There are a large number of undiagnosed patients and therefore are not treated and do not control their disease. According to the World Diabetes Atlas, the actual number of diabetic patients in Bulgaria is 520,000. Official statistics from the Diabetes Registry show that the number of people with diabetes in Bulgaria exceeds 460,000 people.
These data were brought to the organization "Diabetes and Pre-Abet"; Insulin Pump Association; Type 2 Diabetes Association; Patient organizations "with you" on the occasion of World Diabetes Day, celebrated on November 14.
Patient organizations in Bulgaria again emphasize the need to create a comprehensive diabetes mellitus policy to address a number of specific problems.
They insist on improving access to screening and diagnosis of diabetes.
At present there is no comprehensive program in Bulgaria to address problems related to: the lack of annual screening programs covering all risk groups; The lack of specialists in small settlements and difficult-to-reach regions, lack of sufficient resources for prevention, wrote in an official letter to the media.
This is the cause of the untimely treatment and the occurrence of diabetic complications. This contributes to additional budget burdens and the need to apply costly treatments to treat diabetes and its complications, organizations emphasize.
Among the main problems in our country is the difficult access to quality medical care in some regions of the country, as well as the lack of training programs for all patients diagnosed to improve adherence to therapy and control of blood sugar. Improving access to diabetes control
The nature of the disease is such that in patients diagnosed with diabetes, lifestyle and nutrition are of particular importance for good disease control. But also the continued control of blood sugar. Only 73,000 diabetics receive bandwidth for meter readers reimbursed by the NHIF. In all others, control is weak or totally absent.
Bulgaria is one of the few EU countries that does not fully reimburse sensors and consumables for them. Sensors are the most advanced method to control diabetes, both in children, pregnant women and severely compromised adult patients, as in all others.
"We insist that all diabetics be treated by an endocrinologist, with or without instructions, and if necessary, all diabetics should be dispensaries at endocrinologists." Only diabetics with severe complications are currently dispensaries at endocrinologists, others are observed. We consider a more successful model to be an endocrinologist, it will be beneficial for both patients and will reduce the costs of treatment, "they call for patient organizations.
It should be noted that the prophylaxis of diabetic foot in Bulgaria is rare and exceptional. Treatment of patients with diabetic polyneuropathy is often delayed when wounds occur in the 3-5 stages of the disease. There are at least 15,000 Bulgarian diabetics diagnosed with this diabetic complication. It is believed, however, that the number of patients suffering from diabetic foot wounds is about 5 percent of all diabetics, that is, about 26,000 people have ulcers, wounds. About 140 people suffer annually amputation due to a diabetic foot. Patients in the first and second stages of diabetic polyneuropathy show medication, but many diabetics do not buy them because they can not afford it. In 3-5 steps, diabetics suffer from sores and ulcers that are difficult and expensive to treat, causing tremendous pain, mobility difficulties, workability, amputations. Due to loss of sensitivity in patients with diabetic polyneuropathy, leg injuries may remain unnoticed and lead to ulceration, severe infection, and amputation at a later stage.
Diagnostic and pathogenetic treatment of diabetic polyneuropathy, including forms with loss of symptoms and loss of sensitivity, is needed for more tests and more diagnostic devices in clinics, the opinion said.