Diabetics and family members ask for psychological support and training

Patients with diabetes and their relatives have claimed psychological support and training on this disease to face their daily coexistence with it, as shown in a round table held during the I National Congress of Chronic Patients of the Spanish Society of Physicians of Physicians ofPrimary Care (Semergen).

In fact, in the day it has been remembered that this disease affects more than 5 million people in Spain, as shown in the second study attitudes, desires and needs of people with diabetes (Dawn2 in its acronym in English),A survey conducted in 17 countries whose conclusions for Spain has presented the manager of the Spanish Diabetics Federation (Fede), Mercedes Maderuelo.

"The lagoons in the psychological and formative fields in diabetes are being assumed by patient associations, which, in many cases, are being professionalized to meet the great demand for information by these and their relatives," said Maderuelo.

In this sense, Dawn2 reflects, as he has apostilled, "contradictions" as the fact that 75 percent of the relatives of patients with diabetes in Spain say they have not received any type of training on the disease, although 70percent of health professionals-also surveyed in the study-consider that their involvement is essential for the correct treatment of diabetes.

Likewise, from the psychological point of view, 63 percent of the surveyed relatives claim to live with anxiety about the possibility that the patient with whom they coexist develop severe complications derived from their condition.

In fact, Fede estimates also reveal that, today, around 2 million people do not know that they have diabetes in our country, which, in the opinion of Maderuelo, generates an infradiagnosis that should be remedied with the information with the informationand the claimed training and that puts these people "at risk of complications" as time progresses and continues with high levels of blood glucose but without diagnosis or treatment

hypoglycemia: the most common complication

On the other hand, experts have recalled that the most common complication in coexistence with diabetes is hypoglycemia, which occurs when patients who are injected insulin or treated with other hypoglycemic drugs do not compensate for their reduction effect of glucose level with glucose withThe intake of sufficient carbohydrates or exercise too much.

Hypoglycemic episodes cause alterations in the body;Some acute, such as general discomfort, blurred vision, tremors, tachycardia, lower reasoning or feeling of hunger, and others less striking, which can go unnoticed, such as lack of concentration, headache, sweating or dizziness.

"Between 10 percent and 20 percent of people with diabetes usually suffer, at least once a year, a serious hypoglycemia, which is that in which they need the assistance of other people and who, if not stopped withSpeed, it can lead to a coma.of slower absorption carbon, and in the most serious, receive serum with glucose or a glucagon injection, "said the head of the Endocrinology and Nutrition Service of the University Hospital I Politècnic the faith of Valencia, Francisco Merino.

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The Dawn studio is very good ... but it has a fairly serious failure, in my view, and it is that a survey to 17 countries are not very extrapolated .... for much validity, reliability and robust statistical with whichYou have designed and applied the survey.
The conditions of people with diabetes are not equal in Germany, Spain or USA
It has nothing to do.

That said, in Spain there are hardly any psychologists and there are hardly any diabetes educators working exclusively.
I have already said it many times, there are less than 50 diabetes educators working full and exclusive in diabetological education.

As for psychologists FJ Hurtado, Gema Peralta, Dani Figuerola and very little more, unfortunately.
And it is a situation that will be perpetuated.
In public health only psychologists can work with PIR access (4 years of residence) ... In all Spain there should be no 1000 people with that profile.
Most are dedicated to mental health and dependence.A few to psychconcology or eating disorders and almost no one to chronic pathologies.
A new law seemed that they could solve this giving some more entrance to many psychologists through a figure called the general health psychologist, but it seems that it will finally remain vetoed (except via pir) work in public health.

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