Diabetes black spots and death by postcode

doi:10.1136/bmj.322.7299.1375

BMJ 2001;322:1375-1376 ( 9 June )

Editorials

Diabetes black spots and death by postcode

The incidence, and inequity, of diabetes are likely to be worsened by obesity

Papers p 1389

The first 150 words of the full text of this article appear below.

Like the villain in Treasure Island, diabetes is well known for handing the "black spot" of early demise to its victims. Thisreputation will be enhanced by a study in this week's BMJ fromSouth Tees, one of the United Kingdom's black spots for both povertyand premature death, mainly from cardiovascular disease. Roperet al present a depressing snapshot of the prospects for diabeticpeople in the UK today, which shows diabetes to be particularlymean: sexist, ageist, and with a clear tendency to kick the underdog(p 1389).¹

Of their 4800 diabetic subjects, a quarter died during the study's six year span $---$ an overall mortality about 2.2 times thenational average. Those who developed diabetes youngest had theirlives shortened the most: life expectancy was reduced by nineyears for those diagnosed by the age of 40 but by only one yearfor those diagnosed at 80. Women diagnosed between . . . [Full text of this article]

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