There are a large number of undiagnosed patients and are therefore untreated and do not control their disease. According to the World Diabetes Atlas, the actual number of diabetic patients in Bulgaria is 520,000. The official statistics of the Diabetes Registry indicate that the number of people with diabetes in Bulgaria exceeds 460,000.
This data has been brought to the Association of "Diabetes and Pre-Aid"; Insulin Pumps Association; Diabetes Type 2 Association; On the occasion of World Diabetes Day "With you" Patient organizations were celebrated on November 14th.
Patient organizations in Bulgaria reiterate the need to establish a comprehensive policy on diabetes mellitus to address specific problems.
They insist on improving access to diabetes screening and diagnosis.
There is currently no comprehensive program to solve problems in Bulgaria: the lack of annual screening programs covering all risk groups; He wrote an official letter to the media, inadequacy of specialists in small settlements and hard-to-reach areas, lack of adequate resources for prevention.
This is the cause of timeless treatment and the emergence of diabetic complications. This contributes to additional budget burdens and the implementation of costly therapies to treat diabetes and its complications, contributing to the stress of organizations.
Among the main problems in our country are the lack of education programs for all diagnosed patients in order to improve the compliance with diagnosis and treatment in some parts of the country, the difficulty of access to quality medical services. Improve access to diabetes control
The nature of the disease is such that lifestyle and nutrition are of particular importance for the good control of the disease in patients diagnosed with diabetes. But also the constant control of blood sugar. Only 73,000 diabetic patients receive bandwidth for the paid counter readers under the NHIF. All other controls are weak or completely missing.
Bulgaria is one of the few countries that have not fully compensated EU sensors and consumables. Sensors are the most advanced method for diabetes control in adult children, in both children and pregnant women, and in all others.
"We must insist that all diabetics should be treated by an endocrinologist, whether there are guidelines and if necessary, all diabetes patients should be dispensers in endocrinologists." Endocrinologists have only diabetes patients with severe complications, others have been observed. We think it is a more successful model that thinks endocrinologist, it will be beneficial for both patients and we can reduce the costs of treatment. End
It is pointed out that diabetic foot prophylaxis is rare and exception in Bulgaria. Treatment of patients with diabetic polyneuropathy is usually delayed when wounds occur in the 3-5 stages of the disease. There are at least 15,000 Bulgarian diabetic patients diagnosed with this diabetes complication. However, it is believed that the number of patients with diabetic foot injuries is about 5% of all diabetics, ie about 26,000 people have ulcers, wounds. Approximately 140 people undergo an amputation due to diabetic foot. Patients in the first and second stages of diabetic polyneuropathy show drugs, but many diabetics do not take them because they cannot afford it. In steps 3-5, diabetic patients are exposed to wounds and ulcers that are difficult and expensive to treat, resulting in great pain, difficulty in movement, processability, amputation. Because of the loss of sensitivity in patients with diabetic polyneuropathy, leg injuries may remain unnoticed and may lead to ulceration, severe infection and amputation at a later stage.
In the interview, diagnosis and pathogenic treatment of diabetic polyneuropathy, including forms leading to loss of symptoms and loss of sensation, is required for further screening and more diagnostic devices in clinics.