Home Diabetes Why the first years matter most for diabetes control

Why the first years matter most for diabetes control

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Type 2 diabetes is a common condition that affects millions of people around the world. It happens when the body cannot properly control blood sugar levels.

Over time, high blood sugar can damage blood vessels and organs, leading to serious problems such as heart disease, stroke, kidney failure, and vision loss. Because of this, managing blood sugar is one of the most important parts of staying healthy with diabetes.

A new study from researchers at the Universities of Gothenburg and Oxford has shown that when people control their blood sugar early, especially in the first few years after diagnosis, it can have long-lasting benefits. The study suggests that what happens at the beginning of diabetes may shape a person’s health for many years to come.

The research was led by Professor Marcus Lind and published in the journal Diabetes Care. The team used data from a well-known long-term study called the UK Prospective Diabetes Study, or UKPDS. This study followed people with type 2 diabetes for many years and collected detailed information about their health.

The researchers wanted to understand how blood sugar levels in the early years after diagnosis affect the risk of serious outcomes later in life. They focused on two major risks: heart attacks and death. These are among the most serious complications of diabetes.

To measure blood sugar control, the researchers looked at a value called HbA1c. This is a blood test that shows the average blood sugar level over the past two to three months. Lower HbA1c levels generally mean better blood sugar control.

The study found that people who reached their target blood sugar level early, with an HbA1c of 52 mmol/mol or lower, had a much lower risk of dying in the future. Over the next 10 to 15 years, their risk of death was reduced by about 20 percent.

In contrast, people who did not control their blood sugar well in the early years and only improved it much later saw very little benefit. If good control was delayed until 10 years after diagnosis, the risk of death was reduced by only about 3 percent.

This large difference shows that early action is very important. Waiting too long to control blood sugar can reduce the chance of long-term benefits.

The study also supports an idea known as the “glycemic legacy effect.” This means that good blood sugar control early in the disease can have lasting positive effects, even many years later. In fact, earlier research has shown that these benefits can last for up to 30 years.

This effect has already influenced diabetes treatment guidelines around the world. Doctors now understand that early and effective management is key, rather than waiting until problems appear.

Another important message from this study is the need for early detection of type 2 diabetes. Many people have high blood sugar for years without knowing it. During this time, damage can slowly build up in the body. By the time the condition is diagnosed, some harm may already have been done.

Finding diabetes early allows people to start treatment sooner. This can include changes in diet, regular physical activity, weight management, and medications if needed. Regular monitoring of blood sugar is also important to keep levels under control.

For people who already have diabetes, this study is a strong reminder to take the condition seriously from the beginning. Working closely with doctors and following a clear treatment plan can make a big difference in long-term health.

The findings offer a hopeful message. While type 2 diabetes is a serious condition, early action can greatly reduce the risk of complications and help people live longer, healthier lives.

By focusing on the first few years after diagnosis, both patients and healthcare systems have an important opportunity to change the future course of the disease.

If you care about diabetes, please read studies about Vitamin D and type 2 diabetes, and what you need to know about avocado and type 2 diabetes.

For more information about diabetes, please see recent studies about how to eat to prevent type 2 diabetes, and 5 vitamins that may prevent complication in diabetes.

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