
including the most serious complications, there were increases in
prevalence in both the diabetes and control groups.”
“Overall, our findings emphasize the overwhelming
burden of diabetes, including the near 90 percent prevalence of an
adverse outcome and many serious and resource-consuming outcomes such as
coronary heart failure, myocardial infarction [heart attack] and
stroke,” the authors conclude.
“The burden of financing and providing medical care
for persons older than 65 in the United States having diagnosed diabetes
is growing rapidly as a result of increased incidence and, especially,
prevalence of diagnosed diabetes, decreased mortality and overall lack
of improvement in rates of complications in persons having diagnosed
diabetes
Editor's Note: This study was supported by a grant
from the National Institutes of Aging.
More News on Diabetes from SeniorJournal.com
Archives
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Some
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Large proportions with type-2 diabetes have
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Older Blacks and Latinos Still Lag Behind Whites in Controlling Diabetes
Improvement
possible by targeting factors such as medication use and emotional distress,
for which the racial and ethnic gap is wide
Sept. 27, 2007
Campaign Highlights the Link Between Diabetes
and Cardiovascular Disease
Heart disease & stroke account for about 65% of deaths in
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Sept. 14, 2007
Stress Probed for Its Impact on Cardiovascular
Disease and Diabetes
National Institutes of Health study looks at
twins
Sept. 6, 2007
Poor and Senior Citizen Diabetics are Most Likely to
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Older diabetics five times more likely to be
hospitalized
Sept. 10, 2007
Ability of Aspirin-Like Drug Salsalate to Lower
Glucose in Diabetics Begins Trial
University of Illinois one of 16 sites needing
volunteers in large NIH clinical trial
Aug. 24, 2007
Diabetes Patients
Fixate on Blood Sugar and Neglect What May Kill Them
Most die from heart
disease and should focus on cholesterol, other protection
Aug. 20, 2007
Diabetes Drug Glucophage Less Likely to Cause Weight
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New research finds type 2 drugs about the same in
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July 17, 2007
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Controversy over Diabetes
Drug - Avandia
Diabetes, a
major chronic disease among senior citizens, is found in
about 1 out of 5
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Diabetes Drugs to Strengthen Warning of Heart
Failure Risk, Says FDA
Included drugs: Avandia, Actos, Avandary, Avandamet
and Duetact
Aug. 16, 2007
Avandia and Astos Diabetes Drugs Found to Double
Heart Failure Risk
Avandia already associated with heart attack,
cardiovascular deaths
July 27, 2007
Comparison of Top 10 Diabetes Drugs Finds Older is
Better
Metformin (Glucophage, Riomet and Fortamet) has
advantages
July 25, 2007
FDA Wants Black Box Warnings for Diabetes
Medications – Avandia, Actos
Rep. Henry Waxman says ‘FDA dropped the ball’ with
Avandia
June 7, 2007
Sen. Grassley Says FDA Knew Dangers of Avandia,
Wants Faster Action
Ranking Senate Finance Committee members says there
should already be ‘black box’ warning
May 25, 2007 –
Read more...
Finding Avandia Heart Risk Underscores Need for
Urgent Drug Safety Reform
Consumers Union urges House pass strong drug safety
reforms
May 23, 2007 -
Read more...
Senate Committee Wants Answers About Avandia,
Company Defends Record
Committee leaders send letters to FDA and
GlaxoSmithKline
May 22, 2007 –
Read more...
Avandia Drug Maker Disagrees with Study Saying the
Diabetes Drug Increases Heart Attacks, Deaths
GlaxoSmithKline says it's “highly effective”
treatment for type 2 diabetes
May 22, 2007 –
Read more...
Major Heart, Diabetes Groups Urge Caution in Wake of
Avandia Warning
Study raises concerns; Groups advise patients with
diabetes to talk to their doctor
May 22, 2007 –
Read more...
Finding of
Increased Heart Attack, Death in Diabetes Patients from Avandia (rosiglitazone)
Sparks FDA Alert
FDA issues immediate alert on the drug marketed as
Avandia.
May 21, 2007 –
Read More...
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