Diabetes ‘linked to disability risk’

Diabetes ‘linked to disability risk’

Untreated diabetes may end up in complications consisting of heart disease and stroke

Adults with diabetes have a more robust risk of physical disability, research shows.

Older those with diabetes are 50% to 80% likely to develop a physical disability than those without, in step with a review of 26 studies.

No distinction was made between type-1 and kind-2 diabetes, but lots of the data involved people over the age of 65, who’re likely to have type-2.

Ensuring everyone with diabetes have access to the suitable care is hugely important, said a diabetes charity.

The study, published within the journal the Lancet Diabetes & Endocrinology, reviewed data from thousands of patients all over the world.

Disability was defined as impaired mobility and the shortcoming to accomplish normal activities resembling bathing, eating, shopping or using transport.

The Australian researchers say the excuses behind the link are unclear, but high blood sugar levels could lead to muscle damage over the years.

“The complications related to diabetes, which includes heart disease, stroke, and kidney disease, can all bring about disability,” said study leader Dr Anna Peeters and Dr Evelyn Wong, of the Baker IDI Heart and Diabetes Institute in Melbourne.

“Because the world’s population ages, and diabetes becomes more common, it kind of feels clear that we’ll see an increased need for disability-related health resources, which health systems worldwide must be prepared for.”

Right care

Previous studies have given a confusing picture of the dimensions of the link between diabetes and disability, with estimates starting from zero risk to double.

Dr Edward Gregg, of the Centers for Disease Control and Prevention, in Atlanta, US, said the brand new analysis was the primary to quantify the level of disability diabetes causes.

“We’ll must consider preventing disability as one among our priorities in managing and working with diabetes,” he said.

The charity Diabetes UK said the research showed another time that diabetes complications could bring about serious life-limiting disability.

Head of analysis, Dr Matthew Hobbs, said: “It emphasises why preventing type-2 diabetes and ensuring that every one individuals with diabetes have access to the proper care is so hugely important. “

The link could be explained by the undeniable fact that complications brought on by consistently high blood glucose levels, equivalent to amputation, blindness, heart disease and stroke were, themselves, major causes of disability, he said.

Another possible explanation is that risk factors for type-2 diabetes, resembling being overweight, also increase the chance of disability.

“Eating a healthy, balanced diet and being more physically active to your everyday life might be useful to scale back your risk of developing type-2 diabetes,” said Dr Hobbs.

Sir Ranulph Fiennes: Diabetes link to Antarctica injury

Sir Ranulph Fiennes: Diabetes link to Antarctica injury

 

Sir Ranulph Fiennes: “That hand wasn’t going to be any good for minus 40 not to mention minus 80”

The suspected onset of diabetes can have been accountable for the frostbite that has forced the explorer Sir Ranulph Fiennes to drag out of a gruelling expedition to cross Antarctica throughout the region’s winter.

Speaking to BBC News in Cape Town in his first interview since leaving Antarctica last week, Sir Ranulph said that, while he considered the frostbite “a complete mystery,” an earlier annual medical check-up back inside the UK had indicated that he “was at the verge… of type-two diabetes”.

A South African vascular surgeon, examining his damaged left hand this week, had, he said, “suggested that if that’s a up to date change in my bodily system it… may have gone for any area in my body that was at risk of circulation changes”.

Further tests may be required back inside the UK to substantiate the concept.

Sir Ranulph said it was “a big blow” to be forced to tug out of the six-man Commonwealth team at the first ever try and make a winter crossing of Antarctica, but insisted there has been no point “crying over spilt milk, or split fingers.

“You have to move on. The expedition has not failed. It’s about to set out on schedule… It has got the right team on the planet. This one, make no mistake, goes to succeed.”

Asked if he thought his 68-year-old body, or his sponsors, might now force an end to his distinguished, but famously punishing career, Sir Ranulph said: “i am unable to see this being my last expedition. There isn’t any explanation why it will be.

“Obviously future expeditions must be in a neighborhood where my very annoying left hand doesn’t get inside the way. In order that will change.”

‘One of my hands had gone’

He described the instant he realised that five years of meticulous preparation for a staggeringly dangerous journey had just ended for him.

He was skiing alone, just over two hours from his colleagues, on a flat but rutted track in a white-out – meaning zero-visibility – and testing some new equipment, when he noticed the snow had loosened the bindings on his skis and “one was slipping everywhere in the damned place.

“I needed to tighten them up. i attempted with the outer gloves and couldn’t do it. I needed to take the [outer and] inner gloves off – no alternative – and use my hands. But that’s OK. Minus 30 or warmer – that is the norm.”

It took not up to 20 minutes for him to secure the bindings, but then “I suddenly realised that one in all [my hands] had gone… the opposite one that also had the mitts off was perfectly alright.

“Whenever you see that it’s like wood if you happen to tap the skis I knew that i used to be in trouble and would need to come back.”

With his left hand useless, he struggled slowly back to his team-mates of their vehicles, already aware that “the location had suddenly, unexpectedly and with a high degree of frustration reached a situation where that hand wasn’t going to be any good for -40C let along -80”.

‘I won’t be at the sidelines’

The decision to go away Antarctica was, Sir Ranulph insisted, a handy guide a rough and straightforward one.

“It’s normal sense. Do you opt for the emotional stuff or the facts? In point of fact that me not being there’ll haven’t any impact” at the mission.

“i don’t believe anyone on the planet could celebration a team as efficient because the one we’ve got at once.”

“I said to the team, ‘What would you like to do?’, and each single member of the team said… they desired to keep on” without him, he said, joking that their supplies of food, toothpaste and bathroom paper “on the crudest level… would go a little further”.

Sir Ranulph now plans to come to the united kingdom to play an exceedingly different role.

“I won’t be at the sidelines. i will be inside the centre of the spider’s web… making maximum use of my talents of raising money.”

The expedition is aiming to boost £10m ($15m) for the Seeing is Believing charity, to fight preventable blindness. There’s also a significant educational and scientific programme for him to advertise .

Stuck on a staircase

I met Sir Ranulph at an apartment complex just outside Cape Town. His left hand was heavily bandaged, and he said he was taking strong painkillers that were enabling him to sleep.

Ten years ago, he famously used a fretsaw to chop off the information of his fingers at the same hand after they’d been damaged by frostbite.

“I understand why the Gestapo used to exploit fingers and toes to get what they wanted out of torturing people,” he said, trying to describe the pain that pushed him towards DIY surgery.

In person Sir Ranulph comes across as a strikingly modest, canny and easy man – reluctant to dwell on his own frustrations – 50% of all his past expeditions had failed, he talked about.

As we struggled to arrive his apartment and ended up getting stuck at the emergency staircase attempting to reach the appropriate floor, he laughed on the irony of an awesome explorer apparently unable to locate his own bed.

Sir Ranulph will discover more concerning the damage to his fingers when he returns to the united kingdom. He’s hoping to not lose “greater than an inch” to the frostbite.”

Will he have the capacity to use his left hand one day? “i do not know. Maybe. Maybe not,” he said.

Varicose veins to get laser solution

Varicose veins must be treated with lasers, says NICE

The valves inside the veins can stop working, resulting in a backflow of blood and the characteristic bulge

People with varicose veins must be offered laser or heat treatment, say new guidelines for England and Wales.

The National Institute for Health and Care Excellence (NICE) says, usually, surgery ought to be a final resort.

Up to 1 third of adults within the UK develop varicose veins – swollen, unsightly and sometimes painful veins which have stopped working properly.

As well as being less invasive for the patient, laser therapy is cheaper than surgery for the NHS, says NICE.

Some 35,000 varicose veins procedures are done within the NHS yearly. Switching from surgery to those newer therapies could save the NHS £400,000 a year in England alone, says NICE.

‘Better option’

There was a gentle shift clear of surgery, but many patients are still offered it because the first choice.

In some parts of the rustic, laser and warmth treatment are rarely offered.

Although surgery will still be wonderful for some, NICE says many patients should instead have either laser treatment or heat therapy (endothermal ablation).

Surgery takes around an hour-and-a-half and requires the patient to receive a general anaesthetic. They are able to usually go home at the same day if all goes well.

In comparison, heat or laser treatment takes about 60 minutes, the patient is awake throughout and that they can normally be discharged from hospital within an hour or so of getting the procedure.

These treatments also are less invasive than traditional surgery because they require fewer or smaller incisions.

For both laser and warmth treatment, a catheter is inserted into the offending vein after which a quick burst of energy is dropped at close and seal it.

Prof Alun Davies, who helped write the hot advice, said: “This guideline shows quite clearly that interventional treatment for some patients that suffer from symptomatic varicose veins is a stronger alternative to surgery, and is both clinically and value-effective. It’s going to help standardise take care of all people with this condition.”

Varicose veins affect mainly older people, but in addition those that stand for long periods of their work and pregnant women.

They could be very uncomfortable and are a standard explanation for leg ulcers.

Queen in hospital with stomach bug

Queen in hospital with stomach bug, Buckingham Palace says

Nicholas Witchell reports at the Queen’s admission to hospital in London

The Queen is in hospital as a precaution, while she is classified for symptoms of gastroenteritis, Buckingham Palace says.

The 86-year-old monarch have been taken to King Edward VII Hospital in London, a palace spokesman said.

She was driven to hospital in a non-public car on Sunday afternoon. The palace said she was “in good spirits”.

All official engagements for this week, including the Queen’s trip to Rome, would be either cancelled or postponed.

She had earlier conducted a medal presentation at Windsor Castle, where she have been resting over the weekend.

‘Good health’

A spokesman for the Queen said she was in “good health”, besides the indicators of gastroenteritis.

He said: “It is a precautionary measure.

“She was not taken into hospital immediately after feeling the indicators. It really is just to enable doctors to raised assess her.”

Prime Minister David Cameron sent his “best wishes” to the Queen, adding in a tweet: “i am hoping she makes a speedy recovery.”

The BBC’s royal correspondent Peter Hunt says the Queen will remain in hospital under observation for roughly two days.

She was last in hospital 10 years ago for a minor knee operation.

The BBC’s Ben Ando, outside the central London hospital, says there’s a small police presence and members of the clicking from worldwide have gathered near the doorway.

There is not any sign of any visitors to the Queen as yet, says our correspondent.

News of her illness emerged on Friday night, and she or he was forced to cancel a visit to Swansea on Saturday to mark St David’s Day in an army ceremony.

Gastroenteritis causes inflammation of the tummy lining and intestines.

Britain’s tallest police officer – PC Anthony Wallyn, who’s 7ft 2in – was the various officers standing guard on the hospital

The infection could be transmitted through contact with an infected person or contaminated foods and drinks. Symptoms can include vomiting, fever and stomach ache.

The Queen’s treatment, which has not been disclosed, could include rehydration and tests to ascertain if the illness have been attributable to infection or an underlying problem.

‘Slightly unwilling’

The Queen were by reason of spend two days in Rome with the Duke of Edinburgh next weekend, on the invitation of Italy’s President Giorgio Napolitano.

It shouldn’t be now clear whether the visit could be re-scheduled.

A reception at Buckingham Palace on Tuesday for MPs and MEPs will go ahead with other members of the royal family present.

According to the BBC’s royal correspondent Nicholas Witchell, the Queen could have gone to hospital slightly unwillingly, as her inclination isn’t to make a fuss.

During last year’s celebrations for the Diamond Jubilee, the Queen spent a rain-drenched day journeying down the Thames as a part of the river pageant – and then her husband, the 91-year-old Duke of Edinburgh, was taken to hospital with a bladder infection.

A&E crisis plans ‘not good enough’

A&E crisis plans ‘not good enough’

Pressures were growing on A&E units for several years

The plans installed place to alleviate the pressure on A&E units in England aren’t adequate, MPs say.

The Health Select Committee said it were given “confusing” and “contradictory” information regarding what was being done.

It prompted the cross-party group to impeach how prepared the NHS can be for next winter.

The report comes after the NHS missed its four-hour waiting-time target within the first three months of this year.

The MPs said a mix of staffing problems and a scarcity of alternatives in conjunction with rising attendances were one of many main factors for the issues.

Their evidence found just 17% of hospitals had the recommended level of consultant cover, while issues of discharging patients and a scarcity of beds often times meant the flow of patients in the course of the system was disrupted.

‘Flying blind’

In the long-term, the MPs urged NHS medical director Prof Sir Bruce Keogh, who’s leading a review of urgent and emergency care, to watch the weaknesses around the remainder of the health service.

They said there has been a lot more the principle care system, which include GPs, urgent care centres and minor injury units, could do to forestall unnecessary visits to A&E.

The MPs also suggested ambulances may be treating more patients on the scene to cut back the selection of transfers to hospital, while the hot 111 non-emergency phone number had to improve at offering advice.

But the strongest criticism was reserved for the plans which have been installed place to handle the pressures being felt

Earlier this year NHS England announced urgent care boards will be created to form action plans and release money to combat the difficulties being faced.

But within the evidence sessions with senior people within the health service, the MPs were left unclear whether or not they were voluntary or compulsory, temporary or permanent.

The MPs also highlighted differences in data that they had been given concerning the scale of the issues, with vastly different impressions given of delayed discharges from hospital and the increases seen in attendances at A&E.

Health committee chairman Stephen Dorrell said: “The system is ‘flying blind’ without adequate details about the character of the demand being placed upon it.”

He said each area had to have a plan place by the top of September to make certain they were ready for the winter.

“The committee is mindful of pressures a good way to build and is worried that current plans lack sufficient urgency,” he added.

Patients Association chief executive Katherine Murphy said: “How a lot more evidence does the govt. and NHS England need before they take notice?

“The system is under increasing pressure and is coming apart on the seams, the time to behave is now.”

A spokesman for NHS England said it recognised there has been work to be done and action plans can be in place by the fall.

“The committee has raised some key issues,” he added.

Patches ‘may beat prostate cancer’

Skin patches ‘may beat prostate cancer’

Prostate cancer cells

Skin patches which deliver oestrogen into the blood could be a cheaper and safer treatment for prostate cancer than current therapies, a study says.

The main treatment is injections of a chemical to chop levels of testosterone – the motive force of many prostate cancers – however it causes unwanted side effects.

The Imperial College London study within the Lancet Oncology compared patches and injections in 254 patients.

It found patches were safe and may avoid menopause-like uncomfortable side effects.

‘Effective treatments’

Using oestrogen to regard prostate cancer is an old treatment.

Both oestrogen and testosterone are very similar chemically, so ramping up the degrees of oestrogen within the body can reduce the quantity of testosterone produced – and slow prostate cancer growth.

However, taking oral oestrogen pills caused significant illnesses by overdosing the liver. The organ then produced chemicals which caused blood clots, heart attacks and strokes.

The preferred treatment is injections of a drug, LHRHa, which reduces the production of both oestrogen and testosterone. However, this has unwanted side effects identical to the menopause in women – leading to poor bone health and diabetes.

The patch releases oestrogen in the course of the skin

Prof Paul Abel, from Imperial College London, said: “We aren’t claiming here is corresponding to current therapies yet, but it surely does appear to be we’re getting castration levels of testosterone.”

However, the researchers must follow patients for longer.

“Your next step is to check if the oestrogen patches are as effective at stopping the expansion of prostate cancer because the current hormone treatments, we’re now testing this in over 600 patients.”

Kate Law, from the charity Cancer Research UK which part funded the study, said: “More men than ever are surviving prostate cancer as a result of advances in research, but we still urgently ought to find more suitable treatments and decrease uncomfortable side effects.

“This trial is a crucial step towards better and kinder treatments that may bring big benefits to men with prostate cancer at some point.”

Dr Iain Frame, director of study at Prostate Cancer UK, said: “It’s unclear as yet if hormone patches may be a high-quality alternative to hormone injections, but we await with anticipation the result of the further trials planned that could in time offer men hope for the longer term.”

Crosby denies PM tobacco discussions

Lynton Crosby: I’ve never spoken to PM about tobacco

Lynton Crosby was the prime minister’s elections adviser since last year

David Cameron’s election strategist has denied having any “conversation” with the prime minister over plain packaging on tobacco sold in England and Wales.

Earlier this month, Mr Cameron decided to not go ahead with plans to take away all branding from cigarette packets.

Labour claims adviser Lynton Crosby’s work for tobacco giant Philip Morris created a conflict of interest.

But Mr Crosby said he had not “lobbied” any minister over the problem of cigarette packaging.

Mr Cameron has insisted that Mr Crosby, who works for the Conservative Party in place of the coalition, has no role in deciding government policy.

Supporters of plain packaging say it’s going to reduce smoking take-up rates among young people

But the choice on whether to adopt one of these policy – already in place in Australia – was delayed earlier this month, with ministers saying it was important to collect more evidence on its effectiveness.

‘Simply false’

Labour has written to Cabinet Secretary Sir Jeremy Heywood, calling for an investigation of the role of Mr Crosby, who runs lobbying firm Crosby Textor.

The prime minister was asked a great number of times if he had spoken to Mr Crosby concerning the plain packaging plans. In answer he has repeatedly said he had not been lobbied by Mr Crosby.

Mr Crosby echoed that once he said: “The prime minister has repeatedly and obviously said that i haven’t lobbied him on anything, including at the issue of tobacco or plain packaging of cigarettes.”

He also went further, denying they’d ever spoken concerning the issue.

Mr Crosby said: “What the PM said have to be enough for any ordinary person, but to circumvent any doubt or speculation let me be clear. At no time have I had any conversation or discussion with or lobbied the prime minister, or indeed the health secretary or the health minister, on plain packaging or tobacco issues.

“Indeed, any claim that i’ve got sought to improperly use my position as part-time campaign adviser to the Conservative Party is just false.”

However, a Labour source told the BBC: “This still leaves more questions than answers. David Cameron and Lynton Crosby are still dodging questions about whether or not they had any conversations on alcohol and personal health.

“David Cameron still has to reply the question about whether Lynton Crosby had any conversations with him.”

Downing Street sources said Mr Cameron was “pleased” Mr Crosby had clarified they’d never had a talk or discussion about tobacco policy or the apparent packaging of cigarettes.