The same symptoms listed above may also affect type 2 diabetes, but usually the symptoms are less obvious. The emergence of type 2 diabetes is gradual and therefore difficult to detect. In fact, some people with type 2 diabetes show no symptoms evident at first. They tend to be diagnosed several years later, when various complications are already present.

Threatening complications:

Without adequate production and action of insulin, glucose stays in the blood, causing chronic hyperglycemia (high blood sugar). This can cause complications in the short and long term, many of which, if not prevented and treated, can be fatal. All have the potential to reduce the quality of life of people with diabetes and their families.

The most common complications in the long term are:

Diabetic nephropathy (kidney disease), which can lead to total kidney failure and the need for dialysis or kidney transplantation.

Diabetic eye disease (retinopathy and macular edema), lesions of the retina of the eye that can cause vision loss.

Diabetic neuropathy (nerve disease) which can lead to ulceration and amputation of feet and lower limbs.

Cardiovascular disease, which affects the heart and blood vessels and could cause fatal complications such as coronary heart disease (which causes heart attack) and stroke.

Diabetes is the fourth leading cause of death by disease in the world. Each year 3.8 million people die from causes related to diabetes.

Diabetes is preventable
Changes in the living environment, and early detection measures proven to prevent diabetes can significantly reduce the risk of developing type 2 diabetes, delay its onset or at least reduce its impact. For people with type 1 diabetes is not yet possible to prevent the disease. However, much can be done to prevent or delay diabetes complications if people have access to adequate care, medication and adequate monitoring equipment.

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He added that doctors should carry out a review of all patients currently taking aspirin as a protective measure against heart disease. Eating a low-dose daily aspirin is already widely used to prevent episodes of these disorders in people who have had problems such as heart attacks or strokes.

This approach, known as “secondary prevention is well established and past research has confirmed its benefits.

However, it is believed that many thousands of people in several countries taking the drug as a protective measure against cardiovascular disease before showing any symptoms.

“There is growing scientific evidence shows that benefits can not be identified by the use of aspirin in patients who have suffered heart attacks or strokes in the past,” the BBC said Dr. Ike Ikeanacho, editor of the DTB.

“At best, aspirin has a slight potential benefit in these people. But this benefit is offset by a real risk of the drug, including internal bleeding,” adds the scientist.

Evidence on the rise

Between 2005 and 2008, the DTB-British publication that is responsible for evaluating treatments and drugs used in the clinic, says that four guides were published recommending aspirin as primary prevention “of cardiovascular disease, ie patients had shown no signs of the disorder.

These included persons 50 years and older with type 2 diabetes and those with hypertension.

However, the DTB says now that a recent analysis of six controlled trials involving a total of 95,000 patients, published in the Lancet medical journal, does not support the routine use of aspirin in these patients.

This is because, he says, the risk of serious gastrointestinal bleeding and the negligible impact that has the drug in reducing mortality rates.

The authors claim that severe internal bleeding may be as dangerous as a heart attack and even be lethal.

According to Dr. Ikeanacho, the main problem with this approach is that many around the world taking the drug on their own, ie without consulting your doctor.

“These people believe that by eating a daily aspirin are doing good to your health. But our recommendation is that you first speak with your doctor or pharmacist and discuss the latest evidence, to make an informed decision about using the drug,” warns the doctor.

Informed decision

This study emphasizes the researcher, not saying that aspirin is dangerous for all patients, because certainly those who have suffered heart problems can benefit from it.

“This is a situation that must balance the risks and benefits,” explains the researcher.

“In the past it was thought that the benefits of aspirin as primary prevention-even-outweighed the risk for internal bleeding.

“But what we’re saying today is that the latest scientific evidence did not support that belief, and that the drug’s risks outweigh any benefits,” he adds.

The Royal College of General Practitioners of UK supported the recommendation of the DTB.

“Given the evidence, the report of DTB on the consumption of aspirin is very sensible,” says Professor Steve Field, chairman of the body.

“The Royal College of General Practitioners supports the request of DTB to the current recommendations on the prescription of aspirin are corrected and that doctors carry out a review of the patients currently taking aspirin as a prevention method,” says official.

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