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GidMK's profile
Health Nerd
Health Nerd
Health Nerd
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@GidMK

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Health NerdVerified account

@GidMK

Epidemiologist. Writer (Guardian, Observer etc). "Well known research trouble-maker". PhDing at @UoW Host of @senscipod Email gidmk.healthnerd@gmail.com he/him

Sydney, New South Wales
theguardian.com/profile/gideon…
Joined November 2015

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    1. Health Nerd‏Verified account @GidMK 13 Nov 2018

      But this data is problematic: it's either based on self-report (scientists asking people if they have diabetes) or people enrolled in diabetes services 10/

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    2. Health Nerd‏Verified account @GidMK 13 Nov 2018

      The issue here is that only people who are diagnosed will self-report, or access services But you can live with type 2 diabetes for years without having any outward signs What about undiagnosed people? 11/

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    3. Health Nerd‏Verified account @GidMK 13 Nov 2018

      We aren't entirely sure how many people are living with diabetes without a diagnosis, but recent research has put the figure at 25-50% 12/pic.twitter.com/7tO9edcisn

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    4. Health Nerd‏Verified account @GidMK 13 Nov 2018

      So when we look at our diabetes estimates, we have to add at least 25%, and maybe as much as 50%, on! That means the diabetes prevalence in Australia is probably 8-10%, maybe more 13/

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    5. Health Nerd‏Verified account @GidMK 13 Nov 2018

      Diabetes is also an unequal issue What do I mean by that? Well, people who are disadvantaged - economically, socially, etc - are much more likely to develop type 2 diabetes 14/pic.twitter.com/cBnOWij2SP

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    6. Health Nerd‏Verified account @GidMK 13 Nov 2018

      Poor, rural areas have diabetes rates up to five times (!) higher than wealthy, urban places This gets even worse when we look at ethnicity and other cultural barriers 15/

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    7. Health Nerd‏Verified account @GidMK 13 Nov 2018

      In Australia, Indigenous and Torres Strait Islander peoples see rates of DIAGNOSED diabetes as high as 13% If you include the undiagnosed population, we're looking at somewhere between 17-21% This is a major failing of the health system and society 16/

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    8. Health Nerd‏Verified account @GidMK 13 Nov 2018

      My team has looked at diabetes rates by mapping them across Sydney, and it's fairly easy to see the societal split Red means more diabetes. You can see a pretty clear divide between the wealthier east and more disadvantaged western suburbs 17/pic.twitter.com/Nwd6Ig7rJI

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    9. Health Nerd‏Verified account @GidMK 13 Nov 2018

      This burden of diabetes is a big issue. Diabetes is one of the leading risk factors for ill health globally It causes damage to eyes, kidneys, hearts, and more 18/pic.twitter.com/5PaMAbAOIP

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    10. Health Nerd‏Verified account @GidMK 13 Nov 2018

      It's also very EXPENSIVE. The cost of diabetes to our health system is skyrocketing 19/pic.twitter.com/1aAKPitK34

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      Health Nerd‏Verified account @GidMK 13 Nov 2018

      These increases in diabetes are largely driven by increases in type 2 diabetes Type 2 diabetes is largely driven by increases in weight This brings us back to the "preventable" aspect 20/

      5:02 PM - 13 Nov 2018
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        2. Health Nerd‏Verified account @GidMK 13 Nov 2018

          We estimate that if we could drop the average weight by about 4kg, we would see dramatic reductions in the rate of diabetes 21/pic.twitter.com/u56OdsHqS0

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        3. Health Nerd‏Verified account @GidMK 13 Nov 2018

          This is particularly hard, given the social disadvantage angle It is MUCH easier for people who are wealthy, and can access services, to lose weight (this is what my PhD is on) 22/

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        4. Health Nerd‏Verified account @GidMK 13 Nov 2018

          It's important to remember that social disadvantage affects all areas of the healthcare system For example, some of our research has shown that people who speak a language other than English have much worse outcomes when they are admitted to hospital for diabetes 23/

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        5. Health Nerd‏Verified account @GidMK 13 Nov 2018

          There's also another growing issue So far I've mostly been talking about type 2 diabetes, but what about gestational? 24/

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        6. Health Nerd‏Verified account @GidMK 13 Nov 2018

          Research from some of my colleagues has shown that the rate of gestational diabetes has more than doubled in the last decade in western Sydney This is truly terrifying 25/pic.twitter.com/tScuDiahWz

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        7. Health Nerd‏Verified account @GidMK 13 Nov 2018

          (FYI, that graph technically shows total number of GDM pregnancies, but the number of pregnant women has only grown by about 20% since 2002 so it represents a >2x increase in the rate) 26/

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        8. Health Nerd‏Verified account @GidMK 13 Nov 2018

          Remember: gestational diabetes may be transitory (by definition), but the effects are not Women with gestational diabetes are more likely to develop type 2 diabetes. The same is true of their children This makes the problem intergenerational 27/pic.twitter.com/d5493Pyslq

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        9. Health Nerd‏Verified account @GidMK 13 Nov 2018

          Even if we intervene today, reduce everyone's weight by 4kg in the next year, we'll still likely see diabetes rates continue to climb for some time yet 28/

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        10. Health Nerd‏Verified account @GidMK 13 Nov 2018

          But, there is hope! At the individual level, there are numerous ways to prevent, and even reverse, diabetes 29/pic.twitter.com/oEFlega5IZ

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        11. Health Nerd‏Verified account @GidMK 13 Nov 2018

          We've now seen several trials show that, if you have type 2 diabetes, you can reverse the disease and go into 'remission' by losing 8-15kg of weight 30/

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        12. Health Nerd‏Verified account @GidMK 13 Nov 2018

          Similarly, if you have pre-diabetes - an intermediate stage where between normal blood sugar and diabetes - you can reduce your risk of getting diabetes significantly with just a few kilos of weight-loss 31/pic.twitter.com/cEzilctsce

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        13. Health Nerd‏Verified account @GidMK 13 Nov 2018

          From a population perspective, there are proven effective interventions focused on providing a health environment that can reduce the risk of diabetes for everyone 32/pic.twitter.com/fQJL8fZaea

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        14. Health Nerd‏Verified account @GidMK 13 Nov 2018

          These include things like a sugar tax, improved active transport (like cycling!), reducing barriers to healthy eating, and more 33/

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        15. Health Nerd‏Verified account @GidMK 13 Nov 2018

          Ultimately, a strategy focused on the individual AND society is vital to reverse the trend in diabetes that we are seeing emerge 34/

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        16. Health Nerd‏Verified account @GidMK 13 Nov 2018

          What can you do? 1. Advocate for change 2. Find local groups and work with/support them 3. Talk to healthcare providers about setting personal goals 4. ADVOCATE FOR CHANGE 35/

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        17. Health Nerd‏Verified account @GidMK 13 Nov 2018

          Our diabetes problem has been 30 years in the making It will not be solved overnight But the only way we can make a dent is if everyone - from you to the politicians who represent you - cares enough to do things differently 36/

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        18. Health Nerd‏Verified account @GidMK 13 Nov 2018

          Some useful resources #WorldDiabetesDay WHO - http://www.who.int/news-room/fact-sheets/detail/diabetes … Diabetes Australia - https://www.diabetesaustralia.com.au/  Western Sydney Diabetes - https://www.westernsydneydiabetes.com.au/  AIHW Report - https://www.aihw.gov.au/reports/diabetes/diabetes-snapshot/contents/how-many-australians-have-diabetes … Global Estimate of Diabetes -https://www.ncbi.nlm.nih.gov/pubmed/24300018 

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        19. Health Nerd‏Verified account @GidMK 13 Nov 2018

          Oh also - if you think you might be at risk of diabetes, or are worried about anything you read here, have a chat with your GP You might need a test, you might not, but your doctor is the best place to go!

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        20. End of conversation

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