Researchers in Sweden have found that the earlier children are diagnosed with type one diabetes, the less their life expectancy is. Matters are worse for women than men. They think that adults diagnosed in childhood need increased input to deal with cardiovascular risk factors as they get older. Currently age of onset is ignored when it comes to stratifying risk.
Those diagnosed under the age of 10 had 4 times the hazard ratio for all cause mortality, over 7 times the risk of cardiovascular disease, 4 times the risk for non cardiovascular mortality, over 11 times the risk of cardiovascular disease, 31 times the risk of having a myocardial infarction, over 6 times the risk for stroke, 13 times the risk of heart failure, but almost the same risk as controls for atrial fibrillation.
There is a better outlook for those diagnosed in their late twenties. The risk was almost 3 times the background rate for total mortality and the most prominent risk was again for cardiovascular mortality coming in at 6 times the background rate.
What this means is that if you are a girl diagnosed with type one under the age of ten, you may expect to live almost 18 years fewer than your classmates and if you are a boy, 14 years fewer.
My comment: More effort could also be given to youngsters on diagnosis achieving normal blood sugars by advising parents about the easiest ways to control blood sugars such as the adoption of a low carb diet and advanced insulin techniques. Although these statistics are shocking to see, it doesn’t have to be like this at all. Many diabetics have changed their life expectancy around and reverse some complications by adopting practices that improve glycaemic control and metabolic factors such as we describe on this site.
Rawshani A et al. Excess mortality and cardiovascular disease in young adults with type 1 diabetes in relation to age at onset: a nationwide, register-based cohort study. Lancet 2018;392:477-86;doi:10.1016/S0140-6736(18)31506-X
3 thoughts on “Younger age at diagnosis predicts earlier death in type one diabetes (on standard treatment)”
intuitively it makes sense. It is sad, but it makes sense. We must do a better job.
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It’s the hospital doctors largely who need to do a better job but they are still hamstrung by the poor dietary advice about eating loads of starch, sugar in moderation and vegetable oils and margarines.
Yes agreed, but those numbers are scary! You’d think when they see patients beating the odds and doctors helping them to do so they might show some interest rather than just doubling down on stupid. Still too many stories of diabetics being told to stop low carbing because of the “dangers” of halitosis and scurvy which never actually happen, while ignoring the amputations and loss of kidneys and vision. Type 1s are also warned of the danger of hypos but in most cases that I’ve seen, low carbers actually have fewer hypos and far fewer disabling ones due to the reduced insulin
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