"Diabetes needs a national plan"

The endocrinologist Alfonso López encourages diabetics to live with the disease and avoid their complications.

«Diabetes is a partner for a lifetime.If you treat her well, he will not give you problems;If you do it wrong, it will give them to you ».In this way, Dr. Alfonso López Alba, a specialist in endocrinology at the Álvarez-Buylla de Mieres hospital, defined yesterday the most important chronic disease in the world, encouraging diabetics and family to fight “to introduce it into the political agenda and achievea national plan similar to that existing against cancer or transplants ».

The intervention of Dr. López Alba opened the cycle dedicated to diabetes organized by the Avilés' Voice Culture Classroom, coordinated by Armando Arias and sponsored by Cofés Toscaf.On this occasion, it has the collaboration of the Association of Diabetics of the Principality of Asturias, whose president, Francisco Pérez Labajos, encouraged the diabetics to integrate and "unfold" the situation, learning to live day by day with a disease that in SpainThey suffer 5.3 million people, although more than two million do not know.

The intervention of Dr. Alfonso López Alba ranged from two poles.On the one hand, he faced his negative halo, trying to give an illusion message for patients.But this did not prevent him from remembering the importance of what he defined as an overall epidemic produced by the envelope of food in a species, the human, which for 10,000 years has hunted and collected, surviving periods of nutritional shortage and hunger.The increase in sedentary lifestyle has ended up aggravating the context.

In the United States, he recalled, 25% of the adult population is already OBESA and in Spain 13.8% of the population over 20 suffers diabetes.And there are countries with higher percentages.

An incidence that translates directly into health spending.A study in which Dr. López Alba participated in a minimum of 5,800 million euros the expense that diabetes generates to Spanish health, whose annual budget is around 60,000 million euros."It is the most conservative hypothesis, the most reasonable thing is to think that the expense is 8.2 billion euros, 15% of the health budget," he said.

But when talking about these expenses, the rapporteur did not hesitate to adjective.«From diabetes spending, 3% is in reactive strips and 15% in medicines;Most of the expense is in complications and those produced by poorly controlled diabetes ».

disease control

Alfonso López Alba influenced the need to control diabetes well so that the patient maintains their quality of life.Great efforts are not necessary, especially if the diagnosis is made in the initial phases.

Modaging food is a good route to avoid those risks.«Reducing 5% body weight is the best health measure.In a person who weighs 80 kilos, there are four.It is acceptable, ”he said, while advising exercising, such as a minimum of five thousand daily steps.He stressed that the recommendations must be customized to the fullest, taking into account the circumstances of each one.

López influenced the need to fight to "introduce diabetes in the political agenda", as a way to get a national plan against the disease and that it is well equipped to stop the progress of the ailment.

In this way, the current healthcare model could be modified, where nutrition councils are limited to a sheet that is delivered to all people equally.«A diet should not prohibit food.You have to talk to the patient and establish a strategy.I do not like the word diet, I prefer to talk about personalized nutritional advice, "he said, since the goal is that" the diet is balanced between what is eatenand what is spent ».

Did not avoid self -criticism, such as "the use of too complicated measurement systems for the person."He raised the possibility of using a person's fist size cube.A possible option would be to eat three fruit fists, two of legumes or rice or paste and two protein (fish or meat fillets) as a daily guide.

From the total expenditure on public health diabetes, 3% is in strips, 15% in medication and, the rest, in treatments of complications.
What conclusion do we get?

Good point @"regina" !!!, more investment in better control and avoid complications.

To take note of health, to see if we start including MCG in the SS!

The health system gives us three of the basic elements for diabetes control: the medication we need and if necessary the lancets and needles for type 1 diabetes, the general recommendation of a good diet, avoid obesity (a new concept: Diabesity), and the practice of physical exercise (the most recommended: walk at least an hour a day), but I repeat for the fourth time the fourth leg that lacks the control table: The diabetological education of patients andRelatives who live with the patient !!!!It is clear that with a diabetic population in Spain of about 5,000,000 patients the health system does not have resources to carry it out.For that, the National Institute of Diabetology of the Red Cross marked as a objective the creation of diabetic associations in the most important population centers.But for them to be effective, several conditions are necessary that both in endocrinology and in primary care is encouraged to the patient to visit us.2nd The Council and Support of these professionals for their management and development and of course the creation at the national level of diabetes units that integrate the specialists who treat our disease and the complications that are actually those who kill us or take away quality ofCardiovascular life, nephropathy, neuropathy, ophthalmology, all integrated into a national diabetes approach plan., That although it may seem too expensive if the treatments of these complications and income for lack of control are avoided, I am sure that the economic result would beprofitable.
Thanks for your attention and everyone helps transmit this message ..

In 1992 they did not give machines or strips.The machine cost my parents 40,000 pts at that time, they were not very old people and that cost me a greater lack of control (a 13 -point hemoglobin), it was also due to the years I was about 13 years old.

So, you have to take care of public health, because it belongs to everyone.

Why do they define it as "pandemic"?It is not a pandemic, it is not spread by contagion such as plague, smallpox, chickenpox, etc.
There is already a common national treatment plan and advice to patients, another thing is that there is no agency auditing that this really becomes the same throughout the national territory.

As with the coronavirus, the early detection of the disease is fundamental.Every year, all citizens do blood analytics, at least one, why don't they measure glyc?
Now they only measure it if debuts in diabetes 1, type 2 are sent 3 months to see how they do not even give them glucometer during those 3 months (I have several friends at this point and they have all told me the same in theirdifferent autonomies).
Thus we would detect potential diabetics and could be controlled with diet without having subsequent complications.A high level of punctual glucose in a company recognition does not imply diabetes, I know several false diabetics.

ruthbia said:
Why do they define it as "pandemic"?It is not a pandemic, it is not spread by contagion such as plague, smallpox, chickenpox, etc.
There is already a common national treatment plan and advice to patients, another thing is that there is no agency auditing that this really becomes the same throughout the national territory.

As with the coronavirus, the early detection of the disease is fundamental.Every year, all citizens do blood analytics, at least one, why don't they measure glyc?
Now they only measure it if debuts in diabetes 1, type 2 are sent 3 months to see how they do not even give them glucometer during those 3 months (I have several friends at this point and they have all told me the same in theirdifferent autonomies).
Thus we would detect potential diabetics and could be controlled with diet without having subsequent complications.A high level of punctual glucose in a company recognition does not imply diabetes, I know several false diabetics.

They asked me glyc because I have a private insurance in which they detected it.For the public I am young and do not perform annual analytics.Just as they told me, when they had already removed a mole with precacelling cells on my back, they didn't send me to Derma because I was very young to have problems.Of gynecological reviews despite having sop or speaking.As I had been put with my mother in Muface (hence I had done everything privately), I decided to pay me private insurance, at least for reviews.Life has given me.The endocrine of the public has discharged me because according to her I am well controlled, when the glyc has increased without change of habits and I have hypos without knowing the reason.Maybe I measure it now and I am in 140 and in an hour I am below 60. Glucometer?I bought it.There neither the public nor the private one: if you are not insulin of the dependent do not give it to you.They tell you that you go once a week to fast your doctor and voila.The Board (work in education) does not give me so many permits (I would have to miss one day a week, since where I have the doctor and work do not match, and I cannot make the displaced card because the schedule coincides withmine).So I cost the glucometer and cost the strips (which I now ration because they come for emails and emails now not distribute packages).To me from the beginning they sent me Dapaglifocina, but the private doctor.I suppose there will be cases and cases, but to me in endocrinology, beyond one you have to lose weight (subclinical hypothyroidism, I have already tried everything and as if not) and increase the exercise time (if they get the day to have more hours than more hours thanThey tell me), with that they fix everything ... and despite the history of the family in diabetes, both 1 and 2, they have not done any tests, beyond normal analytics.