According to the Health Information Center of the Hygienic Institute in the last ten years, the number of deaths on complications of diabetes mellitus in Lithuania almost doubled during the year.
According to Violetė Bičkauskienė, a diabetes teacher at the Santaros Clinic, this may be caused by insufficient care for diabetes, which, according to a press release in the media, is strongly dependent on the patient's own involvement.
"Treatment of a diabetic patient is complicated and its effectiveness is determined not only by the latest methods of treatment. Patients have to carry out self-monitoring, constantly monitoring the disease and analyzing it, so it is important not to be afraid to contact appropriate experts who can learn," – says V. Bickkauskienė.
Diabetes teachers – nursing diabetics working in health care facilities – have been recommending a family doctor for diabetes in Lithuania for several years now.
They help concentrate on what and why the patient is discussing the causes of glucose fluctuation, the importance of self-control, and everything about diabetes in human life.
Patients should be careful
Many patients with type 2 diabetes receive insulin, which is why they, like patients with type 1 diabetes, are particularly keen to understand how to adjust their doses themselves because it should be done continuously.
When initiating treatment with insulin, the control over the first three months determines the control at a later time. Failure to achieve the required indicators at the start of treatment will reduce their chances of achieving them in the future, and therefore the patient should be involved in the care of the patient from the outset.
"Based on glucose measurements, the patient should take into account the amount of insulin that is to be taken into consideration when assessing the amount of insulin that is to be taken in. The insulin sensitivity of each person is different, so insulin doses for the same diet are also selected individually," says the diabetic nurse.
By calculating carbohydrates and selecting your own insulin dose, patients will not only delay the complications of the disease but also directly affect the outcome of diabetes treatment.
Enhanced glycemic control can reduce the risk of cardiovascular disease by up to 25%. for 10 years.
Why are patients afraid to increase the insulin dose?
Optimal blood glucose levels are often limited by an insufficient insulin dose. In the past, insulin therapy has been associated with hypoglycaemia, excessive glucose levels and more frequent weight gain, and patients were not willing to increase the dose.
Currently, patients are still being treated with new generation basal insulins that show not only longer and fairer effects, but also more in line with human physiology, reduce the incidence of hypoglycaemia, and have a lower effect on the body weight of the patient.
When tablet therapy is no longer effective, in the latest European and American guidelines for diabetes treatment, basal insulin is a first-line drug because mixed insulin in both syringes containing both basal and insulin in the diet can increase the risk of hypoglycaemia and weight gain.