According to the Health Information Center of the Institute of Hygiene, over the last decade the number of deaths from complications of diabetes in Lithuania almost doubled in a year.
According to Violetė Bičkauskienė, a diabetes teacher at the Santaros clinic, this may be due to inadequate care in the treatment of diabetes, which is highly dependent on the patient's involvement, according to a press release in the media.
"The treatment of a patient with diabetes is complex and its effectiveness is determined not only by the newest treatment methods." Patients must conduct self-monitoring, constantly monitor the disease and analyze it, so it is important not to be afraid of contacting the appropriate specialists who can teach it " – says V. Bickkauskienė.
Diabetology teachers – nurses diabetics working in health care institutions – have been advised by a family doctor on diabetes in Lithuania for several years.
They help focus on what and why the patient is, discuss the causes of glucose fluctuation, the importance of self-control and everything related to diabetes in a person's life.
Patients themselves should be vigilant
Many patients with type 2 diabetes receive insulin, so both they and people with type 1 diabetes are particularly interested in understanding how to adjust the doses themselves, because they should be done continuously.
By starting to treat the patient with insulin, the first three months determine what the control will be later. Failure to meet the required indicators at the beginning of treatment will reduce their chances of being achieved in the future, and therefore the patient should be involved in patient care from the very beginning.
"Based on the glucose measurements, when assessing the amount of carbohydrates in a meal, the patient should take into account the amount of insulin to take." The sensitivity of each body to insulin is different, so insulin doses for the same food are also individually selected, "says Diabetic Nurse .
When calculating carbohydrates and choosing their own insulin dose, patients will not only delay the complications of the disease, but also directly affect the outcome of the treatment of diabetes.
Better glycemic control can reduce the risk of cardiovascular disease by as much as 25%. for a period of 10 years.
Why are patients worried about increasing the dose of insulin?
Optimal blood glucose levels are often inhibited by an insufficient dose of insulin. In the past, the use of insulin therapy was associated with hypoglycaemia, excessive glucose levels and increased body weight gain, and patients were not prone to increasing the dose.
Currently, patients are increasingly being treated with new generation basal insulin, which not only show longer and more even action, but also more closely match human physiology, reduce the incidence of hypoglycaemia and have a lower impact on the patient's body weight.
When treatment with tablets is no longer effective, basic European insulin and insulin guidelines are the first line treatment because mixed insulin in both syringes containing primary and food insulin may increase the risk of hypoglycaemia and weight gain.