Health
1 in 3 people with type 2 diabetes in Austria stop treatment abruptly
A research team led by the Complexity Science Hub Vienna and the Medical University of Vienna Prevalence of type 2 diabetes I stayed in Austria for the first time as part of my research. In addition to confirming clear regional differences, we also uncovered some surprising numbers that were previously unknown. One in three people abruptly stop treatment and have gone without medication or checkups for at least a year. And, as this study also showed, this group had a higher mortality rate than those with diabetes who received regular care. The results are published in the latest issue. scientific report.
Until now, data on the prevalence of diabetes in Austria have been based on estimates or surveys. But now, in the first-ever national scientific study of diabetes incidence, patients taking medications (hyperglycemic drugs) and medical monitoring of blood sugar levels (HbA1c) between 2012 and 2017 The exact number of patients has been identified. It sheds light on a group whose size was unknown until now. Of the 746,184 patients analyzed, approximately 268,680, more women than men (140,960), discontinued treatment or disease monitoring for at least 1 year. In this group, the researchers were also able to demonstrate significantly higher mortality.
The cause of death for members of this subgroup is unknown, and a causal relationship between treatment discontinuation and death has not been proven, although from a clinical point of view some association cannot be ruled out. “
Alexandra Kautzky-Willer, Principal Investigator, MedUni Vienna Third School of Medicine
Especially for people with diabetes, willingness to seek treatment plays an important role in avoiding as many serious complications as possible, such as cardiovascular disease, renal failure, blindness and neuropathy.
Analysis of datasets covering the services provided
The researchers obtained their findings by analyzing national data on services provided collected by the Dachverband der Sozialversicherungsträger, the umbrella organization of Austria’s social insurance institutions. “We have developed a new epidemiological model of diabetes progression to allow us to identify patients with diabetes who have stopped or temporarily interrupted their treatment,” said Peter Klimek, principal investigator at Complexity Science Hub Vienna. said.
New Diabetes Cluster Confirmed in Western Austria
In addition to revealing trends related to diabetes incidence, the new procedure also revealed substantial regional differences in Austria, which were disaggregated at district level for the first time. Incidence maps corroborate the East-West disparities identified in previous studies, showing that the highest incidence was found in northeastern Austria, particularly Bruck/Leitha, but not in the western (Imst and Schwaz districts). ) have also revealed new diabetes clusters. Same for Innsbruckstadt). “These new outbreaks require as much attention as the large number of people who are discontinuing diabetes treatment,” concluded Dr. Alexandra Kautsky-Willer. Further studies will explore the reasons why patients stop or temporarily discontinue treatment so that targeted measures can be taken.
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Reference magazines:
Caleta, M., other. (2023) Diabetes prevalence trends in Austria 2013-2017. scientific report. doi.org/10.1038/s41598-023-35806-0.
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