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Diabetes and risk of blindness

More than half a million people with diabetes living in England are at risk of blindness because they are not getting their eyes checked.

Diabetic retinopathy is the leading cause of blindness in the country’s working-age population, a complication of diabetes that occurs when blood vessels in the retina of the eye become blocked, leaky or grow haphazardly, which can cause sight loss and even blindness if left untreated.

However, annual retinal screening at an eye clinic can spot signs of the disease.

Health charity Diabetes UK has warned that annual screening for the condition is just one of the vital health checks many diabetics are missing out on.

Around 2.8 million people in the UK have been diagnosed with diabetes, and an estimated 850,000 people have Type 2 diabetes but don’t know it.

Recent figures show that nearly a third (32 %) of people with Type 1 diabetes and one in seven (15%) with Type 2 diabetes have not had a foot check. Diabetes causes 100 amputations a week, of which around 80 per cent are potentially preventable.

Diabetes

Diabetes

Barbara Young, Chief Executive at Diabetes UK, said: “Diabetes is a serious condition which can lead to devastating long term complications including blindness, kidney failure and amputations.

“The tragedy is that, for example, 90 per cent of cases of sight loss could have been avoided if they had been identified early enough and treated appropriately.


“The 15 measures will help ensure people with diabetes are getting the care they need, and if they’re not, Diabetes UK wants people to use the checklist and ask for the standards of care that have been recommended by expert bodies and patients across the UK.

“With the right care and education, there is no reason why people with diabetes shouldn’t live long and healthy lives.”

15 health measures for people with diabetes

*Get your blood glucose levels measured
*Have your blood pressure measured
*Have your blood fats (cholesterol) measured
*Have your eyes looked at have your legs and feet checked
*Have your kidney functions monitored
*Have your weight checked
*Get support if you are a smoker
*Receive care planning to meet your specific individual needs
*Attend an education course
*Receive paediatric care if you are a child or young person
*Receive high-quality care if admitted to hospital
*Get information and specialist care if you are planning to have a baby
*See diabetes specialist healthcare professionals
*Get emotional and psychological support

Concern over salt levels in bread

More than 1 in 4 loaves of bread contain as much or more salt per slice than a packet of crisps, a survey has found.

The alarming findings follow news that bread is the largest contributor of salt to the UK diet, providing almost a fifth of current daily salt intake.

Consensus Action on Salt & Health (CASH) surveyed the salt content of 294 fresh and packaged loaves from supermarkets and their in-store bakeries, as well as chain and independent high street bakeries, and found large variations in the salt content of the bread.

For instance, the highest standard packaged bread, Cranks Seeded Farmhouse at 2.03g/100g, contains nearly four times more salt than the lowest, a Marks & Spencer’s Simply More Eat Well Healthiest White Bread (0.58g/100g).

CASH found supermarkets’ unlabelled in-store bakery bread is generally higher in salt than the supermarkets’ packaged bread, with differences of more than half a gram between similar products.

Premium high street bakery chains such as Paul and Le Pain Quotidien also fared poorly, their bread being both unlabeled and in some instances containing more than three times as much salt per 100g than bread baked in supermarkets.

Bread

Bread

“Most people wouldn’t realise that bread contains so much salt, as it doesn’t taste salty,” said Katharine Jenner, CASH Campaign Director.

CASH said speciality breads, such as rye bread, are often perceived as healthier options; however, they can be deceptively high in salt. It advises consumers to choose products containing 1 gram or less salt per 100g, or about 0.4g per slice.

“With bread being the biggest contributor of salt to our diets, it is frankly outrageous that bread still contains so much salt. The Department of Health needs to ensure that all bread is clearly labelled and that all manufacturers reduce the salt of bread to less than the salt target of 1g/100g,” said Professor Graham MacGregor of the Wolfson Institute of Preventive Medicine and Chairman of CASH.


“It is the very high levels of salt that is hidden in everyday food, such as bread, that puts up both adults’ and children’s blood pressure. If all manufacturers cut the salt in their breads by a half, it would reduce our salt intakes by half a gram per day, which is predicted to prevent over 3,000 deaths from strokes and heart attacks a year.”

Popular packaged breads with highest salt content (per 100g)

*Cranks seeded farmhouse, 2.03g
*Vogel’s original mixed grain, 1.38g
*Asda Chosen By You Baker’s Gold white farmhouse, 1.2g
*Marks & Spencer Eat Well multigrain bloomer with 30% grains, 1.15g
*Morrisons thick sunflower and pumpkin loaf, 1.1g

Five loaves with lowest salt

*Marks & Spencer Simply More Eat Well healthiest white bread, 0.58g
*Tesco Stayfresh white sliced bread medium, 0.6g
*Marks & Spencer Eat Well oaty bloomer, made with 30% oats, 0.65g
*Marks & Spencer toasting white, 0.73g
*Sainsbury’s medium wholemeal, 0.74g