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StatePoint - Diabetes is a chronic condition that leads to serious life-threatening complications, however many people go undiagnosed and are undertreated -- a situation being further exposed by the COVID-19 pandemic. November is Diabetes Awareness Month, and a good opportunity to better understand risk factors, symptoms and the importance of early diagnosis and action.
More than 34 million people in the United States are affected by diabetes, and one-in-five of them are undiagnosed, according to estimates from Centers for Disease Control and Prevention. Health services organization Cigna reports that between January 2020 and June of 2021, nearly 800 of its patients who were diagnosed with COVID-19 were found to have undiagnosed diabetes. Only 14% of those people had previously been diagnosed with pre-diabetes.
So why are so many people living with diabetes going undiagnosed? Cigna claims data shows that those at higher risk of having social or economic obstacles to health, also had a higher risk of undiagnosed diabetes and COVID-19, which can compound problems.
"As is the case with many medical conditions, timely diagnosis and treatment of diabetes is impacted by persisting health inequities that affect certain communities and populations," says Dr. Mandeep Brar, Cigna medical director and board certified endocrinologist. "Factors such as race, ethnicity, access to healthful food, education, health care coverage and language barriers, to name a few, all contribute to undiagnosed cases of diabetes."
However, according to Dr. Brar, early diagnosis is critical for everyone: "When diabetes is left untreated, it will progress, causing complications such as neuropathy, kidney disease, diabetic ulcers and wounds, amputations and other serious and life-threatening issues. If you’re living with diabetes, the sooner you’re aware of that, the more quickly you can learn to manage your condition and prevent it from advancing."
According to Cigna, here are three steps everyone can take today:
1. Understand signs and symptoms. Sharing any new symptoms with your primary care provider can be crucial in early detection and proper, timely treatment. Symptoms can include frequent urination, excessive thirst or hunger, unexpected weight loss, cuts or bruises that are slow to heal, frequent infections, very dry skin, extreme fatigue, and blurry vision, according to Dr. Brar.
2. Get screened. Schedule an annual preventive check-up or diabetes screening. Regardless of symptoms, one of the most powerful ways to detect diabetes is to be screened for this disease with a simple blood test by your primary care provider. If diagnosed with prediabetes, there are a number of lifestyle changes you can make to reverse prediabetes and prevent or delay Type 2 diabetes and other serious health problems. These changes include eating healthfully, increasing physical activity, losing weight and managing stress.
3. Assess risk factors. Some people are more likely to develop diabetes than others. In addition to being 45 years or older, risk factors include being overweight, having a parent or sibling with Type 2 diabetes and being physically active fewer than three times a week. Additionally, African Americans, Hispanics, Native Americans, Asian Americans and Pacific Islanders are at higher risk than white people for developing Type 2 diabetes. If you have any of these risk factors, request a screening test with your primary care provider, regardless of your age.
For a quick, online Type 2 diabetes risk test, visit diabetes.org/risk-test.
This Diabetes Awareness Month, get savvy about the disease. Understanding symptoms and risk factors can mean early detection and better outcomes.
During World War II, on April 9, 1942, 75,000 United States soldiers and Filipino soldiers surrendered to Japanese forces after months of battling in extreme-climate conditions.
Soon after the bombing of Pearl Harbor on December 7, 1941, Japanese forces began the invasion of the Philippines. The capture of the Philippines was crucial to the Japanese. It would bring them one step closer to the control of the Southwest Pacific. The Philippines were just as important to the U.S. Having troops in the Philippines gave the U.S. footing in the Southwest Pacific. After the invasion of the Philippines, U.S.-Filipino troops defended the crucial lands.
These brave soldiers were responsible for the defense of the islands of Luzon, Corregidor, and the harbor-defense forts of the Philippines. They fought in a malaria-infested region, and survived on little portions of food. Some lived off of half or quarter rations. The soldiers lacked medical attention. U.S. medics did what they could to help their fellow soldiers. They fought with outdated equipment and virtually no air power.
The soldiers retreated to the Philippine Peninsula when Japanese forces were reinforced and overwhelmed the U.S.-Filipino soldiers.
On April 9, 1942, the U.S. and Filipino soldiers surrendered after seven months of battle combined with exposure to the extreme elements, disease, and lack of vital supplies. The tens of thousands of U.S. and Filipino soldiers were forced to become prisoners of war to the Japanese. The soldiers faced horrifying conditions and treatment as POWs.
The soldiers were deprived of food, water, and medical attention, and were forced to march 65 miles to confinement camps throughout the Philippines.
The captive soldiers were marched for days, approximately 65 miles through the scorching jungles of the Philippines. Thousands died. Those who survived faced the hardships of prisoner of war camps and the brutality of their Japanese captors.
The POWs would not see freedom until 1945 when U.S.-Filipino forces recaptured the lost territory.
In 1945, U.S.-Filipino forces recaptured the Philippines and freed the captive soldiers who were suffering in the confinement camps. These soldiers would be impacted by the poor conditions of the camps and the mistreatment by their Japanese captors. About one-third of the prisoners died from health complications after they were freed. (The above information is from Bataan.com).
My wife’s grandfather, Lyle C. Harlow, was one of the thousands who lived through the 65-mile march and almost four years as a prisoner of war. When he and the others who survived were freed, he came back to his wife in Kentucky who had also survived and a daughter born right after his departure overseas. He returned broken, weighing less than a hundred pounds and had to rebuild his life essentially from zero.
Harlow like thousands of others, never received a dime from the United States government after his release from the military. He received some VA medical benefits and would later die in a VA hospital. Until the last few years the VA has been a very undesirable place for medical attention but there has been improvement in recent years.
He and so many others had to rebuild their lives with no help from our country. This makes it difficult to understand how our government can consider handing out thousands of dollars to illegals pouring into our nation. Do we just hand them the American dream simply because they made it across our border?
Most Americans are charitable people. We do more than any nation to help others. Yet, when our homeless Veterans are sleeping on America’s streets while shelters, medical insurance and even cash are made available for those who are unwilling to salute our flag, hate our culture and despise many of our values, then something is seriously wrong.
