Control diabetes: the most common mistakes

fer's profile photo   03/17/2015 3:17 p.m.

The term 'Diabesity', recently coined, refers to what is already considered the epidemic of the 21st century and combines two serious problems consequence of modern lifestyle: diabetes and obesity.

As Dr. José Ramón Calle, Medical Advisor of the Diabetes Foundation, explains to Infosalus, the lifestyle of a diabetes patient is the same as we should follow the entire population, based on a balanced diet and the practice of physical exerciseto control the weight and risk of cardiovascular disease.

"We are among the countries of the world with more proportion of obesity among young people due to a diet in which junk food and sedentary lifestyle prevail to which consoles and computers contribute. Stronger awareness campaigns are needed in children to foster customsof healthy life that in the elderly they are already difficult to change, "says the endocrinologist of the San Carlos Clinical Hospital of the Community of Madrid.

Type 1 diabetes

Patients with type 1 diabetes usually participate largely in the evolution of the disorder and have a better education to control their condition, when to perform the controls or how to adjust the insulin doses that must be injected according to their diet."However, the rhythm of life associated with haste and welfare load can lead to many patients being worse educated in their illness of what they should," says the optional.

Type 1 diabetes was known as infant-juvenile diabetes since it began in the child and adolescent era, however there is a growing percentage of people who begin to suffer from it after 30 years.This diabetes requires injected insulin treatment and daily glucose control at different times of the day.

Type 2 diabetes, the known before as adult diabetes, is linked to lifestyle and excess weight and despite the fact that a few years ago the existence of this type of diabetes in minors was considered rare, more and more are diagnosed morecases among them.There are more than 5 million people in Spain suffering from this type of diabetes.

Despite the use of drugs, the pancreas of these people with type 2 diabetes are exhausted and in many cases they end up needing the injected insulin, requiring the same instruction in the disease as a patient of diabetes type 1 of origin.

The doctor points to some of the aspects of which more problems and errors in diabetes control are derived:

* inequality in patients and assistance

There is great variability between patients and their education about disease and accessible resources in the health system.According to Dr. Calle, there are great differences between health centers in terms of training and the means offered to these people to control the disease.

* Follow an adequate diet

The excessive consumption of fat and refined sugars predisposes to excess weight and with it to the greatest risk of hypertension, diabetes and hypercholesterolemia."The diet that diabetic patients should follow is the one we should follow," says the specialist.One of the most important errors is the drastic reduction of carbohydrates derived from the idea that its consumption rises blood sugar.

"We must reduce refined carbohydrates such as sweets and buns and moderation integrate slow absorption carbohydrates such as legumes, cereals, rice or potatoes," says the endocrinologist, who adds that the main problem is to change habits whenIt reaches advanced ages.

* 'Recycle' knowledge

The specialist points out that it is necessary for patients to go through informative sessionsPeriodic to 'recycle' your knowledge about how to control your diabetes since after two or three years patients forget the guidelines or relax in practice.

* Exercise is not just walking

Exercise is part of the treatment of a disease that can cause serious complications in different parts of the body.However, in many cases the walk is considered sufficient exercise."Whoever suffers from diabetes should not only exercise but should do it intensity, walking is not enough, it is about practicing bicycle or swimming and sometimes not so much emphasis on this issue is made as it should," he says.

* Control blood glucose

A large part of the diabetic patients control their blood glucose less than they should and largely due to the fact that the administration restricts the dispensation of the reactive strips necessary to measure glucose, says Dr. Calle.

Patients with type 1 diabetes should measure at least 4 times a day their levels while in the case of those who suffer from type 2 this follow -up depends on the degree of the disease.

* drugs are not enough

There are patients who suffer from type 2 diabetes and consider that oral antidiabetic drugs take over the disease, however, Dr. Calle points out that "treatment is based on diet, exercise and medications and the latter are not enough to stop the disease"

The specialist points out that intervening in these three areas decreases the risks of moving to type 1 diabetes and need insulin, as well as possible complications, the most common associated with the retina and the kidney and to a lesser extent to the nervous system.

* Stop vaining type 2 diabetes

There is still erroneous belief among many patients that there are not really suffering from any bad but only blood sugar levels are a bit high and that this does not have gravity compared to type 1 diabetes.

fer's profile photo
fer
03/17/2015 3:17 p.m.

@fer - Diabetes Tipo 1 desde 1.998 | FreeStyle Libre 3 | Ypsomed mylife YpsoPump + CamAPS FX | Sin complicaciones. Miembro del equipo de moderación del foro.
Co-Autor de Vivir con Diabetes: El poder de la comunidad online, parte de los ingresos se destinan a financiar el foro de diabetes y mantener la comunidad online activa.

  

I totally agree on the last section ... as type II No. we find bad

nina45's profile photo
nina45
03/30/2015 11:03 p.m.

Diabetica tipo II desde Diciembre de 2012 pero descendiente de diabéticos desde nacimiento
Medicacion: metformina de 850 gr mañana, mediodia y noche.
Ultima glicosila 6
Lema: "If you want a positive life, spent time with positive people!"

  

More dangerous ... I give you one of our night little shoes or a rush because insulin has been encapsulated and has not taken effect, we always have that danger from us chasing us and has nothing to do with a bad control thatYour is for many years without being treated or being bad

Gala's profile photo
Gala
03/31/2015 8:45 a.m.

"Miembro del equipo de moderación del foro"

  

Well, let's see if we are going to fight now to see who is more unfortunate ... Unfortunate we are all who suffer from diabetes.

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ROAR
03/31/2015 11:58 a.m.
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The main error to control diabetes is that they do not give enough strips or have no continuous meter.

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Regina
03/31/2015 2:30 p.m.

Hija de 35 años , diabética desde los 5. Glico: normalmente de 6 , pero 6,7 la última ( 6,2 marcaba el Free)
Fiasp: 4- 4- 3 Toujeo: 20

  

Ay dear gala ... You are not reason for the severity of type I ... (you tell me or explain it to me? What unfortunately do I know ...) ... the only thing I say is that it is a common factorIn all diseases and in the condition of the human being, do not pay much attention to the danger while one is well (we think but in the smokers that are gradually poisoned) ... and sometimes a good scare serves to save life... (what we agree that it does not mean that it is a good scare) ...
In fact, the statistics are right ... 90% of diabetics are type II and the largest number of deaths from diabetes also occur in type II (I do not know if the most number ...)
Fight us ??Nooo that goes! ... Here we are to dialogue and disagree (if we all agree that boring!) ... the question is among all to draw positive conclusions and learn !!!
A kiss!
PS: I inside the bad ... I am left with not diabetes -haha -... how to ask is free ...

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nina45
04/01/2015 12:31 a.m.

Diabetica tipo II desde Diciembre de 2012 pero descendiente de diabéticos desde nacimiento
Medicacion: metformina de 850 gr mañana, mediodia y noche.
Ultima glicosila 6
Lema: "If you want a positive life, spent time with positive people!"

  

Eiii ... I do not feel unfortunate (although I do not celebrate a party for being diabetic) ...
Unfortunate encounter a mother who has nothing to feed her children ... unfortunate is a family to which an Etarra kills the man in the house and on top of that is the only source of income ... unfortunate is the family withA minor with leukemia ...
In all these cases one could not do anything ... In diabetes we can put on our part taking care ... No one has said it is easy but what else can we do?
Take care and bicos!

nina45's profile photo
nina45
04/01/2015 12:54 a.m.

Diabetica tipo II desde Diciembre de 2012 pero descendiente de diabéticos desde nacimiento
Medicacion: metformina de 850 gr mañana, mediodia y noche.
Ultima glicosila 6
Lema: "If you want a positive life, spent time with positive people!"

  

I suppose that by numerical superiority, type 1, we are only 10% of diabetics and, apart from our ups and downs and multiple punctures for insulins and controls, we end exactly the same as the 2, more than anything because we have beenof evolution.So bad everyone.
I do not feel unfortunate either, that it is a task not to say anything else, of course and that there are times that gives you the downturn and want to send the box of needles, strips, glucometer, etc, etc., etc. to the other side of the world because also alsoBut they are seasons, just like those who do not diabetics

Gala's profile photo
Gala
04/01/2015 1:12 a.m.

"Miembro del equipo de moderación del foro"

  

Sorry I have put 10% and it is 1% of total diabetics

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Gala
04/01/2015 1:13 a.m.

"Miembro del equipo de moderación del foro"

  

Well said gala, all the reason you are!It has always made me funny that that of complications are of types 2 ...

tica's profile photo
tica
04/01/2015 2:55 p.m.

Miembro del equipo de moderación del foro
DM1 desde 1988
Mamá de 2 niños y a la espera del tercero
Bomba + Dexcom

  

I do not say it and even less to underestimate anyone ... The statistics say it ... that a high percentage of type II diabetics do not know that they suffer from the disease and therefore suffer greater complications ...

nina45's profile photo
nina45
04/02/2015 12:57 a.m.

Diabetica tipo II desde Diciembre de 2012 pero descendiente de diabéticos desde nacimiento
Medicacion: metformina de 850 gr mañana, mediodia y noche.
Ultima glicosila 6
Lema: "If you want a positive life, spent time with positive people!"

  

Yes, that is the problem of type2, the lack of diagnosis or breach of treatment ...
But if you could choose, we would have no doubt to stay with.

Regina's profile photo
Regina
04/02/2015 4:01 p.m.

Hija de 35 años , diabética desde los 5. Glico: normalmente de 6 , pero 6,7 la última ( 6,2 marcaba el Free)
Fiasp: 4- 4- 3 Toujeo: 20

  

The error of the diabetics is to have allowed the treatment of type1 diabetes, to remain almost the same as at the beginning of the last century.While billions of euros go to the great pharmaceuticals at the expense of our health and our lives every year.

The error is to remain a lamb and on top of the "tips" of the obvious captain, on food, exercise, controls.

Sherpa41's profile photo
Sherpa41
04/02/2015 6:15 p.m.

En 1922 descubrieron la insulina, en 1930 la insulina lenta. ¿Que c*** han hecho desde entonces?

  

sherpa41 said:
The error of diabetics is to have allowed the treatment of type1 diabetes ... the error is to continue being a lamb and on topCapitan obvious, on food, exercise, controls.

What is your proposal @sherpa41 ??, what do you think can be done?

fer's profile photo
fer
04/02/2015 8:10 p.m.

@fer - Diabetes Tipo 1 desde 1.998 | FreeStyle Libre 3 | Ypsomed mylife YpsoPump + CamAPS FX | Sin complicaciones. Miembro del equipo de moderación del foro.
Co-Autor de Vivir con Diabetes: El poder de la comunidad online, parte de los ingresos se destinan a financiar el foro de diabetes y mantener la comunidad online activa.

  

Those of hepatitis C have organized to make manifestations and based on "war" (it is a way of speaking, because I think they have all the right, having an effective treatment to demand it) look what they have achieved, they couldLess since at the moment there is no cure, financing a continuous meter being verified its efficacy in the improvement of glycemic control, in fact in several studies they affirm that there is better control (hemoglobin s) than with the pump.
This year there are elections, there I leave it ...

Gala's profile photo
Gala
04/02/2015 8:53 p.m.

"Miembro del equipo de moderación del foro"

  

I totally agree with Gala, in fact I have been spinning to the theme of hepatitis C. The annual cost of the Sovaldi for patients are I created more than 40000 euros, we go a buried.And yet, the Ministry of Health is considering starting to pay for it for the mobilizations that have been and the political repercussions that it would not have to do it.I think that the diabetics should coordinate and mobilize more so that in the absence of one cure the treatment is better (more pumps, continuous meters, and/or more strips).I do not live in Spain right now but when I read in the forum that there are type 1 diabetics to which the strips to 3 or 4 are limited to day, I will then want us to have 6 and that we do sports, then thenLet me tell me how that is achieved with 3 strips a day!

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Inday
04/02/2015 9:50 p.m.
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The type II that do not use insulin does not have a subsidized strip ... we have a trench trench each strip ... and the glucometer of our pocket too ...
Then they are not careful that they are not taken care of ...

nina45's profile photo
nina45
04/03/2015 1:11 a.m.

Diabetica tipo II desde Diciembre de 2012 pero descendiente de diabéticos desde nacimiento
Medicacion: metformina de 850 gr mañana, mediodia y noche.
Ultima glicosila 6
Lema: "If you want a positive life, spent time with positive people!"

  

With less than 7 strips, nothing is controlled.That would have to be demanded .. or a reliable continuous meter.We cannot settle for less.
And many hospitalizations would be avoided.

Regina's profile photo
Regina
04/03/2015 1:12 a.m.

Hija de 35 años , diabética desde los 5. Glico: normalmente de 6 , pero 6,7 la última ( 6,2 marcaba el Free)
Fiasp: 4- 4- 3 Toujeo: 20

  

fer said:
sherpa41 said:
the error of diabetics is to have allowed the treatment of type1 diabetes ... the error is to continue being aLamb and on top of all this type of "tips" of the obvious captain, on food, exercise, controls.

What is your proposal @sherpa41 ??, what do you think can be done?

You would have to ask for a control over the big pharmaceuticals.Just as corrupt politicians are persecuted and there is talk of the "rotating doors" in politics, they would also have to talk about those between pharmaceutics and the control agencies of the medicines of both EU and the US.

Until it is possible to free the pharmaceutical industry from this corrupt mafia they will never cure anything.Because some say about public universities, but these have contracts with pharmaceuticals and if the cure is too good they will not be interested in investigating.And they can stop it so much using those contracts or in the FDA or EMA delaying permits indefinitely.

Sherpa41's profile photo
Sherpa41
04/03/2015 12:22 p.m.

En 1922 descubrieron la insulina, en 1930 la insulina lenta. ¿Que c*** han hecho desde entonces?

  

Sherpa, I don't believe in that conspiracy.
One thing is that they investigate in profitable products, and another, which can stop a possible cure, which on the other hand could be very profitable, as in the case of hepatitis C., even more profitable than the maintenance of type1, which neither does it eitherWe are so many ..

I am thinking of a vaccine that avoids the disease in children, for example.

Regina's profile photo
Regina
04/03/2015 2:57 p.m.

Hija de 35 años , diabética desde los 5. Glico: normalmente de 6 , pero 6,7 la última ( 6,2 marcaba el Free)
Fiasp: 4- 4- 3 Toujeo: 20

  

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