People with diabetes at greater risk of suffering heart failure

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Published on Monday, 10 December 2012 11:38
Posted by Vicki Mitchem

People with diabetes are 65 per cent more likely to have heart failure than the general population in England and Wales – ground-breaking new results from the one of the world's largest audits show today.

They are also at a much greater risk of potentially fatal conditions like heart attack, angina and stroke and of needing amputations, according to the National Diabetes Audit, which analysed the care of nearly two million people with diabetes in 2010/11 in England and Wales.

In 2010/11 - 45,000 people with diabetes suffered heart failure – 17,700 (65 per cent) more than the number expected (27,300).

Thought to be the largest of its kind in the world and now in its eighth year, the audit is managed by the Health and Social Care Information Centre (HSCIC) in partnership with Diabetes UK and Diabetes Health Intelligence and commissioned by the Healthcare Quality Improvement Partnership (HQIP).

Its latest findings, which are standardised to take into account differences between the general and diabetic populations, also show that people with diabetes in England and Wales are:

Complications

  • 48 per cent more likely to suffer a heart attack: 14,500 people with diabetes suffered this complication in 2010/11 – when 9,800 of such cases were expected.
  • 25 per cent more likely to suffer a stroke: 17,900 people with diabetes suffered this complication in 2010/11 – when 14,300 of such cases were expected.
  • 144 per cent more likely to need renal replacement therapy (dialysis or kidney transplant): 9,800 people with diabetes needed this treatment in 2010/11 – when 4,000 were expected.
  • 331 per cent more likely to need a minor amputation (part of the foot): 3,000 people needed this treatment in 2010/11 – when 700 of such cases were expected.
  • 210 per cent more likely to need a major amputation (below or above the knee): 1,700 people with diabetes suffered this complication in 2010/11 – when 600 of such cases were expected.

Excess death

  • At 40 per cent higher risk of death than the general population: 65,700 people with diabetes died in 2011 – when 47,000 such deaths were expected. Taking into account patients not captured in the audit, it is estimated there were 22,200 excess deaths in England and 1,900 in Wales among people with diabetes.
  • The excess risk is much higher among people with Type 1 diabetes – at 135 per cent, compared to 36 per cent for people with Type 2 diabetes. For patients captured in the audit, this equates to 3,100 people with Type 1 diabetes dying in 2011 when 1,300 such deaths were expected, and 60,900 people with Type 2 diabetes dying when 44,600 deaths were expected.
  • Women with diabetes were at a greater relative risk of death than men with the condition: at 142 per cent for Type 1 and 40 per cent for Type 2 for women, compared to 130 per cent and 33 per cent respectively for men.

Audit lead clinician Dr Bob Young, consultant diabetologist and clinical lead for the National Diabetes Information Service, said: "These results highlight the huge impact of diabetes on disability and premature death. Much can be done to reduce these risks if all health care sectors work together with people who have diabetes. Some districts have appreciably lower diabetes related complications than others. Improving treatment for diabetes should be a top priority for all clinical services."

Source: ©NHS Information Centre

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