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Diabetes also creates a risk to the heart. But this can be influenced by modern treatment. Diabetics guide the Slovak Diabetes Association and its educational portal

BRATISLAVA, Nov. 16, 2018 (WBN / PR) – One person died of diabetes every 7 seconds, according to estimates. The most common cause is cardiovascular complications, which are the cause of death worldwide in up to 65% of diabetics. In order to support diabetics, the Slovak Diabetes Association and its educational portal were created to bring new therapies and active support to the patient in relation to the disease. The #OneThing campaign – the only thing you need to know – also highlights the risk of heart complications associated with diabetes. It's your heart – protect it!

Today, 387 million people with diabetes live in the world, more than 400,000 in Slovakia, and their numbers are rising rapidly. The disease itself also affects the life span that is significantly reduced in diabetics. The most common complications that threaten the lives of diabetics include cardiovascular disease, and people with diabetes are 5 times more likely than healthy adults. Diabetes is damaging the arteries that nourish the organs, especially the process of atherosclerosis, which leads to narrowing or even "obstruction." Atherosclerosis is particularly dangerous, especially when it affects the arteries of the heart, brain, arteries of the lower limbs or the aorta. It can lead to an acute heart attack or even sudden death due to a disturbed heart rate when the heart muscle is not.

Diabetics also have an increased risk of chronic heart failure, in which the heart loses its capacity to fill and pump enough blood, which can cause fluid accumulation in the lungs and difficulty breathing, and fluid retention in the lower limbs. The risk of heart failure is three times higher for diabetics and, more often, they are at risk for heart attack. According to the WHO, up to 65% of diabetes deaths in patients over 65 years of age are related to heart damage.

"Heart failure is the most common cause of hospitalization in the Slovak Republic in recent years, and the number of hospitalizations is increasing, and we also have a sign that the incidence of heart failure is even greater because it is not diagnosed early. include an increasing number of diabetics ", warns prim. doc. MD. Eva Goncalves, CSc.

In Slovakia, the NEFRITI study was recently completed and evaluated, which also helped to identify parameters such as mortality, cause of death, incidence of cardiovascular diseases and use of modern diabetes treatment, which, according to other important studies , significantly improve the prognosis of patients. The results obtained and compared over the four year period at baseline and after four years of 1301 patients with type 2 diabetes. During this period, 79 patients died, representing an average mortality of 15 deaths / 1,000 patients per year. The main cause of death were cardiovascular diseases and events. A particularly weak prognosis was in patients with heart failure whose mortality was up to 5-fold (22% over 4 years) than in patients with non-cardiac insufficiency (4.5%).

Photo: Slovak Diabetes Association

Compared with results from other European countries, the study showed that heart failure in diabetics in Slovakia is underdiagnosed and probably does not know more than half of the other patients, which is why they are not adequately treated. One reason may also be the fact that a diabetologist can not perform an ECG exam because he does not pay him insurance. "Patients suffering from diabetes and heart failure have a very poor prognosis, since the average survival with this disease is four years." notes doc. MD. Emil Martinka, PhD, President of the Slovak Diabetes Association and Mayor of the National Diabetes Center NEDU Ľubochňa.

The good news that has emerged from major global studies is that with the modern antidiabetics available in Slovakia, diabetologists can adjust not only blood glucose but also reduce cardiovascular mortality by up to 38% and hospitalization and death from heart failure by up to 35 %. In Slovakia, however, this treatment is given by less than 17% of patients who need it, which is very low. The main cause that limits the availability of modern treatment is the wording of the indication of treatment limitations paid by an insurer that is no longer in accordance with current opinion. In addition, ZP's current efforts to create drug reimbursement groups are in a way that would lead to a significant reduction in the availability of modern patient care due to the increase in overpayments. The Slovak Association of Diabetes therefore asked the Minister not to take measures for this development.

The Slovak Diabetes Association (SDiA) is a civic association, a joint association of doctors and patients with diabetes mellitus. The main mission of SDiA is to contribute to improve the level of care for patients with diabetes mellitus and the conditions for its delivery. The founders and members of SDiA are physicians and patients with diabetes mellitus and other health professionals working in the field of diabetology and collaborative disciplines as well as social and cultural figures of active life in diabetes mellitus. The SDiA implements the objectives of its mission through communication and cooperation with state and autonomous government agencies, health care providers, professional societies and health insurance companies. One of the main forms of SDiA is the provision of education, education, and educational projects for patients and physicians. SDiA works with professional companies and patient organizations at home and also internationally. The mediation of diabetes mellitus plays an important role in raising awareness of the disease.

Patients with newly diagnosed diabetes or parents of a child with this disease often seek answers to their questions, problems, solutions and are often exposed to misleading information and specific business practices. They are not sufficiently informed about their rights, social rights or ways to actively participate in better eating, living, collaborating, self-adhering, self-testing and self-medication to prevent and develop complications or the possibilities of modern treatment. "For patients, we are therefore creating a comprehensive educational page where they should find answers to most of their basic knowledge questions such as dietary principles, social issues, long-term meal plans, principles of care, and treatment options , diabetic foot, counseling, answers to questions about pregnancy or sports " prim date doc. MD. Emil Martinka, PhD.

The portal finds guides on how to prepare a tasty and healthy diet or even Christmas recipes. For example, what is boiled at the National Institute of Endocrinology and Diabetology in Ľubochny, exactly according to the recommended content of carbohydrate units. The educational portal can help diabetics get rid of the most common bad habits, such as irregular meals, inadequate portions, eating more food than is appropriate and necessary, or even copying the eating habits of other diabetics. It is important to note that the diabetic diet is individual. Through proper education, patients can learn which foods to restrict or completely eliminate and, on the other hand, which foods they prefer.

The #OneThing campaign or the one thing you need to know emphasizes increased cardiovascular risk in patients with type 2 diabetes and highlights the growing number of new patients with this diagnosis. Experts highlight the inadequate education of patients with type 2 diabetes and the risks associated with this disease. An annual increase in the number of newly diagnosed patients is also alarming. The World Diabetes Day campaign highlights the potential to reduce risk to the heart and overheat #OneThing; #IbaJednoSrdce; #IbaJednaVec works and also informs about problems in social networks.

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