Women with type 1 diabetes face a greater risk of dying from a range of diseases compared with men with the same condition, research suggests.

This is particularly the case when it comes to heart disease, Australian scientists report.

They say their findings could have “profound implications” for how women with the condition are treated.

Charities warn that the study highlights a failure of care that needs to be changed urgently.

Type 1 diabetes is a disorder that often appears in childhood. Patients’ pancreases are unable to produce the insulin needed to convert sugar and other foods into energy.

Compared with the general population, people with type 1 diabetes have a shorter life expectancy. But researchers say it hasn’t been clear until now whether this affects men and women equally.

To investigate this, scientists from the University of Queensland analysed data from more than 26 studies involving some 200,000 people with the disease.

Overall, they found women had a 40% increased risk of deaths from all causes.

They faced a greater risk of stroke than men and were also more likely to die from kidney disease.

No-one is entirely sure what lies behind these trends.

Simon O’Neill, of Diabetes UK said there had been evidence to suggest changes to girls’ bodies during puberty could make it more difficult for them to get their diabetes under control.

He added: “We need the NHS to urgently improve diabetes care so that all people are offered care that is tailored to their individual needs and so are able to manage their condition effectively and reduce their risk of devastating complications and early death.

“With the right care and support in place there is no reason why people with type 1 diabetes – both men and women – can’t live long, healthy lives.”

Sarah Johnson, from type 1 diabetes charity JDRF, said: “I’m angry. These findings show that type 1 diabetes care is failing and these failings should be addressed urgently for everyone with the condition – not just women.”

Prof Rachel Huxley, lead researcher on the project, said in a statement: “The marked difference between the sexes for vascular-related disease is likely to have profound clinical implications for how women with type 1 diabetes are treated and managed throughout their lives.”

The study appears in the journal Lancet Diabetes and Endocrinology.

BBC News

The media in Saudi Arabia has caused confusion among expats this week as it had reported that the deadline for registration of health insurance and biometrics was to be extended three months, until April this year.

The Passport Office has strongly refuted these claims and assured expats that, contrary to the media reports, the deadline for registration has not been extended, and that it has now passed. The deadline for registering biometrics in Saudi Arabia was the 21st January this year.

It has now become mandatory for all male and female expats, and their dependents over the age of fifteen, to have their biometrics registered with the Passport Office of Saudi Arabia. Residency permits (iqamas) are issued to those expatriates who live in Saudi Arabia on an employment visa. These will now not be issued or renewed without proof of health insurance and biometrics, without an iqama, entry and exit will be denied to expats. Once fingerprints have been recorded on the Automated Central System (ACS), they do not need to be recorded again, although they will be checked upon exit and entry to the country and upon renewal of the iqama, which is only valid for one to two years.

It must be noted by expats living in the country that they are liable to face a considerable fine if they have not already registered their biometrics, and their exit visas will not be granted until this has been done. Information on where to go to register can be found on the passport control website.

SOURCE : www.expathealth.org

Researchers say current exercise guidelines are unrealistic and argue that doctors should sometimes advise small increases in activity instead.

They warn the 150-minute weekly target is beyond the reach of some people – particularly older individuals.

And striving to reach these goals could mean the benefits of lighter exercise are overlooked.

But public health officials say current recommendations have proven benefits in lowering the risk of heart disease.

Tailored advice

There is mounting evidence that inactivity is linked to heart disease, diabetes and some types of cancer.

UK guidelines for adults recommend at least two-and-a-half hours of moderate activity a week, in bouts of 10 minutes or more.

But in two separate articles in the BMJ, experts argue the message needs to change, with greater emphasis on making inactive people move more.

Prof Philipe de Souto Barreto at the University Hospital of Toulouse, advises people who are sedentary to make small incremental increases in their activity levels – rather than pushing to achieve current goals.

He points to previous studies which show even short periods of walking or just 20 minutes of vigorous activity a few times a month, can reduce the risk of death, compared to people who do no exercise.

In the second article, Prof Phillip Sparling of the Georgia Institute of Technology, says doctors should tailor their advice – particularly for older patients.

He suggests using GP visits for people over 60 to discuss “realistic options” to increase activity – such as getting people to stand up and move during TV commercial breaks.

Prof Kevin Fenton at Public Health England, says: “Everyone needs to be active every day – bouts of 10 or more minutes of physical activity have proven health benefits, but getting 150 minutes or more of moderate activity every week is the amount we need to positively impact on a wide range of health conditions.

“This includes reducing the risk of heart disease and type 2 diabetes.”

BBC News

There has been a “turning point” in the Ebola crisis, with cases falling in the three affected countries, World Health Organization officials say.

Just eight cases were detected in Liberia in the last week down from a peak of 500-a-week in September. Guinea and Sierra Leone have also seen falls.

The WHO said the figures were the “most promising” since the outbreak started.

But it continues to urge caution, and to highlight the need to find those who had contact with Ebola patients.

The largest outbreak of Ebola in human history has infected 21,724 people and killed 8,641 – largely in just three countries, Sierra Leone, Liberia and Guinea.

SOURCE : BBC News

The new year is here and with it comes International Living’s report, The Best Places to Retire in 2015. The report, targeting North American expats, features 25 countries all of which offer advantages to retiring expats. We will take a look at which countries offer the best healthcare options for retirees.

The countries making up the top five retirement havens are all in Latin and South America apart from one. Ecuador comes in first place, followed by Panama, Mexico, Malaysia, and Costa Rica. Of these five destinations, Malaysia scores the highest in the healthcare category with 94 points out of 100.

The countries are scored across eight categories including climate, housing and rentals, cost of living as well as healthcare. All 25 countries in the report scored above 70 for healthcare, we’ve mentioned Malaysia, the top scorer with 94 points. The other high scoring countries in terms of healthcare were Costa Rica, Panama, Uruguay, and Thailand, all with 89 points. Read More>

SOURCE : Expathealth.org

Stress is the reason why we find it hard to empathise with someone we do not know, researchers suggest.

In separate tests in mice and people, empathy towards strangers increased when stress hormones were blocked by a drug.

Playing a fun video game with a stranger was found to have a similar effect to the drug.

The Canadian and American research team published their findings in Current Biology.

Previous studies have shown that the ability to feel or share someone else’s pain is not something unique to humans. Mice can feel empathy too.

But in both species, empathy is stronger between those that recognise each other and all but absent between those unfamiliar with each other.

Stress levels have also been shown to rise in both mice and people in the presence of strangers.

BBC News

Two volunteers have been transferred to the UK after potential contact with the Ebola virus in separate incidents.

Public Health England said the patients’ risk of having the virus was low and the measure was a precaution.

Authorities said the individuals – one of whom is Australian – had not been diagnosed with Ebola and did not currently have symptoms of the disease.

Experts emphasised the risk to the public was low and said the volunteers would be monitored for 21 days.

Australian authorities confirmed an Australian nurse was flown to the UK after a low risk clinical incident while working in Sierra Leone.

SOURCE : BBC News