Well, I have just agreed with some things of Gondrullo and/or Fede:
- Diabetes is such a broad problem with such a huge casuistry that pretending to "put doors to the sea" is complex: type 1, type 2 with metformin, type 2 with incredine, gestational, type 2 with bolus+basal insulinas, type 2With insulins mixtures, type 2 with sulfoniruleas, gestational with insulin, lada type ... a person with 30 years recently debuted is not the same as another with 10 years of evolution ... do we consider children with diabetes as "equal to therest "too? ... continuous meter ... insulin bomb ...
Speaking only of type 1 diabetes:
- We are never going to be the same ... we have a deficiency that, we want or not, makes us different: we do not produce insulin.The deficiency causes a series of acute problems (hypoglycemia) to a greater or lesser extent and that mediate our ability to perform some activities ... that is, we have a disability.
Against we get closer to an excellent metabolic control (6%) greatly increase the possibilities of having hypoglycemia.
To give an example, a policeman who is at 90 mg/dl and sticks a 10-20 minutes race chasing a thief ... Can you stop to eat a cookie, a bar or whatever to prevent hiccups orDo you have to stop to get a control?
Once otherwise we would be satisfied if the pilot of a plane in which we travel had narcolepsia or genetic predisposition to have a heart problem or poor vision?
- Metabolic control .... An exhaustive medical examination at the entrance to the police body only certifies the medical state at that time ... What do we determine as good control?Let's take the famous 7% gyrhade ... If we defend that while it is below 7% it is suitable for active service and for whatever, its hemoglobin rises above 7%, do we consider you not suitable? ... allWe have times of better and worse controls ...
You talk about exhaustive control ... but and within 1 year?What if it remains in glycades greater than 8%?
Incidentally, I know active police with type 1 diabetes that hide the disease ... obviously with high blood glucose figures (which is easier to hide)
Moving that concept to the degree of disability ... We all know that permanent figures above 7% or 8% gyrhad are an elevation of probabilities of having complications, is it not a reason for giving -value recognition, even if it is minimal?To have another deficiency to give it disability?
This is like the doctors who say: "He has had a heart attack" ... when they should say "he has had a heart attack as a result of his poorly controlled diabetes" Do we "reward" the bad control and presence of complications by obviating the necessary initial prevention?
- Defend the expansion of 1 to 4 years in the renewal of the driving license as a success:-/ ... better that than 1 year, obviously ... but success would be to achieve equalization at 10 years ... always ... alwaysI remember Rafa Sanchez Olmos to tell his triple coronary bypass and said that if he did not have diabetes, he renewed the card for 10 years.8)
- Let's not confuse disabilities with rights.People with diabetes have the right to exercise any profession, just like any other person ... Another thing is that within that profession some tasks or others can be done.
- Miserable there are everywhere ... I know associative leaders in diabetes who first look for their personal supply of reactive strips or needles, even asking the area commercial rather than publicly claiming measures to political leaders ... I know doctors whoThey put their personal (economic) interest to the health of their own patients by collusion with the laboratory on duty (goodbye hypocratic oath) ... autonomic health leaders smeared with travel,Exotic and favors congresses to relatives ...
- To summarize (I don't think anyone has read the billet I have written: Mrgreen :) For me type 1 diabetes is a cause of disability ... maybe not in 33% for the simple fact of having it and here we could weigh several aspects(Hemoglobin, Evolution Complications ...) that will increase that initial percentage of less than 33%
-In any case, we agree or not at this point ... I think that much more vindictive associations are missing than we are now ... Diabetes has a figures of prevalence and incidence beastly, mortality figures maintainedSince the 90s ... of complications ... Diabetes is a great unknown and much of the fault we have affected and the associations.
PD1: Fed no longer exists ... I don't know if unfortunately or luckily.
PD2: I am associative leader of physical and organic disabled associations ... unfortunately many of them have diabetes, the result of bad control and the neglect of some doctors?
PD3: Incredible to seem to people with COPD who leave the hospital with household ventilation, they do not give them the minus value certificate.
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