Wednesday, 7 January 2015

JAMA paper on Type 1 diabetes life expectancy - Scottish cohort 2008 - 2010

Estimated Life Expectancy in a Scottish Cohort With Type 1 Diabetes, 2008-2010
"loss of life expectancy at age 20 years of approximately 11 years for men and 13 years for women compared with the general population without type 1 diabetes."

http://jama.jamanetwork.com/article.aspx?articleID=2088852 (paywall)

An accompanying editorial says that life expectancy has improved greatly but glycaemic control still suboptimal and therefore outcomes could be improved.

http://jama.jamanetwork.com/Mobile/article.aspx?articleID=2088833 (paywall)

Do these types of 'hard facts' help or hinder discussions with people with diabetes? Will motivate some but not others. Would it be better to focus on quality not quantity of life? How do you explain how population averages might apply to the individual? Perhaps comparisons with other aspects of life might help especially where they add to risk in diabetes. What would the figures be for smoking for example, or hypertension?


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