update: 7/11/2018 18:21
Vydáno: 07/11/2018, 17:54
Prague – In the last 10 years, 15 percent of people with diabetes have been treated, last year almost 930,000 people. Other people do not know about their diagnosis yet. Treatment of these patients accounts for about 13 percent of the total cost of health care, an average of SEK 53,000 per patient. Today's information was provided at a press conference of the Czech Association of Pharmaceutical Companies (ČAFF) on World Diabetes Day, celebrated on November 14.
About 90 percent of diabetics have a second type of diabetes that is half genetically conditioned and the other half is an unhealthy lifestyle. According to DiaVize, head of diabetes, Marta Klement's diabetes, 30 minutes of physical activity, including walking or gardening, reduces the risk of diabetes by up to one third.
In the case of type 2 diabetes, the body has an excess of insulin that can not be released as soon as the patient needs it. In addition, their own insulin does not work as it is, and there is so-called insulin resistance.
Last year, about 33 billion crowns were spent on the treatment of second-rate diabetes in the Czech Republic, totaling around 300 billion in healthcare. If the number of diabetics increased at the same rate as before, in 2035. He will suffer every tenth Czech. "Sustainable growth will become unrealistic over time," added Klement.
Patients usually use a combination of up to four antidiabetic agents and others use a combination of blood pressure or high cholesterol. "Patients are not treated with a combination of ten drugs, because if they do not follow the diet, their blood glucose will not be as standard," said Klement, saying that the cost of working with patients and their lifestyle is much lower and often more effective than treatment. Over one third of them do not apply to the treatment of doctors.
The Czech Diabetes Society supports patient education. Research shows that group therapies are even more effective than individual conversations with patients. According to Klemens, insurance companies will also pay from next year. "The problem is to take patients, but if they come back, they return more often than regular controls," she added.
A patient who changes his lifestyle can achieve such an improvement that he will not have to take so many drugs and will be cheaper for the health care system. Martin Mátl, director of ČAFF, is also trying to reduce the cost of public health insurance by introducing the so-called Generic medicines, copies of original medicines that have completed patent protection. An example is the medicine for merformin, which is used by most diabetics. In the last ten years, according to mathematics, the generic has saved 3.7 billion crowns.
In addition, diabetics not only cure symptoms that are directly related to diabetes, but more often suffer from chronic complications such as heart disease and kidney failure. The risk of stroke increases diabetes two to four times, five times after heart attack, heart failure or coronary heart disease.