Diabetes

George Howarth Excerpts

Wednesday 9th January 2019 Westminster Hall

[Mr George Howarth (Knowsley) (Lab)]

I congratulate the right hon. Member for South Holland and The Deepings (Sir John Hayes) on giving us the opportunity to debate this subject, and on the comprehensive way he introduced it. He rightly spoke about the potential of technology—I will say more about that in a moment—and about the distinction between those who deal with type 1 diabetes and those with type 2 diabetes. It is important always to make that distinction, because type 1 diabetes is an autoimmune condition over which the person involved has no control. It is not a lifestyle-related problem; someone is born with a predisposition to diabetes and something—we do not really understand what—will trigger it at some point in their life, often at a young age. There is also increasing incidence of people developing type 1 diabetes at an older age, which is a relatively new phenomenon. I will confine my remarks to type 1 diabetes and consider what can be done to help people better to manage their condition.

The Juvenile Diabetes Research Foundation is working with Cambridge University to develop an artificial pancreas. The problem with type 1 diabetes is that the pancreas does not work to produce the required levels of insulin—indeed, in most cases it produces no insulin at all. Currently, a person can have a device for continuous blood glucose monitoring, and if it is judged that the condition is not being managed satisfactorily, they can also have an insulin pump. Those are two separate devices; the beauty of the artificial pancreas is that through an algorithm the two are linked, so while the person receives continuous blood glucose level monitoring, the algorithm also enables the insulin pump to respond to a requirement for additional insulin, depending on the blood glucose level. The potential is enormous, and I commend the Juvenile Diabetes Research Foundation for its work. The technology the right hon. Gentleman referred to is now close to being so good that type 1 diabetes will become much easier to manage, which is important.

Before Christmas, I secured an Adjournment debate on the development of the artificial pancreas in which I mentioned the fact that people are now devising their own artificial pancreases. It seems mostly to involve young people who, in some cases, are technologically savvy enough to devise their own algorithms and link a blood glucose monitoring device to a pump. They are devising those devices in their bedrooms or other normal settings. Someone who is a bit older contacted me after the debate and said, “I didn’t devise this in my bedroom. I’m an engineer and I did it on the kitchen table.” The point is that people are capable of doing such things. I am not saying that that is the way forward, because although many of those devices work and people are pleased with the results of the things they have devised, it cannot be right that they are being left to create such devices on their own without them being quality assured and tested by people who are competent to do so. It shows, however, the potential of what people can do for themselves.

We should not fool ourselves into believing that technology will resolve all the problems, because the situation is difficult, particularly for some young people. Think about when we were teenagers: no matter how well disciplined or well behaved people are, the lifestyle of a teenager does not easily lend itself to monitoring a diabetic condition. Going out with a group of friends for a meal or drink and having to adjust one’s insulin level with an injection can be awkward. Young people also face challenges with the way their condition is perceived by their peer group. In some instances, people confuse type 1 and type 2 diabetes and young people in school get bullied on the basis that they have brought their diabetes on themselves because they eat too much sugar. I have seen examples of that. An autoimmune condition is not triggered by one’s lifestyle at all, yet people get bullied on that basis and it is important that they receive the necessary support.

One of my worries—I hope the Minister will try to address this when he responds to the debate—is that there is often a need for psychological, or even in some cases psychiatric, support because the challenges of being a young diabetic are such that people need other support. Schools, by the way, need better training in supporting pupils with diabetes. There have been examples of young people becoming hypoglycaemic and, when they have tried to raise their need to deal with it with the teacher, being told off and humiliated because they happen to have that condition at that time.

[Luke Graham]

The right hon. Gentleman makes a valid point. I have friends and family members with diabetes, and there are tell-tale signs. At the moment there is a great schools initiative to encourage teachers and students to do CPR and first aid; perhaps spotting the tell-tale signs of a hypo could be included in that package, and promoted in schools. Will he join me in supporting that?

[Mr Howarth]

Yes. I will not labour the point, but the hon. Gentleman is right. I would add that quite often teachers are left with such responsibilities, although they have enough challenges in their working life, but there is a need for someone in the school to have the expertise and to be trained to deal with young people with type 1 diabetes.

I know that I assured you, Mr Robertson, that I would try to be briefer than I have been, but I am coming to the end of my remarks, and the matter is important. I join the right hon. Member for South Holland and The Deepings in saying that it would be useful to have a meeting with the Minister to discuss the matter in more depth and get his thoughts on how to move forward. There is much that we can do to make people’s lives better. I hope that the debate will inform that process, and that we will be able to move forward on the basis of consensus across the House. The Minister faces challenges, and Members of this House will want to share the burden of them.

[Mr Laurence Robertson (in the Chair)]

I am looking to call the Scottish National party spokesman at 10.28, and we have two more hon. Members wanting to speak, so please bear that in mind.