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The medicine isn't going down.


Most people with diabetes don't take their medications often enough to keep their disease under control, according to new research. Moreover, physicians don't prescribe medications to control hypertension and high blood concentrations of cholesterol to all the diabetic patients who need them.

"Only one-third of people with type II diabetes Type II diabetes
Type II diabetes is the most common form of diabetes and usually appears in middle aged adults. It is often associated with obesity and may be delayed or controlled with diet and exercise.

Mentioned in: Diabetic Ketoacidosis
 have their prescriptions filled often enough to take at least 90 percent of their pills," says Andrew D. Morris of the University of Dundee As the above opinion represents, there was a significant movement with the intention of decanting the entire university to Dundee, which the Royal Commission observed was now a "large and increasing town" - or indeed the establishment of a college along very similar lines to the present  in Scotland. Over a 3-year period, he and his colleagues tracked 3,494 patients diagnosed with diabetes in Scotland and compared the quantity of drugs prescribed by physicians with the amount dispensed by pharmacies.

Only 13 percent of people taking two medications for their diabetes filled 90 percent of their prescriptions, he says. People who were best off financially and those most recently diagnosed with diabetes were most likely to fill their prescriptions.

Diabetes, characterized by high blood sugar concentrations that result from the body's inability to produce insulin or use it effectively, affects about 16 million people in the United States. Without careful control, it can lead to complications including blindness, kidney disease Kidney Disease Definition

Kidney disease is a general term for any damage that reduces the functioning of the kidney. Kidney disease is also called renal disease.
, and heart disease.

"These serious complications are preventable, but they require compliance" with physicians' treatments, says Gerald Bernstein of Beth Israel Medical Center Beth Israel Medical Center is a hospital in New York City. It has four major locations providing health services. It acts as University Hospital and Manhattan Campus for the Albert Einstein College of Medicine of Yeshiva University.  in New York New York, state, United States
New York, Middle Atlantic state of the United States. It is bordered by Vermont, Massachusetts, Connecticut, and the Atlantic Ocean (E), New Jersey and Pennsylvania (S), Lakes Erie and Ontario and the Canadian province of
.

Because people with diabetes are also predisposed pre·dis·pose  
v. pre·dis·posed, pre·dis·pos·ing, pre·dis·pos·es

v.tr.
1.
a. To make (someone) inclined to something in advance:
 to heart disease, their physicians should treat abnormally high concentrations of blood cholesterol aggressively, says Deborah B. Rolka of the Centers for Disease Control and Prevention Centers for Disease Control and Prevention (CDC), agency of the U.S. Public Health Service since 1973, with headquarters in Atlanta; it was established in 1946 as the Communicable Disease Center.  in Atlanta. High cholesterol Cholesterol, High Definition

Cholesterol is a fatty substance found in animal tissue and is an important component to the human body. It is manufactured in the liver and carried throughout the body in the bloodstream.
 has been linked to heart disease.

Rolka and her colleagues found that among a nationally representative sample, more than 76 percent of people with diabetes had an abnormally high cholesterol concentration in their blood. Yet only 32 percent of the participants reported being treated for it. Most concerning, she says, only 1 percent of those getting anticholesterol treatments had reduced their blood cholesterol to normal concentrations.

A majority of the 71 percent of diabetics with hypertension--another predictor of heart disease--was being treated, for it. However, physicians were treating only 12 percent aggressively enough to lower their blood pressure to the national goal of 135/85, Rolka reports.

--D.C.
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Article Details
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Author:D.C.
Publication:Science News
Article Type:Brief Article
Geographic Code:1USA
Date:Jul 1, 2000
Words:360
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