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Your news item about the national diabetic audit is sensational and
does not reflect the real position in the country. Type 1 diabetics are
often looked after in hospital and it is often difficult in General
practice to obtain from the hospital the results of various checks like
blood pressure and Hbaic let alone foot examination. Just because it is
not recorded does not mean it is not done.
It is not clear how the reporter differentiates maturity onset
diabetes and type 2 diabetes. This is sloppy reporting.
As to complications, most of these are self induced from years of
eating too much of the wrong food, taking too little exercise and smoking
too much. These habits are well known to be more prevalent in poorer
communities in the West. It is also the pattern in richer communities in
developing countries. The standard of health care may indeed be worse in
poorer communities but this cannot be extrapolated from the report.
If diabetics want to delay their complications then a smoke free,
active vegeterian life is a good start. Also joining the BDA to be
informed about what to expect from their doctor.