New Recommendations Self -analysis: A shame

DiabetesForo's profile photo   05/06/2012 3:24 a.m.

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.

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DiabetesForo
05/06/2012 3:24 a.m.
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: Shock :: Shock :: Shock :: Shock :: Shock :: Shock:
Thus I stay ...

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DiabetesForo
05/06/2012 6:16 a.m.
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It is strong, but seeing what happened to me the last visit to the nurse, I am no longer missing anything
My experience with the nurse:
Nurse: Are you still clicking so many times a day?
Me: What do you mean so many times a day?
Nurse: 3 times
Me :: Shock :: Shock: Yes, I click three times a day, and one day 4
Nurse: Well, it's not normal for you to macked your fingers like this
Me: The fingers are mine, not yours
Finished conversation, hahahaha, go man, who cares, as if I click 6

Greetingsssssssssss

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anabeg
05/06/2012 7:58 a.m.
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A thing that I don't just understand, will this be imposed above the endocrine decision?Is it just a suggestion?How will it affect patients?

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tica
05/06/2012 8:12 a.m.

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

  

That is what I ask myself, if it is for my endocrine or joke will fulfill it, another thing is that they force him ...
I have never had problems with the strips, or with the endocrine that is in favor of measuring and measuring to have good control or my primary care nurse who knows what the subject is going well ... in short, we will see ....: Evil:

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DiabetesForo
05/06/2012 8:59 a.m.
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The Spanish Diabetes Society among its objectives (mission, vision, values) highlights: Get the support of health administrations to advance in the improvement of the quality of diabetes care and be its interlocutorreference in this area .

That is, thirst is the reference entity at the medical-scientific level related to diabetes.
Thirst publishes the only scientific journal about diabetes in Spain: advances in diabetology.
And that document has been published in the last issue.

That document legitimizes any politician to establish restrictions for access to reactive strips.
If diabetes experts say we have to measure much less (rather not measure), why are they going to facilitate more strips to the patients recommended by experts?
It is published at this time, being in a global scenario of crisis and cuts in pharmaceutical products.

On a practical level, these recommendations are going to disseminate groups such as the GDPS network ( ), the Spanish Society of Endocrinology or the different Autonomous Medical Societies.

As almost always, the injured are going to be type 2 ... but the following are type 1. with the electronic recipe it is much easier to block the dispensation of drugs or health products, without leaving doctors or nurses any option.

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DiabetesForo
05/06/2012 11:36 a.m.
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I have already had problems with the strips, and long before this exit so surely for more reason.
Nurse: It is that here there is a boat boat per month.
Me: But Madam that I make 4 or 5 minimum daily strips as I am going to manage with 50.
Nurse: You make many strips with an fasting enough.
Me: That will be for a type 2 I am type 1 and with a microinfusora, how do I prevent hypoglycemia and hyper?
Nurse: Well, what is there I can't do anything except that they tell me otherwise.
Me: Lol ...
And so I threw 3 months until I got a report sealed and signed by the endocrine ... now I have changed the district and therefore of a doctor and the story is repeated, but at least this nurse until I get the report gives me the stripsof strangis ...
Send eggs, I have a disease and it seems that I am an addict or a criminal.And so Spain goes ...

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MeI
05/07/2012 11:01 a.m.
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My mother, how is the panorama !!!!
Angela's endo will have taken his hands to the head, he who is many controls ... come on, I hope and wish that in our case nothing changes, because Angela becomes a minimum of 7-8 controls per day, thatIn the best case, we add when ED has.Physics, hypos, hyper and other circumstances to which he has pointed great Owash ....
The worst, this will reinforce the unpresentable nurses, and eye, I do not mean that everyone is unpresentable, which are the ones that authorize the number of strips ... In our case, the new nurse of Angela, who without having much idea of ​​whatThat is brought in hand, at least in this field, he tells me, summarizing: "To be well controlled, what there is is to do things well: exercise and diet: shock :, that we fix everything with the" Picotazo "": Shock: (Let's see if we add an absolute anger emoticon) ...

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Velia
05/07/2012 1:51 p.m.

De los buenos tiempos, siempre quiero más...
Mamá de Ángela, ¡16 añitos, fiera!. Debut: octubre de 2003.
Bomba insulina Medtronic Paradigm Veo desde junio 2005
Última hemo 6.1

  

Not Velia, nurses do not authorize anything, it is the endocrine with a report that indicates what we need, at least here, what the endocrine says goes to Mass ....: D, my nurse tells me, "if IThe endocrine says I can't and should say anything. "

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DiabetesForo
05/07/2012 5:56 p.m.
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PRADNurse ... come on, what the endo said he cared about a m .... yes, he had no choice but to give me what he needed.
And in many cases, the endocrine do not issue reports, not in all communities things are managed, and it is the nurses, those who have the power;)

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Velia
05/07/2012 6:04 p.m.

De los buenos tiempos, siempre quiero más...
Mamá de Ángela, ¡16 añitos, fiera!. Debut: octubre de 2003.
Bomba insulina Medtronic Paradigm Veo desde junio 2005
Última hemo 6.1

  

Well, it does not seem fair to me, if it is the endocrine who carries our treatment he is the one who should indicate what we need, here it is, it does not seem logical that an outpatient nurse who has no idea of ​​Angela's treatment or diabetes teSay the times you have to prick ... is that it is amazing: shock:

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DiabetesForo
05/07/2012 6:17 p.m.
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Oh!In the hands of who we are ... always turned with the strips, they will believe that we measure children for pleasure.Well, the measurement planning is the most stupid thing I've seen in my life, but as you are going to administer insulin without knowing what glycemia you have, and on Saturday of diabetic vacation it is demential although to compensate you J .. Fafteria on Sunday hahaha!I laugh at not crying, my child's health in the hands of these inept experts that must be said with all the letters.
I am in full moved with the strips, today, I do not know how they will facilitate the strips, or where, or when or with what periodicity, that it is always struggling to be fighting.

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mornita
05/07/2012 6:57 p.m.
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Helloaaaaaaaaa,
Mei, your nurse and mine could shake hands: D: D: D:
I have endocrine on the 15th, to see what he tells me, I imagine that what he says is what he will be worth, the nurse will have to comply with the orders of the endo, which is the one who really knows how I go, the nurse or fighter idea
Greetingsssssssssss

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anabeg
05/08/2012 5 a.m.
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Hiaaaaaaaaa,
Mei, your nurse and mine could shake hands: D: D: D:
I have endocrine on the 15th, to see what he tells me, I imagine that what he says is what he will be worth, the nurse will have to comply with the orders of the endo, which is the one who really knows how I go, the nurse or fighter idea
Greetingsssssssssss
Well, try to give you a written report because there are some that get cazurras cazurras that seem to be removed from the salary, and better that puts you left over of strips that below because there are God! How you areIt happens to ask for a boat to mount the marimorena there ..!There have been times that I have felt until embarrassment of others with the barbarities that I have come to hear ...

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MeI
05/08/2012 5:15 a.m.
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Well, in me, or with the endocrine report they listen to me and this endocrine fucking, which seems to pay the strips in his pocket, when I asked him to need more strips he told me,
Well take, I don't bald you with anything .. And so it was, I think there is a complod between them, and I mean, doctors, endocrine, districts and almost pharmaceutical this is a shame, they had to do the test in theHuev .....

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aurora2
05/08/2012 9:32 a.m.
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This is a sum and follows all the nonsense that we have to face every day.With the deterioration of the economic situation, our rulers are more concerned with the health of, for example, banking, than in the education and health of the population.That of the cheap comes out… In the end, what they save in reactive strips, will mean more expenses due to complications derived from evil, or rather, lack of disease control.I think that thirst simply follows a dictation, an imposition, and as Owash says, according to these "recommendations" legitimizes them to restrict the means we need to control the disease.
Reading this, morality for the soils ... :?
Greetings to the forum

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olmo
05/10/2012 9:51 p.m.
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My question is: What can we do to avoid nurses who only heat the seat and our noses, educators to which we are in the end, we educate, cuts that only cut our health and our life ...?

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DiabetesForo
05/12/2012 5:15 a.m.
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I was taking a look at the press and I have seen this column, it seemed interesting.

Greetings to the forum;)

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olmo
05/12/2012 5:48 a.m.
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