There are a huge number of patients who are not diagnosed and therefore are not treated and do not control their disease. According to the World Atlas of Diabetes, the actual number of diabetics in Bulgaria is 520,000. The official statistics of diabetes registration indicate that the number of people with diabetes in Bulgaria exceeds 460 thousand people.
These data were brought to the organization Diabetes and Pre-Abt; Association for Insulin Pumps; Diabetes Type 2 Association; The Hula organizations "together with you" on the occasion of World Diabetes Day celebrated on November 14.
Hula organizations in Bulgaria again emphasize the need to create a comprehensive policy on diabetes to address a number of specific problems.
They insist on improving access to screening and diagnosis of diabetes.
Currently, Bulgaria has no comprehensive program to solve the problems related to: the lack of annual screening programs covering all risk groups; Lack of experts in small settlements and difficult to reach areas, the lack of sufficient resources for prevention, wrote in an official letter to the media.
This is the cause of premature treatment and the occurrence of diabetic complications. This contributes to additional budgetary burden and to the implementation of expensive treatments for the treatment of diabetes and its complications, pressure organizations.
Among the major problems in our country is the difficult access to quality medical care in some areas of the country as well as the lack of training programs for all patients diagnosed to improve adherence to the treatment and control of blood sugar. Improved access to diabetes control
The nature of the disease is such that in patients with diabetes diagnosis, lifestyle and diet are of particular importance for good control of the disease. But also the ongoing control of blood sugar. Only 73,000 diabetics receive bandwidth for meter readers returning under NHIF. Any other control is weak or completely lacking.
Bulgaria is one of the few countries in the EU that does not completely return the consumable sensors for them. The sensors are the most advanced method for controlling diabetes, both in children, in pregnant adults and in severe patients, and in all other patients.
"We claim that all diabetes patients will be treated by an endocrinologist, whether there are directions or not, and if necessary, all diabetics should be divided by endocrinologists." Only diabetic patients with severe complications are currently in endocrinologists, we see a more successful model to be endocrinological, it will benefit both patients and reduce treatment costs, "they call the patient organizations.
Attention is also drawn to the fact that diabetic foot care in Bulgaria is rare and unusual. Treatment of patients with diabetic polyinopathy is often delayed when the lesions occur in the 3-5 stages of the disease. There are at least 15,000 Bulgarian diabetics diagnosed with this complication of diabetes. However, it is believed that the number of patients with diabetic foot injuries is about 5% of all diabetes patients, that is, about 26,000 people get ulcers, sores. About 140 people every year suffer from amputation due to diabetic foot. Patients in the first and second stage of diabetic polyneuropathy show drugs, but many diabetics do not buy them because they can not afford it. In 3-5 stages, diabetics suffer from sores and ulcers that are difficult and expensive to treat, causing immense pain, mobility difficulties, workfulness, amputations. Because of the loss of sensitivity in patients with diabetic polyneuropathy, leg injuries may remain untreated and lead to ulcers, severe infection and later amputation.
"Diagnostic and pathogenic treatment of diabetic polyneuropathy, including forms with loss of symptoms and numbness, requires more screening and other diagnostic devices in clinics," the authors write.