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These studies suggest that diabetes can contribute to mortality, particularly through complications such as cardiovascular diseases, infections, and renal issues, although improved management and care have enhanced survival rates.
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Diabetes is a significant contributor to global mortality. In 2019, it was estimated that 4.2 million deaths among adults aged 20-79 years were attributable to diabetes, accounting for 11.3% of global deaths in this age group. This highlights the severe impact of diabetes on mortality rates worldwide.
While diabetes itself is a critical health issue, most deaths among diabetic patients are due to related complications rather than direct metabolic emergencies. Cardiovascular diseases, infections, and cancers are the leading causes of death among diabetic individuals . For instance, in Japan, a survey of 45,708 diabetic patients revealed that malignant neoplasia (38.3%), infections (17.0%), and vascular diseases (14.9%) were the most frequent causes of death.
The risk of death in diabetic patients is influenced by glycemic control and the presence of complications. Poor glycemic control and severe renal complications significantly increase mortality risk. A study from the Swedish National Diabetes Register found that younger patients with poor glycemic control had a higher risk of death compared to older patients with better control. This underscores the importance of managing blood glucose levels and monitoring for complications to reduce mortality risk.
Efforts to track diabetes-related mortality have shown that people with diabetes die at about twice the rate of those without the condition. However, death certificates often underreport diabetes as a cause of death, leading to an underestimation of its impact. Studies have shown that diabetes is more likely to be reported on death certificates when the cause of death is cardiovascular-related.
Diabetes significantly affects mortality across all age groups, but the impact varies. In older populations, diabetes is a major contributor to morbidity and mortality, reducing life expectancy. For younger individuals, the risk of death is higher when diabetes is poorly managed, particularly in the presence of complications like diabetic ketoacidosis or hypoglycemia.
In summary, diabetes is a major cause of mortality globally, primarily due to its complications rather than direct metabolic emergencies. Effective management of blood glucose levels and complications is crucial in reducing the mortality risk associated with diabetes. Despite improvements in diabetes care, the condition continues to pose a significant health challenge, emphasizing the need for ongoing prevention and management strategies.
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