Late diagnosis is one of the problems facing specialists because the person arrives at the office and hospital with very high sugar levels.
Is it really practical to diagnose prediabetes, there is medically a difference between this condition and diabetes?This disease is a previous phase in which blood sugar levels rise and present some diabetes symptoms, but without developing this chronic condition, when proper treatment is followed, Rouopa Metha, a specialist at the National Institute of Sciences, is followedMedical and Nutrition Salvador Zubirán (INCMNSZ).
The main objective of the diagnosis of prediabetes is to prevent the development of the cases of type II diabetes in women and in the obesa population, as well as descend in the world ranking, where Mexico holds the number six position of the countries with the greatest populationWith this disease in adults.
The prediabetes condition occurs when people have high levels of fasting glucose, but without reaching a diabetic or make a glucose tolerance curve, a situation in which sugar increases above 200 milligrams per deciliter,Two hours after the morning measurement, in addition to having a glucosylated hemoglobin measurement between 5.5 and 6.5, the endocrinologist of the INCMNSZ detailed during the 50 Annual Meeting of the European Association for the Study of Diabetes (EASD),Made in Vienna, Austria.
The specialist Ropa Metha commented that part of the strategy is to implement education in the field of this disease and make a good diagnosis, to avoid in the future the development of type II diabetes in susceptible population.For that reason, exercise, diet and sometimes oral antidiabetic medications should be instilled in people who are already prediabetic, in order to delay the disease or avoid its development.It is also vital that patients are aware, understand the risks of this pandemic and foster self -control.
“If necessary, we begin metformin treatment in patients, but in reduced doses;However, the patient has to work to change his lifestyle, since many worldwide studies have reflected that patients with prediabetes who performed diet and exercise reduced 58 percent the appearance of the disease, ”added Roopa Metha.
In this regard, Valentín Sánchez Pedraza, endocrinologist at the General Hospital of Mexico, who also went to the International Congress in Vienna, stressed that another problem of diabetes that doctors face is the late diagnosis, since being a diseaseThat does not hurt, the person arrives at the hospital with very high levels of sugar, which triggers problems such as retinopathies or diabetic foot, because it has been with the condition for years without knowing it and has not received treatment.
"Sugar levels are increased slowly and progressively, because we do not have the culture of making a glucose check, which must be every six months when they are over 45 years, and under 45 with a greater body mass indexAt 25 and a diabetic family history, once a year, "added the endocrinologist of the General Hospital.
On the other hand, when the person is diagnosed with diabetes and fails to control their glucose levels with oral drugs, doctors recommend the use of injected hormone to optimize the diabetic body.
In relation to the new therapeutic alternatives, in the International Congress the new Ryzodeg insulin of the Pharmaceutical Novo Nordisk was presented, which combines two types of the hormone in a single device, which with a daily dose allows simulating the function of the pancreas;Avoid the increase in fasting glucose, andIt will also act after food to avoid blood sugar.It should also be noted that for now, Mexico is the only country worldwide, which has it available, said Sánchez Pedraza.
