{"id":27409,"date":"2023-05-10T17:24:07","date_gmt":"2023-05-10T15:24:07","guid":{"rendered":"https:\/\/www.sciencefocus.com\/?p=143497"},"modified":"2023-05-10T17:37:12","modified_gmt":"2023-05-10T15:37:12","slug":"diabetes-is-now-an-epidemic-in-the-uk-heres-how-we-should-fight-it","status":"publish","type":"rss_feed","link":"https:\/\/c01.purpledshub.com\/bbcsciencefocus\/rss_feed\/diabetes-is-now-an-epidemic-in-the-uk-heres-how-we-should-fight-it\/","title":{"rendered":"Diabetes is now an epidemic in the UK. Here\u2019s how we should fight it"},"content":{"rendered":"<p class=\"rssexcerpt\"> The charity Diabetes UK is concerned that the high numbers of people living with overweight or obesity is translating into an increase in cases of type 2 diabetes. <\/p><p class=\"rssauthor\">By Jason Goodyer\n                \t\t<\/p><p class=\"rssbyline\">Published: Wednesday, 10 May 2023 at 12:00 am<\/p><hr class=\"no-tts wp-block-separator\"\/><?xml version=\"1.0\" encoding=\"UTF-8\" standalone=\"yes\"?>\n<!DOCTYPE html PUBLIC \"-\/\/W3C\/\/DTD HTML 4.0 Transitional\/\/EN\" \"http:\/\/www.w3.org\/TR\/REC-html40\/loose.dtd\">\n<html><body> <p>A recent report carried out by Diabetes UK has found that the number of <a href=\"\/\/www.diabetes.org.uk\/about_us\/news\/number-people-living-diabetes-uk-tops-5-million-first-time&quot;\" target=\"&quot;_blank&quot;\" rel=\"&quot;noopener&quot; noopener noreferrer\">people living with diabetes in the UK has topped 5 million<\/a> for the first time ever. This includes an estimated of 850,000 people that are as yet undiagnosed based on Association of Public Health Observatories projections.<\/p>\n<p>We spoke to Esther Walden, a senior clinical advisor based at Diabetes UK, about what is behind the increase in numbers, how we might be able to get the numbers down and how to tell if you are at risk.<\/p>\n<h4>How does diabetes affect the body?<\/h4>\n<p>There are several different types of diabetes, but there are two main types \u2013 type 1 and type 2. In type 1 diabetes, an autoimmune attack destroys the cells in the pancreas that make insulin. Insulin is a <a href=\"&quot;https:\/\/www.sciencefocus.com\/the-human-body\/hormones\/&quot;\">hormone<\/a> that is responsible for moving glucose, or sugar, from the blood into the cells where it\u2019s then used as energy to fuel the cells. People with type 1 diabetes aren\u2019t able to make any insulin anymore.<\/p>\n<p>In type 2 diabetes people either don\u2019t make enough insulin or their bodies don\u2019t respond properly to the insulin that they do make. So what happens is that the sugar they get from their diet builds up in the blood because not enough of it can get into the cells to be used for energy.<\/p>\n<h4>What\u2019s the current situation in the UK?<\/h4>\n<p>We\u2019ve found that for the first time there are over 5 million people living with diabetes in the UK. The split is about roughly 90 per cent type 2 diabetes, 8 per cent type 1 diabetes and 2 per cent other types of diabetes. We\u2019ve seen a rise. We know there are 4.3 million people living with a diagnoses of diabetes in the UK, but we now know that there are about 850,000 people who are living with type 2 diabetes and are yet to be diagnosed.<\/p>\n<p>It\u2019s really important that people know the signs of diabetes so they can get early treatment.<\/p>\n<h4>Why is this rise happening?<\/h4>\n<p>We think there are several factors at play here. One of the biggest risk factors for type 2 diabetes is living with overweight or obesity. Recently, there has been a rise in general levels of living with overweight and obesity in the United Kingdom. It now comes to about <a href=\"text=Adult%20obesity%20in%20England,is%20classified%20as%20'overweight'.&quot;\" target=\"&quot;_blank&quot;\" rel=\"&quot;noopener&quot; noopener noreferrer\">64 per cent of people in England<\/a> and that is translating into an increase in the levels of type 2 diabetes that we\u2019re seeing as well.<\/p>\n<p><strong>Read more about weight loss:<\/strong><\/p>\n<ul><li><a href=\"&quot;https:\/\/www.sciencefocus.com\/the-human-body\/why-its-time-we-changed-our-relationship-with-fat\/&quot;\">Why it\u2019s time we changed our relationship with fat<\/a><\/li>\n<li><a href=\"&quot;http:\/\/stop%20a%20bullet\/&quot;\">Thought experiment: How fat do you have to be to stop a bullet?<\/a><\/li>\n<li><a href=\"&quot;https:\/\/www.sciencefocus.com\/comment\/semaglutide\/&quot;\">Hollywood\u2019s favourite skinny jab is coming to the NHS. And it could be a weight-loss gamechanger<\/a><\/li>\n<\/ul><h4>How is diabetes treated?<\/h4>\n<p>The treatment of type 1 and type 2 diabetes is different. Type 1 diabetes requires lifelong insulin injections. But the treatment for type 2 diabetes needs to be a combination of measures to help people to deal with different lifestyle factors. Things like helping people to eat healthier, be more physically active and lose weight or maintain a healthy weight . But there are other treatments such as medication.<\/p>\n<p>If we can support people earlier, before they are diagnosed, to make these modifications, we can make a real difference. There\u2019s lots of stigma attached to having type 2 diabetes and to living with overweight and obesity. A lot of people will say that people with diabetes have done it to themselves, which is not the case. It\u2019s a complex condition with lots of factors at play.<\/p>\n<p>People need to really feel supported. If weight management, for example, is their goal, then weight management clinics can support them through their journey. We also need to give continued support afterwards, to maintain the changes they make.<\/p>\n<p>I think that as well as general treatment, there\u2019s more government and society can do. Things like looking at the food environment that we live in, looking at areas of low economic income etc. Unless all of these factors are tackled, we\u2019re probably not going to make a big difference.<\/p>\n<h4>How can you tell if you\u2019re at risk?<\/h4>\n<p>It\u2019s important to look out for the signs and symptoms of diabetes. For type 1, these are:<\/p>\n<ul><li>Going to the toilet more often to pass urine<\/li>\n<li>Feeling tired a lot of the time<\/li>\n<li>Feeling thirsty a lot and having to drink lots<\/li>\n<li>Losing weight and getting thinner<\/li>\n<\/ul>\n<p>For people with type 2 diabetes signs to look for, apart from those indicated above, are:<\/p>\n<ul><li>Cuts and wounds taking longer to heal<\/li>\n<li>Blurred vision<\/li>\n<li>Regularly getting up in the middle of the night to go to the toilet<\/li>\n<\/ul>\n<p>If you think that you\u2019ve got any of these signs and symptoms go to see your healthcare professional.<\/p>\n<p>Living with overweight or obesity, particularly if you\u2019ve got excess weight around your middle, is a risk factor. People from ethnic minority populations are more at risk even if they are at lower weights. Black African or South Asian communities have got a 2 to four times higher risk of developing type 2 diabetes.<\/p>\n<p>If you live a particularly sedentary lifestyle that\u2019s also a risk factor. And we know that people who live in areas of socio-economic deprivation are also more likely to get type 2 diabetes.<\/p>\n<p>We\u2019ve got a handy <a href=\"\/\/riskscore.diabetes.org.uk\/start?_gl=1*9n9l5o*_ga*MzkzMjc2NzU1LjE2ODI2MTA3NDI.*_ga_J1HFNSGEX6*MTY4MzcyNjI4OS43LjAuMTY4MzcyNjI5NC41NS4wLjA.&quot;\" target=\"&quot;_blank&quot;\" rel=\"&quot;noopener&quot; noopener noreferrer\">Know Your Risk tool<\/a> on our website. People can fill it in and see if they are at risk and then contact their healthcare professional if they are. In England we have a diabetes prevention program that people can go on so if they are at risk, they can get help before they get diagnosed with diabetes.<\/p>\n<h4>Is it possible to reverse diabetes?<\/h4>\n<p>It is possible to put your type 2 diabetes into remission. The Diabetes UK DiRECT trial using a diet of soups and shakes showed that with support you can help people to lose weight. There are other diets \u2013 of course, one diet doesn\u2019t fit all.<\/p>\n<p>People generally need to lose about 15 kilograms or 10 per cent of their body weight in order to get into remission levels. \u00a0Research has consistently shown that, for some people, combined lifestyle interventions \u2013 including healthy eating, physical activity, and sustained weight loss \u2013 can be <a href=\"\/\/www.diabetes.org.uk\/about_us\/news\/weight-loss-can-put-type-2-diabetes-remission-least-five-years-reveal-latest-findings&quot;\" target=\"&quot;_blank&quot;\" rel=\"&quot;noopener&quot; noopener noreferrer\">effective in reducing their risk of type 2 diabetes by about 50 per cent<\/a>.<\/p>\n<p>It is really important, from a stigma point of view, to say that not all cases of type 2 diabetes can be put into remission. And not everybody with type 2 diabetes lives with overweight or obesity either. But it is achievable for quite a lot of people.<\/p>\n<section class=\"&quot;highlight\"> <div class=\"&quot;highlight__content\" editor-content=\"\"> \n<h4><strong>About our expert, Esther Walden<\/strong><\/h4>\n<p>Esther is a senior clinical advisor based at Diabetes UK. Prior to this she worked as a diabetes specialist nurse.<\/p>\n<p><strong>Read more about diabetes:<\/strong><\/p>\n<ul>\n<li><a href=\"&quot;https:\/\/www.sciencefocus.com\/news\/medical-detection-dogs-can-sniff-out-diabetes\/&quot;\">Medical detection dogs can sniff out diabetes<\/a><\/li>\n<li><a href=\"&quot;https:\/\/www.sciencefocus.com\/news\/high-intake-of-fruit-and-veg-reduces-type-2-diabetes-risk-by-50-per-cent\/&quot;\">High intake of fruit and veg \u2018reduces Type-2 diabetes risk by 50 per cent\u2019<\/a><\/li>\n<li><a href=\"&quot;https:\/\/www.sciencefocus.com\/news\/eating-ultra-processed-foods-could-increase-risk-of-type-2-diabetes-study-finds\/&quot;\">Eating ultra-processed foods could increase risk of type 2 diabetes, study finds<\/a><\/li>\n<\/ul>\n<p> <\/p><\/div> <\/section> <\/body><\/html>\n<hr class=\"no-tts wp-block-separator\"\/>","protected":false},"excerpt":{"rendered":"<p> The charity Diabetes UK is concerned that the high numbers of people living with overweight or obesity is translating into an increase in cases of type 2 diabetes. <\/p>\n","protected":false},"author":24,"featured_media":27410,"template":"","categories":[1],"acf":{"readingTimeMinutes":"6"},"uagb_featured_image_src":{"full":["https:\/\/c01.purpledshub.com\/uploads\/sites\/42\/2023\/05\/diabetes-is-now-an-epidemic-in-the-uk-heres-how-we-should-fight-it.jpg",1200,800,false],"thumbnail":["https:\/\/c01.purpledshub.com\/uploads\/sites\/42\/2023\/05\/diabetes-is-now-an-epidemic-in-the-uk-heres-how-we-should-fight-it-150x150.jpg",150,150,true],"medium":["https:\/\/c01.purpledshub.com\/uploads\/sites\/42\/2023\/05\/diabetes-is-now-an-epidemic-in-the-uk-heres-how-we-should-fight-it-300x200.jpg",300,200,true],"medium_large":["https:\/\/c01.purpledshub.com\/uploads\/sites\/42\/2023\/05\/diabetes-is-now-an-epidemic-in-the-uk-heres-how-we-should-fight-it-768x512.jpg",768,512,true],"large":["https:\/\/c01.purpledshub.com\/uploads\/sites\/42\/2023\/05\/diabetes-is-now-an-epidemic-in-the-uk-heres-how-we-should-fight-it-1024x683.jpg",800,534,true],"1536x1536":["https:\/\/c01.purpledshub.com\/uploads\/sites\/42\/2023\/05\/diabetes-is-now-an-epidemic-in-the-uk-heres-how-we-should-fight-it.jpg",1200,800,false],"2048x2048":["https:\/\/c01.purpledshub.com\/uploads\/sites\/42\/2023\/05\/diabetes-is-now-an-epidemic-in-the-uk-heres-how-we-should-fight-it.jpg",1200,800,false]},"uagb_author_info":{"display_name":"importmanagerhub@sprylab.com","author_link":"https:\/\/c01.purpledshub.com\/bbcsciencefocus\/author\/importmanagerhubsprylab-com\/"},"uagb_comment_info":0,"uagb_excerpt":"The charity Diabetes UK is concerned that the high numbers of people living with overweight or obesity is translating into an increase in cases of type 2 diabetes.","_links":{"self":[{"href":"https:\/\/c01.purpledshub.com\/bbcsciencefocus\/wp-json\/wp\/v2\/rss_feed\/27409"}],"collection":[{"href":"https:\/\/c01.purpledshub.com\/bbcsciencefocus\/wp-json\/wp\/v2\/rss_feed"}],"about":[{"href":"https:\/\/c01.purpledshub.com\/bbcsciencefocus\/wp-json\/wp\/v2\/types\/rss_feed"}],"author":[{"embeddable":true,"href":"https:\/\/c01.purpledshub.com\/bbcsciencefocus\/wp-json\/wp\/v2\/users\/24"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/c01.purpledshub.com\/bbcsciencefocus\/wp-json\/wp\/v2\/media\/27410"}],"wp:attachment":[{"href":"https:\/\/c01.purpledshub.com\/bbcsciencefocus\/wp-json\/wp\/v2\/media?parent=27409"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/c01.purpledshub.com\/bbcsciencefocus\/wp-json\/wp\/v2\/categories?post=27409"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}