Wednesday , March 3 2021

Serious deficiencies in the treatment of diabetes



In the discussion. Treatment of people with type 2 diabetes is currently not close to reaching target levels set by the National Health Council. It is very serious and we do not see any signs of real ambition increases. Half a million people in Sweden suffer from type 2 diabetes and hundreds of thousands more suffer from the disease without knowing it. Even more people have a precursor, called prediabetes. All these are at risk of serious complications due to the disadvantages we can see in the treatment of diabetes.

Result from The ongoing ongoing diabetes survey conducted by the Netdoktor Patients' Portal shows that seven out of ten patients have been found to have been mistaken for, for example, a health check in a health center or corporate health. Here is a great potential for improvement. Simple blood tests can be offered to people at risk. If there had been more previous diagnosis, great suffering could have been prevented, while the cost of treatment would have been reduced.

Another result This is how incredibly sick patients get their feet tested. This is very clear in the guidelines of the National Health Council that everyone has to offer an annual survey on the occasion. This is because damaged blood vessels lead to loss of emotions, a sore wound and eventually wound amputations. But today development is going wrong, and less are offered survey. In our patient survey, only 58% received a thorough investigation in the past year. Here in Östergötland, the figure was 72 percent, which is far from the goal of the National Health Council of 99 percent.

Why did not he offer? Anyone with diabetes in Östergötland has an annual foot survey, which in the long term can be very important? Are there structural barriers, or is there no initial care to have time or resources for this simple measure that is a direct requirement in the guidelines?

Third result Self-care, that is, the part of the treatment that the patients themselves provide. This is roughly, for example, blood glucose continuous measurements, injections of insulin, adjustments of medication dosage, and control of food and exercise. For this to work, training is required. Here, the guidelines stipulate that anyone with type 2 diabetes should be offered a patient training group. But only 18 percent stated in a survey that they offered it. In Östergötland, the figure was as low as 12 percent.

Now health should be done In Östergötland take the power to improve the treatment of people with diabetes. The results we can see in the survey are that for many people, they are at risk of serious complications such as serious cardiovascular disease, eye damage, kidney damage and amputation due to proper treatment. Completely unnecessary.

Give people with diabetes More impact on their treatment, offer modern diabetes medicines, provide medical support and coaching for lifestyle changes. Today, obsolete treatments are used too often so that people with diabetes often stay with some handbooks in their hand. Often with the warning that "now you are starting to take care of yourself". We can never accept this as a sick representative.

Thomas Magnusson and Katrina Bergscham, the diabetes organization in Sweden

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