Saturday, January 04, 2020

Age of onset of type 1 diabetes can dictate life expectancy

Type 1 diabetes can reduce life expectancy if onset occurs when the patient is young, claims a study recently published in The Lancet.
Obese people are at significantly greater risk of health conditions such as heart disease and diabetes

In India, diabetes numbers are surging. Concerningly, rates are increasing among India’s young population. It was recently revealed that around 97,000 children in India suffer from type 1 diabetes. In Delhi alone around 32 children per every 1,000 are affected by the disease.

The Lancet study presented results which indicate that life-expectancy for individuals with early-onset type 1 diabetes is, on average, sixteen years shorter than people without the disease. Compared to people diagnosed later in life, an early-onset individual was found to have a reduction in life expectancy of around ten years.

The study, conducted in Sweden, used observational investigations that followed over 27,000 individuals with type 1 diabetic individuals and more than 135,000 individuals in a matched control group for an average of ten years.

The findings of the study suggest that individuals diagnosed before the age of ten have a thirty-times greater risk of serious cardiovascular outcomes like heart attack. This was found to be lower than people diagnosed between ages 26 and thirty whose risk levels are around six times higher.

Additionally, early-onset sufferers are four times as likely to die from any cause, with seven times the risk of dying from cardiovascular disease compared to their diabetes-free counterparts. Again, this difference was found to be less prominent in people with late onset diabetics with a three-fold risk of dying from any cause compared to their peers without diabetes.

The authors stress the requirement to use cardioprotective measures such as statins and blood pressure lowering drugs as soon as possible in this high-risk population.

In India the early intervention and therapies to address the diabetes is vital. Evidence suggests that the Indian population is at a higher risk than that of most other countries due to a genetic predisposition to diabetes.

The average age of onset of in India occurs between 25 and 34, nearly two decades before the age of onset in western nations. This indicates a considerable role for the genetic risk factor present in the Indian population. The genes involved have been proposed as mediators for insulin release. Any alterations in these genes could therefore play a large part in increasing the risk of developing diabetes.

Type 1 diabetes has been shown in studies to be increasing in prevalence by three to five percent per year in India. The results of the new study highlight the need for proper management of the disease through early intervention and appropriate lifestyle changes. Spreading awareness of the disease must also be a priority in order to address these rising numbers.


this is only for your information, kindly take the advice of your doctor for medicines, exercises and so on.     
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Monday, September 23, 2019

Successful blood stem cell transplant gives cancer patients second chance

Did you know that in India, every 5 minutes someone is diagnosed with a blood cancer or blood disorder? And that for most people a blood stem cell donation from a stranger with similar tissue type is their best – or only – chance of survival?

Blood cancer refers to the defects in the blood-forming system which starts in the bone marrow. This leads to the formation of immature or dysfunctional blood cells that multiply uncontrollably, crowding out the healthy cell.  Blood cancer is also one of the most common cancers reported in India.

Many blood cancer patients are children and young people whose chance of recovery from blood cancer is a successful blood stem cell transplant donated from a matching donor. For an individual to be able to donate their blood stem cells a match in HLA / tissue type is important.

HLA is the abbreviation of ‘human leucocyte antigen’ which is commonly known as ‘tissue types’. The HLA or Human leucocyte antigen is our body’s way of distinguishing between its own and alien tissue. Though tissue types are passed from parents to their children, only about 30% of the patients in need of a stem cell transplant as a life-saving treatment, can find a sibling match. The rest 70% depend on finding a matching unrelated donor. That’s when a registry is looked up to. A stem cell registry is typically a database of potential donors.

Anannya, an 8-year-old kid in Mumbai, was diagnosed with a relapse of Acute Lymphoblastic Leukemia (ALL), a type of blood cancer common in children. While Anannya is currently undergoing chemotherapy, she needs a perfect matching donor to undergo a stem cell transplant, which is her only hope of survival.

For a successful stem-cell transplant, ethnicity plays a key role in finding the perfect match. Patients and donors of Indian origin have unique HLA characteristics that can be found only among the Indian group. But due to the lack of awareness and myths and facts associated with stem cell donation there is an under-representation of Indians in the stem cell registry. This makes it extremely difficult for Indian patients to find a matching unrelated donor. Hence with the consistent increase in the disease burden in India, the need for increasing the Indian representation in a stem-cell registry has now become a priority.  

To address this need gap, it is important for people to be aware of the do’s and don’ts of stem-cell donation and how one can become a potential donor. It is also important for people to realize that blood cancer is not the end and a patient can recover if provided with blood stem cells from a matching donor.

this is only for your information, kindly take the advice of your doctor for medicines, exercises and so on.   
https://gscrochetdesigns.blogspot.com. one can see my crochet creations 
https://gseasyrecipes.blogspot.com. feel free to view for easy, simple and healthy recipes    
https://kneereplacement-stickclub.blogspot.com. for info on knee replacement
 
  

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