The new recommendations on self -analysis that the thirst for 2012
In the line of budget cuts, the official representatives of the Sanitary Collective Specialist in Diabetes (there is nothing) have definitely lost their heads, they lose the north with irrational measures ... It is as if in their life they had seen a patient with diabetes.
I really have a hard time writing without introducing insults.
Anyway, I go to the grain to see if I reassure me.
The link to the document: Link ... 202012.pdf
They start strong on page 3:
It should only be recommended when both the patient and the health professionals who attend them have:
• Sufficient knowledge and skills for the management of diabetes treatment.
• A firm will to include self -analysis and self -control as an integral part of the treatment of the disease.
Let's see:
- Patients must be educated, from diagnosis and in each medical visit ... This in type 2 is never done, except for isolated cases of very aware doctors.
- In this forum we frequently read how most patients do not know that there is an educator.
- How many diabetes educators are there throughout Spain?full time I would say less 15 (eye, throughout Spain) and always in specialized attention.
- Who evaluates educators?And to the specialists?Are the endocrine educators in diabetes?Do they use time to educate patients?
- In primary care, they have no time or knowledge to educate the patient type 2
- If we strictly apply that criterion, capillary blood glucose would be made to less than 1% of the population with diabetes from Spain.
We continue, p
A single capillary glyce measurement system does not meet the needs of all people with diabetes
They have said, we are going to put this not that those of the laboratories are angry ... curiously in the document they leave glucometers of all brands, even some that will be marketed soon.
Why the insistence on differentiating the intensive treatment of gestational diabetes from an intensive treatment of type 1 diabetes?: Shock ::-/
The economic one is ... because there is no other.
If the objective is that the future sprout is born healthy ... the objective of type 1 diabetes is that we continue healthy.I don't see the difference.
Page 10 recommend 1 daily analysis to patients who take drugs (pills) with danger of hypoglycemia (sulfoniruleas)
It has an overwhelming logic, as you have a danger of hypoglycemia, make 1 control a week, lest you be scared
And we arrive at the heart of the matter:
[Attachment = 0] Basal bolus.jpg [/Attachment]
We could start by arguing whether it is better to do the post 2 or 3 hours later ...: Evil:
We could continue arguing how it is possible
But what seems denounceable and out of all logic is to recommend 4 daily measurements to a patient with insulin pump: shock :: shock :: shock:
According to this, Monday, Wednesday, Friday and Saturday you put the bowling of the insulin of food by eye, because as you cannot make an analysis.:-/
On Saturday, diabetic holidays, nothing to get controls until night ... I don't be something you spend money on strips, much better to go from everything and forget that you have diabetes.
On Sunday, however, to annoy and make pharmaceutical expense ... full profile except at dawn, respect night rest;Although with these recommendations it will be an eternal break.
Hallucinatory.
Not a single mention of hypoglycemia.
Not a single mention ofHyperglycemia.
Not a single mention of physical exercise.
Not a single mention of driving.
Not a single mention of special situations (surgical operations, new treatments, other diseases ...)
He doesn't even give them to distinguish adults from pediatrics.
And as if that were not enough, they are at the end and as a summary:
This document recommends frequencies and temporary patterns for their realization depending on clinical circumstances and the degree of control, with the intention of achieving adequate interpretation and better long -term metabolic control that avoids complications ofThis disease.
Well, with these recommendations we have guaranteed short and long -term complications.
If these are the specialists who have to treat us ... I better die alone, they don't need them to help me.