In the last decade, the number of deaths from diabetes mellitus complications in Lithuania has almost doubled, according to the Health Information Center of the Hygiene Institute.
According to Violet Bičkauskien bir, a diabetic teacher in the Santaros Clinic, this may be due to insufficient care in the management of diabetes, which is largely dependent on the patient's own participation, according to a press release in the media.
"The treatment of a diabetic patient is complex and its efficacy is determined only by the latest treatment methods. Patients should be self-monitoring, follow up and analyze their illnesses constantly, so they should not hesitate to contact the appropriate experts who can teach it," – says V. Bickkauskienabetik.
Diabetes teachers – nursing diabetics working in health facilities – have been recommended for a few years by a family doctor with diabetes in Lithuania.
It helps the patient to focus on what and why, discuss the causes of glucose fluctuations, the importance of self-control, and everything related to diabetes in human life.
Patients themselves should be vigilant
Many patients with Type 2 diabetes are taking insulin, so they are particularly interested in understanding how to adjust their doses themselves, as it should be done continuously, as well as patients with type 1 diabetes.
When starting a patient's insulin therapy, it determines what control will be in the first three months. Failure to obtain the necessary indications at the start of treatment will reduce the chances of achieving them in the future and should therefore be included in the care of the patient from the outset.
"Based on glucose measurements, when assessing the amount of carbohydrates in a meal, the patient should take into account the amount of insulin to be taken. Each body's insulin sensitivity is different. Therefore, the same doses of insulin for the same food are also selected", – says the diabetes nurse.
By calculating carbohydrates and selecting your own insulin dose, patients not only delay the complications of the disease, but also directly affect the outcome of diabetes treatment.
Improved glycemic control can reduce the risk of cardiovascular disease by up to 25%. Over a period of 10 years.
Why are patients afraid of increasing the dose of insulin?
Optimal blood glucose levels are usually inhibited by insufficient insulin dose. In the past, insulin therapy has been associated with hypoglycemia, increased glucose levels and increased body weight, and patients are reluctant to increase their doses.
Currently, patients are treated with new generation basal insulins that do not only have longer and fairer effects, but are also more compatible with human physiology, which reduce the incidence of hypoglycemia and have less impact on the patient's body weight.
When the tablet treatment is no longer effective, in the latest European and American diabetes treatment guidelines, basal insulin is the first choice drug because both the basal and food insulin in both syringes containing insulin may increase the risk of hypoglycemia and weight gain.