Tags: Diabetes | Makes | Ulcers | More | Deadly

Diabetes Makes Ulcers More Deadly

Monday, 17 April 2006 12:00 AM

Diabetes makes ulcers far more risky and dangerous, according to a disturbing study from Denmark, which should give patients another big reason to carefully manage their diabetes.

Dr. Reimar W. Thomsen and his colleagues at Aarhus University Hospital assessed the outcomes of 7323 patients hospitalized for bleeding ulcers and 2061 patients with perforated ulcers. Roughly, 10 percent of the first group and 7 percent of the second had diabetes.

Among patients with bleeding ulcers, the 30-day death rate was 17 percent in the diabetic group versus just 10 percent in the nondiabetic group. This translates into a 40 percent increased risk of death for the diabetic group.

The mortality difference in the perforated ulcer group was even more pronounced. Diabetic patients had a 30-day death rate of 43 percent compared with 24 percent for nondiabetic patients -- an increased risk of 51 percent.

The researchers speculate that diabetic patients with complicated ulcer disease may face a higher short-term death risk because of diabetic blood vessel problems, blurring of symptoms, and an increased risk of overwhelming bacterial infection.

"Our findings suggest that efforts to improve outcomes from these medical emergencies in diabetic persons should be directed to reducing preventable diabetes complications," they conclude.

Their report appears in the journal Diabetes Care.

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Diabetes makes ulcers far more risky and dangerous, according to a disturbing study from Denmark, which should give patients another big reason to carefully manage their diabetes. Dr. Reimar W. Thomsen and his colleagues at Aarhus University Hospital assessed the...
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2006-00-17
Monday, 17 April 2006 12:00 AM
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