Friday, January 18, 2013


The aim of medicine must be to prevent diseases, if possible. Curative medicine is expensive and most diseases, impossible.
Looking through the journals from the beginning of 2013,I came across this rather interesting, simple ( read cheap ) study on the relationship between low social economic status and onset of T2DM.
Dr Zoe Lysy and colleague from the University of Toronto, Ontario, Canada, published an interesting study on this in the Diabetes Research and Clinical Practice Journal, Jan 10th 2013. They looked at the Population based Diabetes Registry and Census of Ontario. They were comparing the T2DM rates with the social economic status and their age. The census was from April 1st 2006-March 31-2007. There were 88,886 subjects, in all in the cohort. They found that the highest incidence of diabetes was in the lowest quintile of the social economic status. The lowest inceidence was in the highest quintile. They also notice that the young in the lowest social economic status cohort, had the highest incidence.
Basically what it means is that in this Canadian population, the poor had more diabetes than the rich and amongst the poor, the young had a higher incidence than the old.
This data is interesting. Why? is the obvious question? Is it the diet, rich in simple carbohydrates, sugary drinks? or the fats in their diet? Or is it that the rich are more educated and so have more discipline and health consciousness. Has it got to do with exercise? or just general healthier lifestyle?

It will be interesting to see our own data, and see how we can draft preventive program, so as to avoid this very chronic and debilitating disease, called diabetes mellitus which also consumes a lot of our health care budget.

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