{"id":2911,"date":"2024-02-02T16:13:12","date_gmt":"2024-02-02T15:13:12","guid":{"rendered":"http:\/\/samjwatkins.com\/blog\/?p=2911"},"modified":"2024-02-05T11:47:03","modified_gmt":"2024-02-05T10:47:03","slug":"brain-is-ok-rest-of-body","status":"publish","type":"post","link":"https:\/\/samjwatkins.com\/blog\/?p=2911","title":{"rendered":"Brain is OK, rest of body…"},"content":{"rendered":"

I’m unwell.\u00a0 I run a low body temperature, but when my body was doing everything it could to generate a fever on Tuesday, I took the hint, so while the body is weak, the mind is racing.<\/p>\n

Type 1 diabetes means that all the mechanisms my body is relying on to get a fever are being over-riden by my desire to not die early, develop a blood clot (resulting in stroke, blindness, septicemia, or a heart attack), or diabetic ketoacidosis – which is a ticket to a hospital ward and a reasonable question of “what went wrong?”.<\/p>\n

So it takes much longer to develop a fever and kick an infection to the line.<\/p>\n

But type 1 is “just type 1 diabetes”, everyone knows that’s what happens when we’re sick \ud83d\ude09<\/p>\n

What are you whinging about now?<\/h2>\n

Just that, we’re not that usual.\u00a0 Rare disease day is coming and I was a little curious about what makes something a rare disease.\u00a0 Aren’t you?<\/p>\n

I guess, but your thing definitely doesn’t count!<\/h3>\n

That was my thought.\u00a0 But this is a question of scale.\u00a0 I’m one of around 8\u00b74million in the world with type 1 with type 1 diabetes in 2021 (best confirmed numbers) against a world population of 7.888 billion (a 1000 million).\u00a0 That means an prevalance of 0.106% of the world’s population or 10 of us per 10,000.<\/p>\n

So, we’re not that far off meeting the World Health Organisation’s definition – an incidence of 6.5 (or less) per 10,000 or 0.065% of the population.<\/p>\n

I’m a bit of a numbers geek, and as I said, it is all about scale.<\/p>\n

Let’s look at Europe as per The US Government’s National Library of Medicine, Prevalence and incidence of Type 1 diabetes in the world, 2020<\/a>, Table 2<\/a>.
Only one place in the world where type 1 has a higher prevalance of 6.5 people per 10,000 in the world and that’s in Asia.<\/p>\n

In my humbe Europe, we only count for 2.12 people in 10,000.<\/p>\n

The numbers fall down when we look at the UK.\u00a0 We have around 7.5 people per 10,000.\u00a0 Common as muck \ud83d\ude00\u00a0 Though in Scotland, that rises to 22!<\/p>\n

Which is a bit surprising.\u00a0 And also leads us to the definition of what type 1 is.\u00a0 An autoimmune condition causing destruction of the beta cells.\u00a0 Not someone who needs insulin to treat their diabetes.<\/p>\n

This might seem petty but it is really important because insulin treatment can be a progression for type 2 diabetes though a sustaintially different and complex condition in its own right.<\/p>\n

Those taking insulin (or prescribing it) are not necessarily the best people to ask.<\/p>\n

Which leads us naturally to the fact there are three kinds of lie: lies, damned lies, and statistics – Mark Twain.<\/p>\n

But no, unusual but not rare for the 29th January.<\/p>\n\n\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

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