According to the Hygiene Institute's Health Information Center, in the last decade, the number of deaths of diabetes mellitus complications in Lithuania has almost doubled over the year.
According to Violetė Bičkauskienė, a diabetic teacher at the Santaros Clinic, this may be caused by inadequate care in the management of diabetes, which is very dependent on the patient's own involvement, according to a press release the media.
"Treating a diabetic patient is complicated and its effectiveness is determined not only by the latest treatment methods. Patients must maintain self-monitoring, monitoring of the disease consistently and make their analysis, so it's & # 39; It's important not to be afraid to contact the appropriate experts that can teach it, "- said V. Bickkauskienė.
Diabetes GPs in Lithuania advise diabetes teachers – nursing diabetics working in healthcare facilities for many years.
They help to focus on what and why the patient discusses the causes of glucose variants, the importance of self-control and everything that is related to diabetes in human life.
Patients themselves should be vigilant
Many patients with type 2 diabetes get insulin, which is why they, as well as those with type 1 diabetes, are particularly interested in understanding how to adapt their own doses, as this should be done continually.
When initiating a patient's treatment with insulin, the first three months will determine what control will be in the later period. Failure to achieve the required indicators at the beginning of the treatment will reduce their chances of future arrival, and so the patient should be involved in caring for the patient from & # 39 ; r start.
"Based on glucose measurements, when assessing the amount of carbohydrates in time, the patient should consider the amount of insulin that can be taken. The sensitivity of each body to insulin is different. Thus, insulin doses for the one food is also individually selected ", – says the diabetes nurse.
By calculating the carbohydrates and choosing your own insulin dose, patients will only delay the complications of the disease but also directly affect the result of diabetes treatment.
Better glycemic control can reduce the risk of cardiovascular disease by as much as 25%. over a period of 10 years.
Why do patients be scared to increase insulin doses?
The best possible blood glucose levels are often obstructed by the insufficient dose of insulin. In the past, insulin therapy has been associated with hypoglycemia, excessive levels of glucose and increasing body weight gain more often, and patients were dissatisfied with increasing their dose.
Today, patients are increasingly treated with new generation basal insulin that show only more and more fair effects, but also more in line with human physiology, reduce the incidence of hypoglycaemia, and has a lower impact on the body's pressure in the patient.
When treating tablets is no longer effective, in the latest diabetes treatment guidelines in Europe and America, primary insulin is a first-line drug, since mixed insulin in both sprays that includes basal insulin and food can increase & 39; The risk of hypoglycaemia and weight gain.