Berlin - The risk of developing type 2 diabetes is widely underestimated. Almost 80 percent of those surveyed who, according to test result, have an increased risk of developing type 2 diabetes, rate their risk of the disease as low themselves. This was the result of nationwide survey conducted by the Robert Koch Institute () and the Federal Center for Health Education ().
“The risk of developing diabetes is far too often underestimated. This can have serious consequences. It is therefore important that diabetes is detected early and treated in good time, ”said Federal Health Minister Jens Spahn (CDU) on the occasion of World Diabetes Day on November 14th.
The RKI has now presented the first report of the National Diabetes Surveillance ("Diabetes Monitoring"). According to this, around seven million people in Germany have diabetes, most of them type 2. More than 500,000 adults develop the disease every year.
According to the report, total of 9.2 percent of 18 to 79 year olds diabetic. The proportion of diagnosed diabetes diseases rose from 1998 to 2010 from 5 percent to 7.2 percent. The proportion of undetected diabetes fell from 3.4 percent to 2 percent in the same period, which, according to the RKI, is due, among other things, to the improved early detection.
are particularly problematic apparently the men. According to the report, the proportion of men with undetected diabetes is 2.9 percent, that of women just 1.2 percent, which adds up to 2 percent.
"The prevalence of the known Diabetes, as well as that of undetected diabetes, is still significantly higher in both sexes in the lower educational group than in the middle or upper educational group ", write the authors of the report.
" Diabetes belongs in Germany and in many other countries on the most important non-communicable diseases and thus on the major public health challenges. We have to act collectively here, ”said RKI President Lothar Wieler.
The diabetes report presents results for four areas of activity: reducing risks, improving early detection and treatment, reducing complications, and lowering the burden of illness and costs. The Federal Ministry of Health has been promoting the establishment of the National Diabetes Surveillance since the end of 2015. Surveillance brings together and processes essential information on diabetes from available data sources.
More cases of gestational diabetes
The report documents decrease in risk factors such as smoking and lack of exercise. In addition, there are fewer complications from diabetes such as blindness and amputations. However, the experts register an increase in gestational diabetes.
In 2017, total of 44,907 women with inpatient delivery were diagnosed with gestational diabetes, proportion of 5.9 percent. This proportion has increased continuously since 2002. This blood sugar disorder resolves in most women after childbirth, but increases the risk of birth complications for mother and child as well as the risk of women developing type 2 diabetes later.
The cause of the increase of gestational diabetes is therefore the increasing average age of the mothers at birth and the increase in excess weight, which is also risk factor. In addition, screening for gestational diabetes is now health insurance benefit.
The German Diabetes Society () warns on the occasion of World Day, patients over the age of 50 should be routinely screened for diabetes at hospitalization. “When they come to the hospital, usually only those complaints are treated that were the immediate reason for the admission. As secondary diagnosis, however, diabetes is often not taken into account - in the case of unknown diabetes, it is even overlooked, "said the specialist society.
For these patients, for example, cortisone therapy, an infection or an operation could have serious consequences: blood sugar could derail and, in the worst case, the patient could fall into diabetic coma. "Clinic staff can also avoid any connections between the illness that justifies the hospital stay and existing diabetes," says the DGG.
On the advantages of caring for diabetics within the framework of structured treatment programs (Disease Management Programs , DMP) pointed them out today. “Anyone who develops diabetes is not only prescribed medication or insulin injections, but also has to change their everyday life. That is why it is important to support diabetics with the implementation through qualified training and supervision. The DMP offer the appropriate framework for this, ”said Jörg Berling, deputy chairman of the KV.
The BZgA and its cooperation partners offer self-test to better assess one's own disease risk and better prevent diabetes. “An important step in prevention is to become aware of your own risk of illness and to take the online test. Questions are asked about diet and exercise habits, family history and waist size, ”said BZgA head Heidrun Thaiss.
On the occasion of World Diabetes Day, the technology company Withings evaluated anonymously collected user data from fitness watches and other networked health products.The company's focus was on the risk factors of obesity and physical inactivity. The result: On average, 44 percent of German users have one or both risk factors.