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Why are diabetes-related complications on the rise?

September 11, 2019

About the Authors

photo of George King, MD

George King, MD, Contributor

George L. King, M.D., is the Senior Vice President, Chief Scientific Officer at Joslin Diabetes Center, as well as a Professor of Medicine and Ophthalmology at Harvard Medical School. He received his medical degree from Duke … See Full Bio
View all posts by George King, MD
photo of Marc Gregory Yu, MD

Marc Gregory Yu, MD, Contributor

Marc Gregory Y. Yu, MD is an American Diabetes Association (ADA) research fellow in the Section of Vascular Cell Biology at Joslin Diabetes Center. He finished medical school at the top of his class at the … See Full Bio
View all posts by Marc Gregory Yu, MD


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September 12, 2019

“plus the skyrocketing costs of insulin and newer medications, may have likewise contributed to the rising complication rates.”

May have? I don’t think there’s much question, some people have already died because they kept skimping on insulin because either they had no insurance or their insurance doesn’t pay for medications like insulin. The price of insulin has doubled since 2012, and that probably doesn’t take in account how much certain types cost, long acting, short-acting, etc., quite a few diabetics use both types.
Anyone who lives in a rural area, particularly if he/she isn’t upper income will have difficulty finding an endocrinologist to provide care, that’s not mentioned as a factor in the higher rates of diabetes-related complications.

Art Savard
September 12, 2019

I am a 12 year Type 2 age 76 Vietnam vet who could not have picked a worse agent orange location to spend a year in.

I take two 850 Metformina day and three shots each of Novolon N and R. My A1c was near 8 when diagnosed and 5.5 to 5.7 historically with meds.

My gut feeling managing energy and sleep is that the liver is the Red headed step child when it comes to managing the disease. It seems I pretty much have to eat fat and protein in small bites all day using a vinegar based approach managing hypo initiation to eliminate nausea so food can go down.

Some foot pad neuropathy and muscle cramping in left leg beneath the knee.

Get on that liver thing.


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