"The idea is good, but in primary care there is a lack of formation in diabetes"

Dolores Rama, president of the Federation of Galician Diabetics, sees "difficult" that the plan does not assume the endocrine themselves.

The PAI of Diabetes 2 that drives the Sergas is fine, but it will be difficult to put it into practice if the weight takes him primary care, where training in the subject is missing, says Dolores Rama, which presides over the Federation of Galician Diabetics.

-What do you think of the type 2 diabetes country?

-I do not know the document in detail, but for what I have seen it is focused on taking the weight primary care, when the endocrine should do it.In Primary there is a lot of formation in diabetes.The PAI's idea is good, because everything that is to unify criteria is fine and it cannot be that in A Coruña they tell you one thing and in Pontevedra, another, but it seems difficult for me to set;It will take time.I have my doubts.

-Why says you have doubts?

-From eight years ago there is a national diabetes strategy that signed all communities, including Galicia, and continues in a drawer.And that was renewed.What is needed is a radical change of the system.

-What do you have to change then?

-To years that WHO defined diabetes as a world epidemic.The figures are tremendous and half of the diabetics do not even know they are.The specialist is diagnosing it, when the disease is already very advanced.The diabetics are the first of the list in amputations and kidney transplants, and that is where the money is going, not in the needles for insulin or in the reactive strips, where they have cut in an absurd way.The key is to locate and diagnose those people who do not know that it is diabetic before the pupa is very large.We need head and organization to prevent.Before an epidemic you can't go free.

-He said he does not share the commitment to primary care.

-It is that in primary care they are not at all on the subject.They control the generalities, but I have seen large cafradas.The photography of diabetes is no longer that of a grandfather.Today we talk about babies, 40 -year -old people ... If you don't carry the disease as a clock you will have serious problems, and there is not even the specialty in nursing.On this, many professionals who have trained with endocrine in Galicia are about to retire.

-As for cutting in needles ...

-When the crisis came, the best quality changed to other cheaper ones whose brand won the contest for price.But what savings is that if the real problem is that diabetes is being diagnosed when a kidney must be transplanted?How much does that cost us?It is not in strips where we must economize, but that there are no serious complications.The first thing to have done before cutting anything is this plan.We will have to be very vigilant with him.Is anyone going to ensure that it is introduced quickly and maintained?

-For new doubts.

-It's that two years ago they called us for the photo in health, I had to swallow an insufferable Excel and today the chronic strategy is stopped.The problem is that we have degenerative pathologies with which you die.The health system has to change, put specialized equipment that improves protocols, supervised by endocrine.

-What do you think of the inclusion of the Pai in the digital medical history?

-In Galicia we are very lucky with the medical history.But it is also true that there are many people who have a hard time turning on the computer.The official must be formed, updated, but that training is being done by laboratories, which what they want is to be prescribed.I have gone to several courses and are laughing.

-What can be done before the increase in child diabetes?

-We are without action protocol in schools.A 3 -year -old boy cannot puncture insulin and the teacher does not have to assumeThat, so it is essential that there are nursing staff in the centers, as Valencia has already done.