Capillary glucose self -analysis is key

Diabetesel Self -analysis of capillary glucose is key to the correct control of diabetes
Carla Nieto.Madrid · January 26, 2011 09:38

Experts suggest that this method is implanted from the diagnosis of the disease within the framework of an educational program.

Of Izd.A DCHA.: Dr. Alfonso Calle;Mr. Michele Pedrocchi, director of Roche Diabetes Care Iberia and Latin America;Dr. Edelmiro Menéndez and Dr. Francisco Tinahones.
Every 8 seconds a person dies in the world as a result of diabetes;9 out of 10 patients with diabetes are of type 2, a disease that is increasingly appearing among the population, and only between 5% and 10% of the patients with this pathology are in optimal control.These are some of the data thrown by a group of experts during a recent meeting in which the importance of self -control and telemedicine in diabetes was discussed.
Dr. Alfonso Calle, Head of the Endocrinology Service of the San Carlos Clinical Hospital, in Madrid, commented on some of the conclusions of a study that his team has been carrying out for two years and in which results are being compared in patients who performself -analysis regarding those who do not.

“We have been able to verify that capillary monitoring favors the adhesion of patients to treatment.Thus, for example, 64% reduced body weight, while 38% of patients acquired a healthier lifestyle.In this sense, the capillary monitoring of glucose has meant a great advance, but it must be considered as a tool, it is not a treatment. ”

Dr. Calle insisted on the need to differentiate self -analysis from self -control."Self -analysis is the measurement made by the patient of his glycemia, while the self -control would be the 'step to action', that is, the process by which the patient, after performing self -analis, makes decisions about the treatment ofhis illness ”.
As Dr. Calle commented, “the usual thing is that the doctor does not recommend, at the outset, the monitoring of capillary glucose, except to evaluate the effectiveness of certain drugs.However, this tool should be implemented from the beginning and within an educational program.In this sense, it is a resource that requires a teaching offered by health teams so that the patient knows how to interpret the figures obtained in their self -analysis. ”
Economic repercussions of the disease
Along the same lines, Dr. Edelmiro Menéndez, head of the Endocrinology Service of the Central University Hospital of Asturias, commented that although capillary monitoring is not considered a drug, if it constitutes an integral part of the treatment."Automedition is an instrument that helps good control and to be able to use it properly requires a complete and structured diabetes education program, essential if we want to achieve patient self -care."
Likewise, Dr. Menéndez alluded to the economic repercussions that this disease has.“More than 90% of the diabetes cost is caused by its complications;Therefore, our work must be aimed at reducing them, and self -control is probably the most powerful instrument we have. ”
For his part, Dr. Francisco Tinahones, head of the Endocrinology Service of the Virgen de la Victoria University Clinical Hospital, of Malaga, commented on the results that have been obtained since the implementation in his hospital in the Emminens Connecta system, by Roche, a tool ofTelemedicine that allows patients (patients with type 1 or gestational diabetes) to send, through the phone or computer, their glucose values ​​to a website in which they can interact with the specialist."It is proven that this type of improvement toolsThe glycemic control, since with them patients monitor and, therefore, more continuous of their pathology and, in addition, avoid three or four face -to -face visits a year, which are replaced by seven or eight telematic. ”Patients requesting this monitoring are included in a system in which two doctors of the service work a day a week.

Jano.es

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“More than 90% of the diabetes cost is caused by its complications;Therefore, our work must be aimed at reducing them, and self -control is probably the most powerful instrument we have ”

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I love this type of news to read them but one thing is what some professional specialized in diabetes issues can say (an endocrine doctor, an educator in diabetes issues, ... etc) who has a global vision of the disease andAnother very different what most diabetics are found in primary care (where they prescribe and give us the material: syringes/needles/lancets/reactive strips).

I have already commented on some post ... I notice that every time the number of reactive strips that provide me is scarce, each time the number is lower, to me if they gave me material for 2 months they would see my face 6 times a year(6 consultations/year just to "prescribe") in the same way to me if they gave me material for 6 months would only see my face 2 times a year (2 queries/year just to "prescribe").
I understand that the material for 6 months could be excessive but the material for 2 months should be possible, in fact, with the previous treatment of insulin (insulating + actrapid) it was more or less fulfilled, it made about 3 glycemia controls a day a dayAnd the material lasted more or less 2 months (it does not need to do more), however, from the change in treatment to the type "bolus - basal" do only 3 a day they seem insufficient to me even if a stable diabetes are carried.
While I have been with the change in treatment, I have done many controls (about 7 a day, I needed them absolutely all) but to me the material that has been providing me (reactive strips) has been lasting a month and as I have beenneeding to do a lot of controls what I have done is to go for material once a month, following this rhythm I would be making 12 consultations/year just to "prescribe".

I am very sorry for the health system but I am going to saturate it and I will continue to do it and I would love that what I am doing (many more consultations than I need) did more people.
"Don't you give me the material I need for 2 months?To "prescribe" it will translate into 12 consultations/year or those that are needed, with the consequent expenses and wasting of time that this supposes. "

I need a minimum amount of material and it is impossible to carry a bun control of diabetes without being able to make a minimum number of blood glucose controls per day, now that the insulin doses are stabilized down the number of controls of 6-73-4 per day but I will continue with the same mentality "Don't you give me the material I need for 2 months? Ok, when you finish the material you give me, last a month or month and a half, you will haveagain here. "

That is why I say that it seems very well that professionals on diabetes issues that have a more global vision of the matter say the things that this news says but it is necessary to put it into practice and that in primary care in most cases does not putIn practice

What a "tocho" that I just released, sorry.

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Let's see TNT, I suppose the change in treatment and everything that the endocrine entails, right?And for the strips and needles in addition to the insulin recipes you go to the outpatient, is it so?At least here in Ponferrada we do it like that.
If so, your endocrine when making the change should have made a certificate specifying the reactive strips that you will need from now on and that certificate should be respected in your health center.Here at least the subject is going to, my nurse from the Health Center told me the last time that my endocrine certificate saying that I need 300 strips a month is what it is worth and that before that document she cannot say anything, they arrive or arriveDo not cuts: shock: I agree that to carry good control we have to measure ourselves and three times a day is little, very little.In your case I would ask that certificate to the endocrine and if they ignore you, I would pay a complaint.We must complain and not remain silent.

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In Asturias that I know there are no certificates or visas by the endocrine (at least there are not) with which the entire issue of insulin and material goes "by eye".

I have never had problems with insulin (they make me the recipes that are necessary and more) nor with the material to manage insulin (syringes, needles for bowling/feathers), well, these two things are of the first need and notThere are problems even if "in an eye."
The problem begins to appear with the things that although they are not of the first need (reactive strips) are very important equally, they are "with an eye" and every time it seems that "by eye" is less.

Although the future implementation of the electronic recipe could make it think that this will go to me personally scares me seeing what is happening in autonomous communities such as Andalusia or Extremadura.

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Logically, the only one that can know and has to tell you the gluocose measurements that you must make is your endocrine that is the one who knows about your treatment, the header only leads to type 2.
You should comment with your endocrine, for trying not to lose anything.

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I will ask Alea since we have the same endocrine but except surprise I think that at the moment the thing will continue to fight with primary care and its "eye" calculations.

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If the problem is the endocrine themselves:

I go further, the problem is that "nobody" believes diabetological education, especially endocrine.They have strength, sufficient representativeness to start changing the situation ... instead of that are taken, of doubtful practical base, which is where the autonomic governments are grabbed ... known are the cuts they have executed inThe Valencian Community, for example.

I play whatever with whoever, that in all Spain there are not even 100 educators in diabetes who work 100% of their day as educators ...

Without diabetological education there is no self -control, without self -control, self -analysis serves little (because there is no theoretical basis to optimally modify treatment) ... generalizing.
A patient with diabetes, well educated in his illness, saves money to health ... in the short, medium and long term;And worst of all, it is demonstrated with scientifically validated studies.

And yes, the recommendations made by an endocrine jump in primary school, unless the patient protests ... that then recounts and supply what it touches.
That is so on all sides.

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