Diabetes

Debate between Adrian Sanders and Keith Vaz

Wednesday 9th January 2013 Westminster Hall

[Keith Vaz (Leicester East) (Lab)]

I pay tribute to the hon. Gentleman for all his amazing work on diabetes over his parliamentary career. As he has done, I have tabled questions to ask simply how high the spend on diabetes was in individual PCTs last year, only to be told that the information was not available and so could not be given to me. Is not that kind of information vital for an effective strategy on diabetes?

[Mr Sanders]

That would certainly be extremely helpful and would complement the atlas of care by, in a sense, putting the actuality into the story behind the figures. It is extremely unhelpful not to be able to drill down to what is really happening on the ground; we could do that if such statistics were available.

Some of the problems of disseminating information have been offset by the work of NHS Diabetes. It has been instrumental, first, in monitoring variations in care and driving the collection of more robust data, which has culminated in an extremely important publication, the national atlas of variation; and, secondly, in working tirelessly to rectify the problems it uncovers, linking national policy intention with policy implementation on the ground, including support targeted on where the greatest improvements are necessary. It is important that that work continues, as much more could be done. I hope that the Minister will reassure me that, despite the upheavals in the commissioning architecture, NHS Diabetes will retain its central role.

Diabetes

Debate between Adrian Sanders and Keith Vaz

Wednesday 8th September 2010 Commons Chamber

[Keith Vaz (Leicester East) (Lab)]

I am most grateful for the opportunity to raise in this House the very important issue of the prevention of diabetes. I must first declare my interest as a sufferer of type 2 diabetes. I was diagnosed with this condition when I was asked by my local GP to open a diabetes awareness day in my constituency. I attended, I was given a test, and I was telephoned the next day by my GP to inform me that I had type 2 diabetes.

Since 1996, the number of diabetes sufferers in the United Kingdom has risen from 1.4 million to 2.6 million, and it costs the NHS £1 million an hour. I believe it is vital that we stop this epidemic. Diabetes is an incurable metabolic condition that leads to high blood sugar levels, which can have serious consequences for short-term and long-term health. The hormone insulin, which is made by the pancreas, helps glucose to leave the blood and enter the body’s cells, where it is used for energy. People with diabetes experience raised blood sugar because insulin is not being produced by the pancreas or there is insufficient insulin or insulin action for the body’s needs.

As the House will know, there are two types of diabetes: type 1 and type 2. In the UK, 90% of adults with diabetes have type 2, where the pancreas produces insufficient quantities of insulin and/or the insulin has a reduced effect on the muscle and liver cells. Type 2 diabetes can be managed through healthy eating and regular exercise, but if the disease progresses, anti-diabetes tablets, incretins or insulin injections may need to be taken. In type 1 diabetes, the body does not produce insulin at all as a result of the body’s defence system attacking its insulin-producing cells. Treatment involves daily insulin injections, in conjunction with healthy eating and regular exercise. Type 1 diabetes is usually diagnosed in children or young adults. For the purpose of this debate, I will be referring largely to type 2 diabetes, which is, in my view, preventable, as opposed to type 1, which is not.

[Mr Adrian Sanders (Torbay) (LD)]

May I pay tribute to the right hon. Gentleman for securing this debate and for his support for the all-party group on diabetes? Some studies have shown that preventive action can put off the diagnosis even of type 1 diabetes, so he is speaking for all diabetics tonight.

[Keith Vaz]

I am most grateful to the hon. Gentleman for his intervention. I pay tribute to him for the work that he has done in this House as chair of the all-party group, which has made a profound difference to Parliament’s understanding of the issue. He is quite right—the research does indicate that. It is important that we take on board the very important research that is being done in this area, as he describes, and indeed pay tribute to the work of other organisations such as Diabetes UK, which has campaigned for so many years on the issue.

Diabetes is a ticking time bomb—a time bomb that needs to be defused. It is estimated that by 2025 more than 4 million people will suffer with diabetes. That will be a shocking increase in the numbers.