Diabetes control has stalled across U.S.

Diabetes control has stalled across U.S.

(HealthDay)—U.S. adults with diabetes are no more likely to meet disease control targets than they were in 2005, a new study finds.

Typically, diabetes treatment focuses on controlling , blood pressure and , as well as not smoking.

For the study, Massachusetts General Hospital researchers analyzed data on in the United States from 2005 through 2016. The investigators found that one in four adults with diabetes was not diagnosed, and nearly one in three was not receiving appropriate care for diabetes.

"Fewer than one in four American adults with diagnosed diabetes achieve a controlled level of blood sugar, blood pressure and cholesterol and do not smoke tobacco," said study lead author Pooyan Kazemian, of the hospital's Medical Practice Evaluation Center.

"Our results suggest that, despite major advances in diabetes drug discovery and movement to develop innovative care delivery models over the past two decades, achievement of diabetes care targets has not improved in the United States since 2005," Kazemian said in a hospital news release.

More than 30 million Americans have diabetes. Most have type 2, which is linked to lifestyle.

Certain groups of patients were less likely to achieve diabetes care targets, according to the study.

"Younger age (18-44), female and nonwhite adults with diabetes had lower odds of achieving the composite blood sugar, , cholesterol and nonsmoking target," Kazemian said.

Patients with were most likely to have been diagnosed with diabetes and to have achieved treatment targets, the researchers noted.

According to study senior author Dr. Deborah Wexler, "Barriers accessing , including lack of health insurance and high drug costs, remain major factors that have not been adequately addressed on a ." Wexler is with the hospital's diabetes unit and is an instructor in medicine at Harvard Medical School.

"Treatment advances in diabetes mellitus can meaningfully improve outcomes only if they effectively reach the populations at risk. Our findings suggest this is not the case in the U.S.," Wexler said.

The findings, she added, indicate an immediate need for better approaches to diabetes care delivery, "including a continued focus on reaching underserved populations with persistent disparities in care."

The study was published online recently in JAMA Internal Medicine.


Explore further

Diabetes treatment targets have not improved in the US since 2005

More information: The U.S. National Institute of Diabetes and Digestive and Kidney Diseases has more on managing diabetes.
Journal information: JAMA Internal Medicine

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Sep 08, 2019
Failure to Comply ~

... when treating the symptoms rather than the cause proves failure of strategy ... diabetes is a disease of fat toxicity ... current treatments focus on controlling blood sugar levels, which are a result of diabetes, not a cause ... the cause is intracellular free fatty acids disrupting the signaling pathway between the insulin receptor and Glut4 activation, hence interfering with glucose transport from the blood stream into the cell ... thereby depriving the mitochondria of glucose and preventing the mitochondria from producing sufficient ATP to feed the cell ... modern medicine is focused on the wrong treatment strategy ... hence the low compliance and high failure rates ... the proper treatment is to eliminate free fatty acids from the intracellular cytoplasm ... this is dome through a whole foods plant based diet with very low fat intake, regular exercise, and the establishment of a normal lean body mass ...

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