Alcohol became an important cause of death among patients with type 1 diabetes. This trend is increasing from the 1980s of the last century. The results of the study assessing the risks associated with alcohol consumption were published in the British Medical Journal.<
Alcohol next to smoking and hypertension, is a major cause of health loss and premature death. Countries of the European Union have the highest share of drinkers and the highest level of alcohol consumption in the population. It is estimated that approximately 21% of adult Europeans consume alcohol in a risky or harmful way. According to the WHO report from 2011, the consumption of alcohol in Poland has reached the amount of 13,3 l/person, of which about 1/3 of were the spirit beverages. Type 2 diabetes has become one of the main lifestyle diseases and is one of the most common problems everyday medical practice. Worldwide, in every 10 seconds it is diagnosed in two individuals and one person dies because of its complications. According to the World Health Organization diabetes was detected in 30 million people in 1985, 10 years later in 135 million, and in 2000 – 175 million. It is estimated that in 2030 there will be recorded 366 million patients suffering from diabetes. Without a doubt, we can speak of exponential growth of the new diagnosed diabetes. In case of type 1 diabetes the attention is drawn to the genetic factors, viral infections and environmental factors – medicines, toxins and early exposure to cow’s milk protein. Previously described studies proved that drinking 4 cups of coffee a day reduces the risk of developing type 2 diabetes, compared to people who do not drink coffee. Up to date reports correlate alcohol with the risk of death in patients with type 1 diabetes.
A study published in the British Medical Journal gave attention not only to alcohol but also to the survival of patients with type 1 diabetes. It appeared that individuals with an early diagnosis (0-14 years) had better prognosis, than individuals with late diagnosis (15-29 years). Despite the development of medicine, patients with type 1 diabetes still are exposed to premature death due to acute and chronic complications of this disease. What’s surprising, late development of diabetes does not improve the outcomes of patients. Scientists in Finland evaluated 17 306 patients with type 1 diabetes diagnosed before 30 years of age. Participants of the study were observed for 21 years and were subjected to analysis of survival with the exact determination of death causes. An increased mortality associated with alcohol consumption, drugs intake and acute complication of diabetes was found. Alcohol and drugs together as the cause of death were up to 39% of all deaths in the late onset diabetes group. Scientist conclude that there is a need of maintaining continuous and long-term doctor-patient contact, very detailed supervision and guidance on the subject of alcohol. Counselling should include not only dietary recommendations, but recommendations and damage associated with alcohol. This is particularly important in Europe, where its consumption is high. Alcohol bites the dust?
1. Valma Harjutsalo, Carol Forsblom, Per-Henrik Groop. Time trends in mortality in patients with type 1 diabetes: nationwide population based cohort study. British Medical Journal, 2011; 343: d5364 DOI: 10.1136/bmj.d5364
2. Worrying rise in alcohol related deaths among patients with diabetes. ScienceDaily. Retrieved May 30, 2012, from http://www.sciencedaily.com /releases/2011/09/110908191051.htm
3. Anderson P, Gual A, Colom J. Alcohol and Primary Health Care: Clinical Guidelines on Identification and Brief Interventions. Department of Health of the Government of Catalonia: Barcelona, 2005.
4. Report of World Health Organisation (WHO), 2011.
Want to know more? Watch on medtube.net: “Diabetes Education – 3D Medical Animation”