Pandemic
11/29/2008 4:44 a.m.
I post here (I did not know where I would go better) an article that comes out today in the newspaper Las Provinces, signed by a "my acquaintance": D:
World Diabetes Day, which we celebrate every November 14, is the most important diabetes information campaign in the world.Its objective is to advertise the causes, symptoms, treatment and complications associated with the disease.
It is a good time to review what is the attention to this disease qualified by the UN as Pandemia, whose data, by themselves, scares.
In the Valencian Community, it is suffered by 13.9% of the total population, that is, almost 700,000 people.Around 1500 boys and girls under 18 suffer from the disease in our region.
40% of those affected, 280,000 people, are unknown to their illness, which causes it to diagnose more than half already suffer a complication directly related to diabetes.
Diabetes is one of the main causes of death in Spain, with ten thousand deaths annually.It is the first cause of non -traumatic amputations, the first cause of blindness due to non -hereditary factors, the main cause of dialysis and one of the large causes of vascular stroke.
In sanitary costs, diabetes is the cause of 5% of health expenditure, mainly due to the medical complications it causes.
Is patient care with diabetes adequate in our region?
The M.H.President Camps promised in his electoral program "Implement Podiatric Care Plans to the Diabetic Patient."Today we do not have news of this impulse to an imperative need, which still without appearing in the common services catalog, is collected by various Spanish autonomies.
The recent approval of the Health Rights Law of the Boy and Adolescents of the Valencian Community, comes to ensure the full educational development of children with chronic diseases (such as diabetes) under the same conditions as any other child, we hope that our needs will be met in the imminent regulatory development.
In the Valencian Community we do not have any day hospital dedicated to the patient with diabetes, despite the electoral promise of "establishing in the entire community the unique visit consultations in specialized care, in order to improve and reduce the needof multiple displacements of patients. "
The enormous need we have patients with coordinated interconsultation diabetes and collaboration between different health specialists (gynecology, podiatry, psychology, ophthalmology, nephrology ...) to date is a beautiful utopia, which hopes that the little ones can enjoy inA future.
Currently, the review and control of most patients with type 2 diabetes involves attending a month to perform a digital fasting glymia in the health center.This monthly control is unusable for good glycemic control (as repeatedly indicatedMeritoria of some family and nurses doctors.
Despite the electoral promise of "developing the scope of shared follow -ups Primary Care -specialized action, in those welfare episodes that are feasible, thus enhancing the prominence of the family doctor."There is no programming, coordination or real communication between primary care and specialized care in diabetes, unless individual initiatives of one and another.
HEIt insists on the need to reduce health spending in fungible material (putting the health of patients at risk, as happened two years ago with needles for insulin feathers) without facing the main deficiency in patient care with diabetes: theDiabetological Education
In primary care there are no established or developed programs specifically in diabetes education.The figure of the diabetes educator is non -existent, except outstanding individual cases.
In specialized care, there are educational nurses in diabetes, but their number and material resources are immensely far away from what is desirable and recommended.
Socially and labor, diabetes remains mired in ignorance and discrimination in access to a job, the care of children with this disease, the recognition of disability certificates and degree of dependence, or simply to be able to renew the permission ofdrive.
On November 14, diabetes has been news in all media, the remaining 364 days should serve for the Consell and the different political parties to work together with scientific societies, health professionals and patients with the aim of fulfilling in a decisive and effective wayThe pandemia of the 21st century.
11/29/2008 4:44 a.m.
My mother, you have to see how that "acquaintance of yours" is cracked by our part;)
It occurs to me that too often we are giving blind sticks and that we do not just give politicians with the argument throughout the head.
It occurs to me that we should do a comparative study on how the diabetes patient is treated in the different communities and take out the colors to which they suspend the evaluation.
It occurs that there are places, such as Asturias or Extremadura, in which, with all the deficiencies we want, they give them, however, twenty laps to autonomies that are supposed to be richer, such as Valencia itself, Basque Country, Catalonia or Madrid.
It is Asturias, which is the case that I know best, we have a magnificent diabetological team, with a frankly good day hospital, magnificent attention, and endocrine on guard 24 hours, and we are facilitated by consumables without major problems, at least I speakof my case.
All this could improve, because that day hospital is only in Oviedo, and it is indipfficient for the total population.
I think it would be desirable to expand this model and use it as an example in the places where it does not exist.
Greetings.
11/29/2008 10:30 a.m.
What you say should be the central policy of action of the National Federation of Diabetics Associations.
And a very important opportunity was lost with the shameful national diabetes strategy ... that comes to our friend Bernat.
And another opportunity was lost 1 year, in the reform of nursing specialties ... which as you can assume or even raised the possibility of creating as a specialty the educational nurse in diabetes.
Why is an evaluation of patient care with diabetes done?
Multiple and varied reasons, but mainly for a cause: most of society does not consider diabetes as mortal or even as a disease.
"I have high sugar"
"I have a little sugar"
"Once the high sugar came out"
All these phrases are normal among people between 50 and 80 and peak.
The associations are formed, mostly (I would say that above 85%) by type1, with a very clear concept of disease ... quite the opposite that type2, which seems that instead of a disease have a symptomsonly...
It is the fish that bites the tail:
Patients are not aware of their illness, patients do not move, associations are not supported and forced to work in a sense, and politicians look the other way when you talk about health education, diabetological education ...
As there is no awareness work from the sanitary collective to those affected, the ignorance of the patients continues, who do not care about their illness, do not support associations, they do not fight for objectives or are pressed and they do not press theleaders ...
Status quo ... and so for at least 8-10 years.
And there is still some that sells as success that renews us the driving license every 4 years.
And worst of all, it is only due to lack of political decision, the facts and improvement plans are, and money investments are amortized in a short time ... although beyond 4 years.
PS: My acquaintance is glad that you liked the article.8)
12/01/2008 5:37 p.m.
I just read the article ... It seems well to me ... I hope all those electoral promises and diabetic patients have the specialized care they require.
I have already commented on how well the service that diabetes attends in Cáceres works, they are an example to follow.So then say those who look at us over his shoulder ...
Well, that the clamp leaves.You are very lucky and all those promises come true very soon.
12/02/2008 4:05 a.m.
De los buenos tiempos, siempre quiero más...
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