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Diabetes mellitus--long time survival.
Journal of Insurance Medicine (New York, N.Y.)
|December 8, 1997
Summary
Diabetics face significantly higher mortality rates, with end-stage renal and vascular diseases being leading causes for insulin-dependent diabetes. Managing cardiovascular risk factors and microalbuminuria is key to reducing diabetic mortality.
Area of Science:
- Endocrinology
- Nephrology
- Cardiology
Background:
- Diabetes mellitus, including insulin-dependent (IDDM) and non-insulin-dependent (NIDDM) types, is associated with increased mortality.
- Key complications include end-stage renal disease, vascular diseases, cardiovascular events, and stroke.
Purpose of the Study:
- To estimate diabetic survival rates based on recent medical literature.
- To identify early markers and risk factors influencing mortality in diabetic populations.
- To assess the impact of interventions on diabetic mortality.
Main Methods:
- Literature review of medical studies from the past decade.
- Analysis of mortality data and causes of death in diabetic patients (IDDM and NIDDM).
- Evaluation of early markers like hypertension, proteinuria, and microalbuminuria.
Main Results:
- IDDM patients exhibit 3-6 fold higher mortality, often after age 30, due to renal and vascular diseases.
- NIDDM patients have 1.4-3.7 times the mortality of non-diabetics, with cardiovascular events and strokes as primary causes.
- Hypertension and proteinuria are early indicators of severe complications; microalbuminuria predicts cardiovascular disease in NIDDM.
- Glaucoma and lens changes are linked to increased mortality.
Conclusions:
- Optimal metabolic control, alongside managing cardiovascular risk factors and microalbuminuria, significantly reduces mortality in diabetics.
- Early detection and management of complications like nephropathy are crucial for improving diabetic survival rates.