100 years ago, the discovery of insulin transformed diabetes care. Three experts weigh in on the advances that might shape the next century in diabetes care [Sponsored by AmDiabetesAssn]
The first description of diabetes was recorded in Egyptian medical texts around 552 BC. But, as recently as a century ago, the most effective treatment available was a strict low carbohydrate diet, which wasn’t terribly effective. People with diabetes tended not to live long.
At the moment, the field is at a juncture. Diabetes treatment options have never been better but diabetes rates have never been higher. With the next 100 years starting now, what lies ahead? Mikhail Kosiborod, a cardiologist at St. Luke’s Mid-America Heart Institute and professor of Medicine at the University of Missouri Kansas City, was also a panelist at the event. He explained that most scientists agree the sharp increase in type 2 diabetes is due, largely, to “skyrocketing rates of obesity.” In 1999, 30 percent of Americans were obese; that figure rose to 42 percent by 2018.
Getting ahead of diabetes All three experts discussed the urgent need to better educate the public about diabetes. A recent Harris poll revealed more than 60 percent of people surveyed were aware of associated heart and kidney disease risks.6 While diagnosis and treatment are critical, prevention is perhaps even more so. “Lifestyle is the cornerstone on which everything is built,” Draznin said. That is often easier said than done. “If you live in a place where it’s unsafe to walk or can’t obtain or afford healthy foods, then the deck is already stacked against us,” Tuttle said. “I think that we need major societal and cultural shifts to support people. Public health needs to be a priority.
Such research has transformed diabetes management into “one of the most evidence-based [fields] in the entirety of medicine,” Kosiborod said. “We’re living in an age of renaissance...with many highly efficacious and well-tolerated treatments that can be life-changing for patients with diabetes.”
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