Recognizing and Countering Individual Risk Ten Years Ahead – Healing Practice

Diabetes risk test: prediction period extended to ten years

With that developed by the German Institute for Human Nutrition Potsdam-Rehbrücke (DIfE). risk test you can determine your personal risk over the next ten years at a Type 2 diabetes get sick. Recommendations are also given to help reduce the risk of disease.

A test allows adults who have never had diabetes to determine their individual risk of developing type 2 diabetes in the next ten years, reports the German Institute for Human Nutrition Potsdam-Rehbrücke (DIfE) in a recent publication Message.

Test adjusted accordingly

The DIfE – German Diabetes Risk Test® (DRT) has so far been able to predict the individual riskof developing type 2 diabetes within the next five years.

Scientists from DIfE and the German Center for Diabetes Research (DZD) now have the forecast period extended to ten yearsvalidated in two independent study populations and adjusted for DRT.

The results of the study were published in the journal “German medical journal“published.

More than eight million people in Germany affected

According to the German Diabetes Society (DDG), more than eight million people with type 2 diabetes live in Germany. the dark figure According to experts, at least two million people are affected.

The DRT developed by the DIfE in 2001, which can be used outside of clinical practice, offers adults aged 18 to 79 the opportunity to use an online questionnaire or test at home in a non-invasive and free determine the individual risk of developing type 2 diabetes over the next five years.

The longer follow-up period of the EPIC Potsdam study on which it is based, which is now available, now has the revision DRT for predicting 10-year risk.

“The extension of the forecast period allows a longer term individual prediction of type 2 diabetes risk »explains Dr. Catarina Schiborn, first author and research associate in the Department of Molecular Epidemiology at DIfE.

“In this way, people at increased risk can be informed at an early stage and about the possibilities of reducing the risk and lifestyle change to be informed.”

Data from approximately 25,000 participants

For the further development of prediction model the scientists used health and lifestyle data from about 25,000 participants in the EPIC Potsdam study.

According to the information transmitted to the statistical modeling setting a that are relevant to the prediction of type 2 diabetes. These include immutable factors such as age, gender and occurrence of type 2 diabetes in the family and modifiable factors such as waist circumference, smoking habits, high blood pressure and physical activity.

In addition, this model takes into account eating habitslike eating whole grains and red meat.

For the most part, the prediction was correct

Of the study participants, type 2 diabetes was diagnosed in 1,367 people within ten years of the initial screening. In the majority of those affected, the 10-year-old DRT was with his provide to correct.

“At EPIC-Potsdam, the test passed with a probability of 83.4% a higher risk is predicted for those who become ill in the future than for those who do not become ill in the future”explains Schiborn.

The very good prediction quality could be confirmed in two independent samples – the EPIC-Heidelberg population-based observational study and in a representative sample for Germany, the BGS98 cohort. “With this, the meaning of the test for the German population”according to Schiborn.

Also determine the risk of heart attack and stroke

Technically updated content and online DRT can be found under “http://drs.dife.de/is available and offers users the ability to determine their individual 10-year risk of type 2 diabetes as well as stroke and heart attack.

Risks can be calculated individually or in parallel, because both tests have something in common prediction parameters contain.

The new DRT self-test can also here (PDF) can be downloaded.

reduce the risk of disease

The DRT not only informs you about your personal risk of type 2 diabetes, but also shows you the individual options, your risk to lower.

It is specified that people with a large waist circumference should reduce it or at least keep it constant. moderate Losing weight can significantly reduce the risk of diabetes. Weight loss must be achieved by a permanent transition to a healthy and balanced diet.

When choosing grain products like bread and baked goods, pasta, rice and cereals, those with a high serving of whole grains prefer.

Of the meat consumption must be limited: the less beef, pork or lamb you eat, the lower your risk of type 2 diabetes.

In addition, it is advisable to regularly, but at least five hours a week, movement.

Smokers should stop smoking cigarettes Smoking also increases the risk of cancer and cardiovascular disease.

Regarding coffee consumption, experts note that many studies show a link between regular coffee consumption and a reduced risk of type 2 diabetes. However, the reasons for this are not yet known. Who likes Coffee drinks and tolerates it well, according to the current state of knowledge, can continue to enjoy the hot drink. (ad)