One in ten Valencians currently receives some type of diabetes treatment.In fact, in the first quarter of 2015 a total of 472,064 Valencians (9.46% of the population) had been diagnosed with this pathology and was in the hands of a healthcare professional, according to the Generalitat.
Diabetes is a disease that curbs with high blood sugar levels due, either to the lack of insulin production in the pancreas in type 1 diabetes, or to peripheral resistance to insulin action due to overweight in type diabetes2, in fact, 90 % of diabetics are of type 2 or adult.
This high blood glucose can deteriorate the retina and cause blindness, in the kidney it causes renal failure and in the peripheral nerves and blood vessels conditions lack of oxygen contribution to the tissues, as well as poor healing, which causes torpid ulcers that canget to demand amputations of lower limbs.All this can have an impact on a life expectancy of up to 10 years less for diabetic patients.
Therefore, the Department of Universal Health is implementing the Comprehensive Assistance Plan and is addressing diabetes from all fronts, also from surgery.
Surgery for more sick
The coordinator of the Comprehensive Patient Integral Plan of the Community, Francisco Pomares, explained that until now, the medical staff indicated the bariatric surgery to an Obesa population group, with a body mass index between 40 and 50, withcomorbidities associated with obesity, such as type 2 diabetes, hypertension, dyslipemia or sleep apnea.
«However, due to the world epidemic of diabetes and obesity, we are also beginning to direct interventions to the resolution of comorbidities, even in patients underwear or obesity of degree I, who are not obese, but have diabetes.This is what we call metabolic surgery, ”he says.
The doctor of the Endocrine-Metabolic Surgery Unit of the La Fe hospital and coordinator of the Diabesity and Metabolic Surgery Course, Carlos Sala, has indicated that this cause causes consequence has been "so obvious" that it has given rise to a new term, emergedof diabetes and obesity, "diabesity."
This course seeks to inform and train primary care doctors in the benefits of surgery for these patients who get a loss of up to 70 % of excess weight, and even reach the ideal weight by incorporating healthy lifestyle habits, as physical exercise and healthy and balanced diet.Thus, they can recover those years of life expectancy that diabetes subtracted them.
