Intensive treatment often results in hyperinsulinaemia, with weight gain and an increase in hypoglycaemia, both of which have theoretical adverse effects on macrovascular disease, the major life threatening complication of type 2 diabetes. Whether the same holds true in type 2 diabetes remained uncertain. keeping blood glucose as near to normal as possible) reduces the incidence and progression of microvascular complications (retinopathy, nephropathy and neuropathy) in type 1 diabetes. The Diabetes Control and Complications Trial (DCCT), published in 1993, showed that intensive glycaemic control (i.e. However, for many years the design and conduct of the UGDP were subject to fierce debate which was never satisfactorily resolved uncertainty continued about treatment and glycaemic targets for type 2 diabetes. The study was stopped after 8 years because of an increase in cardiovascular deaths in those receiving tolbutamide. The study was designed to assess the impact of blood glucose lowering therapies on complications, with patients being randomly allocated to placebo, tolbutamide, phenformin, or insulin. On the contrary, the pioneering study of the 1960s, the University Group Diabetes Program (UGDP), suggested that treatment with tolbutamide might be harmful. Until the early 1990s, there was no evidence that our management of diabetes had any beneficial impact on the incidence of vascular complications. In the meantime any way of significantly reducing the burden of diabetes-related complications will have a major impact on patient well-being and on cost effectiveness of management. Prevention would be the ideal solution, but is currently a remote prospect. With the increasing prevalence of the condition, these figures will escalate. Currently the 2% of the UK population with diabetes consume 5% of the health service budget by comparison the 12% with arthritis consume just 1.9%. As the majority of patients develop complications, which are present in up to 50% even at the time of diagnosis, type 2 diabetes imposes a significant burden on health services, as well as on the individuals who suffer from this progressive and incurable disease. In the West, 44% of patients with type 2 diabetes die within 10 years of diagnosis, mostly from macrovascular disease the incidence of and mortality from cardiovascular disease are 2–3 times greater than in the general population. The second statement is as true today as it was almost 2000 years ago. In 1994 the world wide prevalence of type 2 (non-insulin dependent) diabetes was 99 million (1.8% of the population) by 2010 it is estimated that this figure will rise to 215 million (3.8%). The incidence of diabetes has doubled every 20 years since 1945. In modern society, the first statement is far from true. He wrote that the condition was ‘fortunately rare’, but ‘short will be the life of the man in whom the disease is fully developed’. One of the first clinical descriptions was by Aretaeus, who practised in Cappadocia around 120 AD. I bet you will, too.Diabetes was first recognized 3500 years ago by the Ancient Egyptians. I’ll be recommending it to some of my small group leaders. Subversive Kingdom is a study your going to want to take a look at. There is enough meat in the study guide questions to prompt a thought-provoking discussion. Although the teaching is fairly straightforward without bells and whistles, Stetzer is an engaging communicator that will easily hold the attention of group members for the 12 to 15 minutes sessions. Along with the deeper, Kingdom of God topic, the personal devotions will require a daily commitment of 30 minutes to complete. Subversive Kingdom will be a good choice for groups looking for a little more challenging experience. Although there is no leader’s guide, the discussion questions are presented in a way that will help most groups engage in a meaningful dialogue and a simple cheat-sheet form of leader’s guide wouldn’t be difficult to develop for churches with newer or less knowledgeable leaders. Subversive Kingdom is a six session DVD-Driven study that examines a series of kingdom parables in Matthew 13 and is designed to explain “what the kingdom of God is and how to embrace and advance it in the lives of believers and churches.”Īnchored by the DVD teaching, the study incorporates a member book that includes a session discussion guide, scripture memory verses, and daily personal devotions. Ed Stetzer, President of Research at Lifeway. Released in 2011, the DVD features teaching by Dr. Looking for a good overview of Jesus’ teaching about the Kingdom of God? I had a chance this weekend to take a look at Subversive Kingdom: Lessons in Rebellion from the Parables of Jesus and you might want to add this study to your recommended list.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |