People with diabetes | high blood sugar.
More than half of people with diabetes and elevated blood sugar may be at risk from delayed treatment.
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People with diabetes | high blood sugar.
September 25
(2min read)
More than half of people with poorly controlled type 2 diabetes did not adjust their treatment within 6 months of being tested for high blood sugar.
Given that people with diabetes have a greater risk of serious illness from COVID-19, it is more important than ever to stay treated, especially if diabetes is poorly managed.
Researchers at the George Institute for Global Health found that people who regularly contact health professionals are more likely to'upgrade' their treatment sooner than those who see their doctor less often.
Dr. Carinna Hockham, senior author and researcher at the George Institute, said people with high blood sugar levels have a higher risk of heart disease, kidney disease, and nerve damage, so prompt action to lower these levels is the key to reducing these risks. .
“Medications that reduce blood sugar are an important component of diabetes treatment. Often, these drugs are added in a phasing way known as therapeutic escalation,” she said.
“Our study is the first in Australia to investigate the causes of delaying increased treatment in people who still have high blood sugar, even though they have already been treated.”
Researchers used data from the Sax Institute's 45 and Up Study to find information on the rise in treatment for 2,456 diabetics aged 45 and older living in New South Wales with blood sugar above recommended levels.
They used HbA1c, which measures the amount of blood sugar attached to proteins in red blood cells that carry oxygen in the lungs to determine whether blood sugar is higher than what is generally recommended.
They found that only 44% of people with higher-than-normal HbA1c results received a new prescription (indicative of a therapeutic escalation) within 6 months of blood test results.
People who are already taking multiple medications and those in older groups are less likely to adjust treatment after high levels.
Dr. Hockham said, “Our research uses regularly collected health data to plot the quality of care for older people with diabetes, confirming the importance of health involvement in optimizing treatment.
“We haven't studied the specific reasons why certain factors are delaying treatment progress, but taking multiple medications for people with diabetes can be difficult, so they may be reluctant to add other medications,” she added.
Lowering your blood sugar more aggressively can potentially lead to falls, especially in older people.
Dr. Hockham said, “We believe this concern is the slow progression of the treatment phase for elderly patients.
We hope that the factors influencing the escalation of treatment identified in this study could be used to improve treatment in diabetics and reduce the risk of health complications.
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