The Spanish Society of Emergency Medicine and Emergencies (SEMES), and specifically the Semes-Diabetes group, has developed the first protocol on the management of the patient with diabetes, with the support and impulse to its dissemination of Novo Nordisk.
According to Seme data, Spanish emergency services serve about 26 million people a year.The prevalence of diabetes in this group is between 30 and 40 percent, which means that they are registered between 7.8 and 10 million consultations of patients with diabetes in emergencies.
Dr. Estherz, coordinator of the Semes-Diabetes group, explains that “rarely diabetes itself is the main cause of the emergency consultation.What usually happens is that patients have inappropriate control of their diabetes and this causes associated complications, especially cardiovascular, which are those that motivate their entry into emergency. ”
Semes-Diabetes estimates also point to 6 percent of hyperglycemia-excessive blood sugar level characteristic of diabetes-that are treated in the emergency room correspond to people suffering from this disease but have not been diagnosed, with whatthat such a diagnosis ends up doing the optional of said service.
Data like these are those that have promoted Semes-Diabetes to the creation of the aforementioned protocol on the handling from the emergency of the patient with diabetes, the first of their class in the world.It has been agreed by the 120 members of the group, all of them emergency doctors distributed throughout the national territory.
“His main objective,” says Dr. Rafael Cuervo, coordinator of the document - is to improve the treatment at the discharge that emergency doctors give to patients with diabetes, facilitating knowledge and adequate management of antidiabetic therapies.These have evolved a lot in recent years and are increasingly complete, but also more complex. ”
In this regard, the protocol incorporates even latest generation drugs such as the analogues of LPG-1, which, says Dr. Cuervo, “the Emergency Doctors are not, for now, so accustomed to guide, but that have their clear indication,so your prescription should be properly valued for those patients whose circumstances need it. ”
According to Dr. Juan J. González Armengol, president of the Semes, “regardless of the cause of their consultation, diabetes patients who are discharged from the emergency department should do so with the correct antidiabetic treatment, which allows themmaintain or recover control of their glycemic levels so as not to interfere with the disease by which they came to consultation and improving their prognosis. ”
To this end, the protocol contemplates all the possibilities with which the emergency doctor can be found, from the care of patients with diabetes already diagnosed as not known, through the different options of existing treatments and the possibility of initiating them -if theDiagnosis is produced in the emergency room-, maintain or modify them.
The document itself specifies that "the diabetic patient at discharge from emergencies will hardly have a subsequent monitoring by the emergency doctor who prescribes the treatment."Therefore, the correct referral of the patient to the appropriate specialist, the primary care doctor, the endocrinologist, the geriatrician or the specialist in internal medicine.
The protocol - concludes Dr. González Armengol - “also grants a very important role to nursing, both at the outpatient level, in the figure of diabetes educators, and at a hospital level in emergencies, with survival education fordiabetes, in which the nurses of these services themselves must be gradually formed to help optimize the results of the prescribed treatment. ”
The document is written and presented in an agile and simple way to facilitate their consultation for emergency physicians, all of whom will be sent in the coming months through days, courses, teleconferences and similar initiatives, both nationally andregional and local.It will also be disseminated on the website of the Semes-Diabetes group (www.semesdiabetes.com) and in their social networks.
Source: Canaldiabetes.com
