Mortality

Diabetes represents an underlying and contributing cause of death that places it among the top 10 causes of death in developed countries. In Western countries, DM ranks seventh as a cause of death. In the United States from 1976 to 1983, diabetes was listed as the cause of death in 14.8 per 100,000 population. This rate was considerably higher in Mexico and in the Caribbean, with rates as high as 45 deaths per 100,000 for Trinidad and Tobago. In Africa the mortality rates are generally below 10 per 100,000. In

Table VTII.34.3. Diabetes mortality trends by country and geographic area, 1970-2 and 1976-83 (rates per 100,000 population)

Area and country 1970-2 1976-83 Increase/Decrease

Africa

Egypt

6.0

7.1 t

Mauritius

12.9

17.1 Î

Americas

Canada

8.9

13.0 Î

United States

18.8

14.8 i

Mexico

19.8

18.8 1

Venezuela

8.9

11.4 Î

Asia

Singapore

9.6

15.1 t

Hong Kong

7.2

5.1 1

Japan

7.4

7.1 i

Europe

England and Wales

10.8

9.3 i

Malta

76.3

21.7 i

Sweden

11.9

19.4 î

Source: World Health Organization (1972, 1984).

Asia rates range from 5.1 per 100,000 for Hong Kong to 15.1 per 100,000 for Singapore. In Europe, the rate ranges from a high of 21.7 per 100,000 for Malta to a low of 9.4 per 100,000 for England and Wales.

The best early data on mortality are reported by Joslin and his associates in the 11 editions of Joslin's book, Treatment of Diabetes Mellitus, the first of which was published in 1916. These volumes document a trend toward a decrease in early mortality from diabetes, due to increasing sophistication in therapeutic approaches, particularly with the advent and wide-scale use of insulin. Table VIII.34.3 reports comparative statistics for changes in diabetes mortality rates by geographic region for both developed and developing nations.

Supplements For Diabetics

Supplements For Diabetics

All you need is a proper diet of fresh fruits and vegetables and get plenty of exercise and you'll be fine. Ever heard those words from your doctor? If that's all heshe recommends then you're missing out an important ingredient for health that he's not telling you. Fact is that you can adhere to the strictest diet, watch everything you eat and get the exercise of amarathon runner and still come down with diabetic complications. Diet, exercise and standard drug treatments simply aren't enough to help keep your diabetes under control.

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