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GidMK's profile
Health Nerd
Health Nerd
Health Nerd
Verified account
@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 18 Apr 2018

      I've talked a lot about wealth here. What is another major social determinant of diabetes? #SDOH

      1 reply 1 retweet 1 like
      Show this thread
    2. Health Nerd‏Verified account @GidMK 18 Apr 2018

      Health Nerd Retweeted Health Nerd

      Probably worth coming back to this, because the answers are somewhat linked. As you've correctly identified, the answer is all of the abovehttps://twitter.com/GidMK/status/986758774873468928 …

      Health Nerd added,

      Health NerdVerified account @GidMK
      Diabetes is going up. This is VERY BAD. What is the main driver behind this increase?
      Show this thread
      1 reply 0 retweets 1 like
      Show this thread
    3. Health Nerd‏Verified account @GidMK 18 Apr 2018

      The thing is, the main driver of diabetes increases - increases in average population weight - is closely linked to social disadvantagepic.twitter.com/WSstr6vBsw

      1 reply 0 retweets 1 like
      Show this thread
    4. Health Nerd‏Verified account @GidMK 18 Apr 2018

      Less wealth = more obesity = higher rates of type 2 diabetes

      1 reply 0 retweets 1 like
      Show this thread
    5. Health Nerd‏Verified account @GidMK 18 Apr 2018

      But something else we're seeing in Western Sydney particularly is an issue I haven't really touched on yet Gestational diabetes And here, rates are SKYROCKETINGpic.twitter.com/jZjK3GvSnY

      1 reply 1 retweet 2 likes
      Show this thread
    6. Health Nerd‏Verified account @GidMK 18 Apr 2018

      This graph shows raw numbers, but the number of live births in Western Sydney has only slightly increased in this time, which means the rate has almost tripled in a decadepic.twitter.com/6WQGCyPTOP

      1 reply 0 retweets 1 like
      Show this thread
    7. Health Nerd‏Verified account @GidMK 18 Apr 2018

      But when we look at causes, we found something interesting: Unlike type 2, the increase is not predominantly due to weight gain!

      1 reply 0 retweets 1 like
      Show this thread
    8. Health Nerd‏Verified account @GidMK 18 Apr 2018

      What do you think it was down to?

      1 reply 0 retweets 1 like
      Show this thread
    9. Health Nerd‏Verified account @GidMK 18 Apr 2018

      I'll give you a hint - every woman who is pregnant has been given an oral glucose tolerance test in our region for a long time

      1 reply 0 retweets 2 likes
      Show this thread
    10. Health Nerd‏Verified account @GidMK 18 Apr 2018

      While that poll is filling in (remember to vote!), I'll tell you why it's important Basically, gestational diabetes is a red flag for future rates of the diseasepic.twitter.com/yV0hSzFByl

      1 reply 2 retweets 1 like
      Show this thread
      Health Nerd‏Verified account @GidMK 18 Apr 2018

      Obviously you have to treat pregnant women, and this is a big focus. But increasing rates of gestational diabetes pretty much guarantee that our rates will keep increasing no matter what we do

      6:11 PM - 18 Apr 2018
      • 1 Like
      • Joe Warbington
      1 reply 0 retweets 1 like
        1. New conversation
        2. Health Nerd‏Verified account @GidMK 18 Apr 2018

          The main drivers? Interestingly, what we've found is that it's likely to be related largely to a change in the ethnicity of our population

          1 reply 0 retweets 1 like
          Show this thread
        3. Health Nerd‏Verified account @GidMK 18 Apr 2018

          Something many doctors aren't aware of is that a variety of minority populations (such as people of SE Asian descent) may be at much higher risk of developing diabetes, and at a lower weight too

          1 reply 0 retweets 1 like
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        4. Health Nerd‏Verified account @GidMK 18 Apr 2018

          Now on to some of my own work. Given that the estimated POPULATION prevalence of diabetes is ~9%, what would the prevalence IN HOSPITAL be?

          1 reply 0 retweets 1 like
          Show this thread
        5. Health Nerd‏Verified account @GidMK 18 Apr 2018

          Another hint: this is a much sicker population of people than your general person

          1 reply 0 retweets 1 like
          Show this thread
        6. Health Nerd‏Verified account @GidMK 18 Apr 2018

          So everyone seems to be going high - which is good. Our figures put the proportion at roughly 20%, which is similar across the country

          1 reply 0 retweets 1 like
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        7. Health Nerd‏Verified account @GidMK 18 Apr 2018

          But this is different for different places in the hospital. For example, what's the prevalence in a cardiology ward?

          1 reply 0 retweets 1 like
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        8. End of conversation

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