The Low Carb Diabetic

Promoting a low carb high fat lifestyle for the safe control of diabetes. Eat whole fresh food, more drugs are not the answer.


Welcome to the Low Carb Diabetic forum,have you signed up yet? if not then sign up and join us in the low carb community today!

    Diabetics do you want to know your complication risk?

    Share
    avatar
    Eddie
    Member

    Status :
    Online
    Offline

    Male Posts : 3805
    Join date : 2014-08-13
    Age : 68
    Location : London

    Diabetics do you want to know your complication risk?

    Post by Eddie on Fri Jan 15 2016, 08:35

    Researchers in the United Kingdom have developed a validated risk assessment equation to show the 10-year risk of blindness and lower limb amputation in diabetes patients. Such tools have already been developed for the general population to assess heart attack, stroke and diabetes risk, and now the QDiabetes tool is the first tool for diabetics that gives an accurate assessment of their risk of these most feared complications.

    Data has been collected from English General Practitioners since 1998 from over 400,000 patients. The algorithms are based on variables that patients are likely to know or that can be found from asking your GP. Knowing your risk could be worthwhile so you would know to intensify your control and monitor your condition more stringently.

    For clinicians, complication risk could enable screening programs to be tailored to an individual’s need for support and the more rational use of scarce resources. Retinopathy could be done more frequently than once a year for those who need it and less frequently than once a year for those who do not. Those at higher risk of amputation might benefit from a proactive targeted program to prevent lower extremity amputation (including more frequent checks, tailored patient education, specially designed protective footwear, and early reporting of foot injuries), as this has been shown to substantially reduce the risk of emergency admissions, use of antibiotics, foot operations, and lower limb amputation compared with usual practice.


    My results

    I found this diabetes complication calculator at the excellent site co run by Dr. Katharine Morrison which can be found at link below. How accurate this tool is, is open to debate, but if it is a good indicator for future complications, as a type two diabetic I would be happy with the results it gave me. Let's face it, all diabetics have a higher risk of complactions, but we can drastically improve our chances of not succumbing to serious complications by holding excellent blood glucose numbers.

    One problem with the calculator is the fact the minimum HbA1c you can enter is 40, mine is lower than that, as is many other diabetics I know. As you would expect, all of these people are low carbers. Perhaps the people that designed this tool thought no diabetics ever hold numbers better than 40. Maybe by inserting my lower than 40 HbA1c my results would have been better, who knows.

    The future risk of complications calculator can be found here

    http://qdiabetes.org/amputation-blindness/

    Dr. Katharine Morrison's site which can be found here

    http://diabetesdietblog.com/


    _________________
    Type two diabetic-low carb diet (50 carbs per day) and two 500mg Metformin pills per day. Apart from diagnosis HbA1c almost 12-all HbA1c results none diabetic. For over eight years my diabetes medication has not changed. My weight has remained stable, I have suffered no ill effects from my diet whatsoever. Every blood test has proved, I took the right road to my diabetic salvation. For almost seven years, I have asked medical professionals and naysayers, how do I maintain non diabetic BG levels on two Metformin other than low carb ? The silence has been deafening !
    avatar
    Eddie
    Member

    Status :
    Online
    Offline

    Male Posts : 3805
    Join date : 2014-08-13
    Age : 68
    Location : London

    Re: Diabetics do you want to know your complication risk?

    Post by Eddie on Sat Jan 16 2016, 20:05

    Did anyone else try this tool out? If so what were your results.


    _________________
    Type two diabetic-low carb diet (50 carbs per day) and two 500mg Metformin pills per day. Apart from diagnosis HbA1c almost 12-all HbA1c results none diabetic. For over eight years my diabetes medication has not changed. My weight has remained stable, I have suffered no ill effects from my diet whatsoever. Every blood test has proved, I took the right road to my diabetic salvation. For almost seven years, I have asked medical professionals and naysayers, how do I maintain non diabetic BG levels on two Metformin other than low carb ? The silence has been deafening !
    avatar
    graham64
    Member

    Status :
    Online
    Offline

    Male Posts : 3658
    Join date : 2014-08-10
    Location : Lancs

    Re: Diabetics do you want to know your complication risk?

    Post by graham64 on Sat Jan 16 2016, 23:28

    @Eddie wrote:Did anyone else try this tool out? If so what were your results.

    Well mines slightly higher than yours probably down to my age  Rolling Eyes 


    avatar
    Paul1976
    Moderator

    Status :
    Online
    Offline

    Male Posts : 2436
    Join date : 2014-08-12
    Age : 42
    Location : East midlands,UK

    Re: Diabetics do you want to know your complication risk?

    Post by Paul1976 on Sun Jan 17 2016, 16:32



    Looks like a case of "Could do better" methinks!


    _________________
    Illegitimi non carborundum
    avatar
    Eddie
    Member

    Status :
    Online
    Offline

    Male Posts : 3805
    Join date : 2014-08-13
    Age : 68
    Location : London

    Re: Diabetics do you want to know your complication risk?

    Post by Eddie on Sun Jan 17 2016, 17:18

    @Paul1976 wrote:

    Looks like a case of "Could do better" methinks!

    Don't put yourself down mate. With what you have had to contend with over the last few years you are doing great. Very few type ones hold your numbers. A tweak here and a tweak there and you will get a better result. My results may have been lower, but I have more than a slim chance of croaking over the next ten years. Bring on the Jim Beam's rofl


    _________________
    Type two diabetic-low carb diet (50 carbs per day) and two 500mg Metformin pills per day. Apart from diagnosis HbA1c almost 12-all HbA1c results none diabetic. For over eight years my diabetes medication has not changed. My weight has remained stable, I have suffered no ill effects from my diet whatsoever. Every blood test has proved, I took the right road to my diabetic salvation. For almost seven years, I have asked medical professionals and naysayers, how do I maintain non diabetic BG levels on two Metformin other than low carb ? The silence has been deafening !
    avatar
    Sally
    Member

    Status :
    Online
    Offline

    Posts : 170
    Join date : 2014-08-15

    Re: Diabetics do you want to know your complication risk?

    Post by Sally on Sun Jan 17 2016, 17:34

    I always find it interesting playing with these risk calculators.  Set all but one of the variables and then see what happens when you alter the remaining one.  

    Firstly, I was interested in the HbA1c, partly to try and get an idea of what a lower than 40 HbA1c would produce by extending the line on a graph back to lower levels.  I was surprised to find how shallow the line actually was.  My fixed numbers were white, male, non-smoker, 65 with a systolic bp of 130.  An HbA1c of 40 gave a blindness risk of 2%, going up to HbA1c of 90, which gave 3.2%.  Working back this would mean an HbA1c of 20 (!) would have a risk of 1.6%.  This is beginning to look like nonsense, or is it just me?

    Then I made systolic blood pressure my variable.  Surprisingly, lower (below 120mmHg) wasn't better.  130 was the best place to be with my fixed figures, but things only took a turn for the worse at over 170!  No need to drug yourself into the lowest possible numbers then.

    Finally I played with "age".  As is often the case, this has the most effect.  it would seem that being diabetic for 5 years at age 80 puts you in a riskier place than being diabetic for five years age 60, even though you've got longer to go.

    Fun to play with, but no need to get too worried about it all.  Just another reason for your GP to look at her/his computer, instead of you.  Medicine by numbers.

    Sally
    avatar
    Eddie
    Member

    Status :
    Online
    Offline

    Male Posts : 3805
    Join date : 2014-08-13
    Age : 68
    Location : London

    Re: Diabetics do you want to know your complication risk?

    Post by Eddie on Sun Jan 17 2016, 17:47

    @Sally wrote:I always find it interesting playing with these risk calculators.  Set all but one of the variables and then see what happens when you alter the remaining one.  

    Firstly, I was interested in the HbA1c, partly to try and get an idea of what a lower than 40 HbA1c would produce by extending the line on a graph back to lower levels.  I was surprised to find how shallow the line actually was.  My fixed numbers were white, male, non-smoker, 65 with a systolic bp of 130.  An HbA1c of 40 gave a blindness risk of 2%, going up to HbA1c of 90, which gave 3.2%.  Working back this would mean an HbA1c of 20 (!) would have a risk of 1.6%.  This is beginning to look like nonsense, or is it just me?

    Then I made systolic blood pressure my variable.  Surprisingly, lower (below 120mmHg) wasn't better.  130 was the best place to be with my fixed figures, but things only took a turn for the worse at over 170!  No need to drug yourself into the lowest possible numbers then.

    Finally I played with "age".  As is often the case, this has the most effect.  it would seem that being diabetic for 5 years at age 80 puts you in a riskier place than being diabetic for five years age 60, even though you've got longer to go.

    Fun to play with, but no need to get too worried about it all.  Just another reason for your GP to look at her/his computer, instead of you.  Medicine by numbers.

    Sally

    A great post Sally, I agree with you. I think we should look at this tool as a rough guide. As we all know there are a 1001 variables with diabetes as with many other health conditions. A diabetic could look to have a good chance of avoiding the two complications mentioned, but go down with a different complication such as CVD.

    Maybe in time as more data is added and the algorithm becomes more refined the tool will become more accurate. The bottom line, it may help to encourage some to better control of their diabetes.


    _________________
    Type two diabetic-low carb diet (50 carbs per day) and two 500mg Metformin pills per day. Apart from diagnosis HbA1c almost 12-all HbA1c results none diabetic. For over eight years my diabetes medication has not changed. My weight has remained stable, I have suffered no ill effects from my diet whatsoever. Every blood test has proved, I took the right road to my diabetic salvation. For almost seven years, I have asked medical professionals and naysayers, how do I maintain non diabetic BG levels on two Metformin other than low carb ? The silence has been deafening !

    Sponsored content

    Re: Diabetics do you want to know your complication risk?

    Post by Sponsored content


      Current date/time is Sat Oct 20 2018, 07:50