Sunday , January 17 2021

Diabetes, shock data in Italy, 5 million patients but a million do not know



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Risk for diabetes: The prevalence of diabetes in Italy, as reported in the Irna Diabetes Report in 2017, has almost doubled and is currently 6.34% nationwide.

In Italy, experts estimate that cases of unidentified diabetes represent 20 percent of the total. The actual case of diabetes out of 5 will be undiagnosed and not recognized and this leads to estimates of the prevalence of this condition in our country at 8 percent. This percentage compares to a population of 4 million people with diabetes in Italy who have a million diabetics who ignore their condition to add.

"Medicine alone is not enough anymore," he warns Andrea Lanzi,Professor of Endocrinology at the University of Sapienza of Rome. We have achieved high diagnostic and treatment skills, but without the help of municipal administrations, urban planners, and psychologists We will never be able to reduce diabetes"Lantzi heads the partyCity Health Institute, A thinking born three years ago to study health in cities and offering the best tools to promote healthy and healthier urban environments. Cities have inequality Of health Between the center and the suburbs. "In Rome, he says, in the richer central regions, the prevalence of diabetics is 5.8 percent, while in the periphery it is 7.2 percent lower because it prefers cheap food that costs less. But it is not just a problem of pockets and food culture. Also of motion. This has been demonstrated by recent research on inequality in health and inter-O space.Expecting the diseases of poverty Of the Palarrow Solidarity Medicine Foundation, in collaboration with the Faculty of Architecture of the University of Mediterranee of Reggio Calabria. "A person living in the suburbs – explains the president of the fund, Carmello Caserta – It More subject to diabetesBecause she uses the private car more often to get to work, with little public means available, and why sports facilities and green spaces for physical activity are missing. "

But the danger of diabetes among people is still underestimated. We do not realize that this is a disease that causes 4 million deaths every year. "It's not right to think of this benign pathology, in fact In Italy it kills more than cancer – emphasizes Simona Frontoni, Professor of Endocrinology in the Vergata column and member of Sid. High blood sugar for prolonged periods favors the oxidation and obstruction of the arteries, increasing the risk Cardiovascular disease Because they are the first cause of death. "Among diabetics, the Arnault Observatory recorded 75,000 heart attacks per year. 50,000 strokes, 10,000 amputations, 50,000 cases of vision problems, and 2,000 dialysis. With insane costs for Ssn. To treat a diabetic patient they spend an average of 2,900 euros per year against 1300 of non-diabetes. And double hospitalization. "One in four patients is at risk for hypoglycemia Associated with the use of low-priced drugs, sulfonylureas, now obsolete but still prescribed by family doctors, unlike the expert, has no right to change the treatment plan, "reports Frontoni.

What is diabetes?

"Diabetes" (or "diabetes") are defined as diseases and conditions, which are treated without excess blood sugar (hyperglycaemia), Type 2 diabetes The most common type of diabetes, type 2 diabetes usually occurs after the age of 40, Oils. Its evolution is slow and without symptoms. Gradually the person loses the ability to control the balance of blood sugar. Type 1 Diabetes Type 1 Diabetes is the result of an autoimmune reaction that destroys the pancreas and betacellulas where insulin needed to enter glucose into the cells is extracted. A person with type 1 diabetes must take it from the outside and always have the right amount in the blood.

This type of diabetes often occurs in children's age. In Italy, about 100,000 children and boys suffer from type 1 diabetes, followed by a network of pediatric dietology services, where special teams are able to prescribe the most appropriate treatments and above all to educate the family and children about the proper management of diabetes. The person with type 1 diabetes in fact, both in infancy, both in adolescence, and in adult life, can play normal life. A person with diabetes must always remember the effect that any choice, or what happens to him, can be about the concentration of blood glucose. It is usually a measure of blood sugar making decisions based on these data: take a certain dose of insulin, do or not exercise, eat or not eat carbohydrate-containing substances.

Type 1 diabetes occurs more often in the first 30 years of life. This means living with diabetes for a long time and therefore essential for a person with type 1 diabetes to keep blood sugar as close as possible, avoiding hyperglycemia (too much blood glucose) which in the long run will cause complications but also hypoglycemia. Gestational diabetes Gestational diabetes is a temporary form of diabetes that characterizes the percentage of pregnancies. From the second trimester of pregnancy can not maintain blood sugar.

This type of diabetes, which characterizes a large portion of pregnancies, seems to disappear after birth. Diabetes as a Risk Factor "But why should I worry about diabetes?". Probably a good question. Type 2 diabetes progresses very slowly, no symptoms. On the other hand "diabetes care" requires a lot of effort. We need to think about everything we do, put our attention and routines into our day, change our habits and give up what seems to be the greatest benefits of modernity: the abundance of food and the forbidding of fatigue (cars, lifts), often you Must take tablets daily several times a day. The answer is simple. Diabetes is a sophisticated condition. Like a tumor in the initial stage, diabetes corrupts the arteries from the inside, makes them diseased, corrupts them and makes them easier to process and block.

It's a slow process but not so slow. Often, in the few years between the true onset of diabetes and the moment when it is diagnosed, the smart enemy that diabetes has already destroyed the small arteries of the heart (coronary arteries) is sufficient to lay the foundations for a heart attack or block those that carry blood to the brain enough to lead to intellectual defects or Cerebral ischemia, (stroke) in a medical term. In short, unrecognized and untreated diabetes is a risk factor. This doubles the risk of developing serious or very serious conditions that can lead to death or serious disability or in any case destroy the quality of life of one of his family members. Diabetes prevention and prevention of type 2 diabetes is possible. By focusing on this goal, the risk of developing hypertension, hypercholesterolemia, hypertriglyceridemia and other risks is also drastically reduced.


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