Thursday , January 20 2022

World Diabetes Day: Experts from Cantonal Uri Hospital provide information


Diabetes affects more and more people. Patrick Jauch, Head of Nutrition Counseling, and Esther Hunkeler, Diabetes Consultant, answer some common questions on the subject.

Patrik Jauch-Herger, Head of Nutrition Counseling at Cantonal Uri Hospital, advises a patient. (Photo: PD)

Patrik Jauch-Herger, Head of Nutrition Counseling at Cantonal Uri Hospital, advises a patient. (Photo: PD)

The World Diabetes Day was launched in 1991 in the face of the rapidly growing diabetic world-wide. The date of November 14 commemorates Frederick G. Banting's birthday, which he discovered with Charles Herbert Best in 1921, the essential hormone insulin, as he says in a statement of the cantonic hospital of Uri.

On this day, diabetes, its causes and its impact on lives and those affected should be brought to the attention of the world. "Above all, it should be clear that diabetes is not a problem for some, but that more and more people around the world have to live with the disease," writes the Swiss Diabetes Association (SDG).

Is diagnosis possible early?

Esther Hunkeler: In the type 2 diabetes, which was previously diagnosed with adults, definitely started. If someone belongs to a risk group, it makes sense to get the blood sugar level regularly checked by the GP. Therefore, high levels of blood sugar can be detected at an early stage and initial measures, for example, in the context of changing lifestyle with the help of nutritional advice. There is no early detection for type 1 diabetes, which occurs mainly in childhood and adolescence, and can generally develop at any time of life. The reason for this is that the pancreas suddenly does not produce insulin and this is unpredictable.

Esther Hunkeler is a diabetic advisor at Cantonal Uri Hospital. (Photo: PD)

Esther Hunkeler is a diabetic advisor at Cantonal Uri Hospital. (Photo: PD)

risk group? So, how does one notice if he has a diabetes risk?

Esther Hunkeler: A person has a greater risk of developing diabetes if, for example, they are too heavy, they suffer from high blood pressure and high cholesterol levels. These factors are complicated when someone with close relatives who already has diabetes – for example, father, mother or brother or sister. However, people with normal physical pressure but tend to be able to develop diabetes too. In addition, studies have shown that regular physical activity can be an effective way of preventing diabetes.

The cold is also the sweet season. What does this mean for diabetics?

Esther Hunkeler: Eating and drinking has a direct influence on the blood sugar level. In counseling diabetes, I often get nutrition questions, and then discussed in nutrition counseling. In counseling diabetes, I can explain the clinical picture to the patient. They also learn how to measure blood sugar properly. In addition, patients should learn to understand their individual diabetes therapy, whether it is a drug action or insulin control. If someone has to spray insulin, he or she will also be trained by me. The aim of diabetes counseling is that the patient is able to control diabetes well with the help of the doctor.

Patrik Jauch: Sweet things do not have to be completely dried out of the diet, even with diabetes. It usually makes sense to arrange sweets and desserts immediately after main meal rather than between.

Are too many choices used for diabetes?

Patrik Jauch: People often say that, but they're not right. The main factor is the impairment or, in particular, the excessive bowel fat. That's the biggest impact. And then you have to say that not only does white sugar have an influence, but rather the total carbohydrates, which also affect fructose, starch supplements, sugar sugar or sugar sugar. Too much, in addition to the influence on the pressure and abdominal fat, can have an independent influence on when type 2 "diabetes breaks out". Measuring supply – including confectionery – but also related to a balanced diet.

Generally about nutrition. How does the risk of the disease depend on the diet?

Patrik Jauch: A balanced diet is essential to maintaining good health. This is not just about eating vegetables, but for the general balance. Today it is known that different diseases such as diabetes, cardiovascular diseases and many other people can be avoided for a long time – but not 100 percent. Nutrition or nutrition nutrition is also a risk factor only as a legacy, the environment, smoking, etc.

Is diabetes a disease prosperity?

Esther Hunkeler: Yes, part of it is certainly due to the prosperity of our society. Much of the population follows a sedentary post. In addition, food is always available, especially very high energy, high calorie foods. These two factors promote hypertension, which in turn is a risk factor for the start of diabetes.

In the morning after raising a cup of coffee, espresso. What do you say as a dietician?

Patrik Jauch: Breakfast is important. People who eat breakfast have a lower risk of diabetes, obesity or its consequences, even according to recent studies. That's why we will not cancel the coffee. Especially with coffee, it is assumed that it also has positive effects on the cardiovascular system. However, we will consider in nutritional advice what would be most likely to imagine eating for breakfast. At the most, we will then set a concrete mark until the next meeting.

Nursery healthy, avoid diabetes. Can you say that?

Patrik Jauch: Maybe the wrong word is avoids, but postponed. So, if you eat healthy, if you eat type 2 diabetes, which is called sugar, only with 90 instead of 60 years, if you are there; Bring a strong family disposition. However, type 1 diabetes is not about lifestyle. This can be affected as young as well as old, even if the lifestyle is healthy.

Should diabetics do more sports?

Esther Hunkeler: Yes, completely. Regular physical activity is an important part of the treatment concept because exercise can reduce blood sugar even without insulin. Movement within 150 minutes a week has a positive effect on the sugar metabolism. It does not matter if it's 60 minutes of swimming twice a week and 30 minutes cycling on the home home trainer or 30 minutes running quickly after lunch four times a week. And of course it's not important if someone moves more than 150 minutes a week.

Are there any special dietary recommendations for diabetes?

Patrik Jauch: Today's basis is the usual balanced diet recommendations. However, the "right" diet is the one that suits the appropriate therapy. Only if they have to pay attention to lifestyle, taking pills or insulin spray, are fundamentally different from the recommendations. It's important to know about the possibilities and then to decide how much you can or do. The one wants to get the best with changing lifestyle, the other want to act specially the most important foundations in everyday life, which are also fine. That is why we recommend an individual consultation rather than a very general information.

Can someone come to their hospital if they have a question about their diet and health?

Patrik Jauch: Yes, in the case of diabetes diseases, every person has the right to foster consultations six to twelve and nine diabetes consultations per calendar year. These are taken by the basic insurance of the health insurance if you have a medical prescription. Therefore, it is worth discussing with a possible allocation with the GP. (Pd / ml)

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