According to the Health Information Center of the Hygiene Institute, over the past decade, the number of deaths from complications of diabetes from Lithuania almost doubled during the year.
According to Viola Bech Kakina, a diabetes teacher at the Santros clinic, it may be caused by inadequate management of diabetes, which largely depends on the involvement of the patient himself, according to a press release in the media.
The treatment of a diabetic patient is complex and its efficacy is determined not only by the latest treatment methods. Patients must perform self-monitoring, constantly monitor the disease and carry out its operation, so it is important not to be afraid to contact the appropriate experts who can teach it, "- says V. Bickkauskien..
Teachers for diabetics – diabetics working in health facilities – have advised a family doctor for diabetics in Lithuania for several years.
They help to focus on what the patient is talking about, the causes of glucose fluctuations, the importance of self-control, and everything related to diabetes in human life.
The patients themselves should be vigilant
Many patients with type 2 diabetes receive insulin, so they, as well as those with type 1 diabetes, are particularly interested in figuring out how to adjust the dosages themselves, as this should be done continuously.
When insulin therapy begins, the first three months determine what control will be in a later period. Failure to receive the necessary indicators at the beginning of the treatment will reduce their chances of reaching them in the future, and therefore the patient must be involved in treating the patient in the first place.
"Based on glucose measurements, when evaluating the amount of carbohydrate in a meal, the patient should consider the amount of insulin to be taken.The sensitivity of each body to the insulin is different.Therefore, the insulin dose for the same food are also selected separately," – says the diabetes nurse.
By calculating carbohydrates and choosing your insulin dose, patients will not only delay the complications of the disease but also directly affect the outcome of diabetes treatment.
Improved glycemic control can reduce the risk of cardiovascular disease by up to 25%. Over a period of 10 years.
Why are patients afraid to increase their insulin dose?
Optimal blood glucose levels are often stopped by enough insulin. In the past, insulin therapy was associated with hypoglycaemia, excessive glucose levels, and body weight gain more often, and patients were not willing to increase their dose.
Today, patients are increasingly being treated with new insulin of the new base, which not only have longer and more fair effects, but also more in line with human physiology, reduce the incidence of hypoglycemia, and have a lower effect on the patient's body weight.
When insulin therapy is no longer effective, according to the European and American guidelines for the treatment of diabetes, basic insulin is a first-line drug, as insulin is mixed with two basic insulin-containing syringes and may increase the risk of hypoglycemia and weight gain.