80% of cases of type 2 diabetes can be prevented but half of patients do not receive training on their disease. In Spain, 1,057 new cases of type 2 diabetes are diagnosed according to data from the Spanish Diabetes Society (SED)
The Spanish Federation of Diabetes (FEDE) has presented the National Pact for Type 2 Diabetes, a report with concrete measures to reduce the impact of a pathology that affects almost 60,000 people in Spain, and for which it will seek the accession of all the partners. In this sense, FEDE has identified 13 problems, based on different medical and economic studies, and has proposed 13 solutions to them to respond to these needs still without an adequate response. The main purpose of the measures raised is to allocate the necessary resources to improve key areas such as diabetological training for patients and families; early prevention or diagnosis, in order to improve the care they receive from patients with type 2 diabetes, and to prevent their quality of life being measured; as well as to reduce hospitalizations and emergency income.
“Half of these diagnosed patients do not receive any guidance on their disease, according to our data, adding that a high percentage are still undiagnosed. In both cases the main reason is that the Administration does not provide the necessary resources either in training or for the proper approach of the disease,” explains Juan Francisco Perán, president of FEDE. The result, says Perán, is “thousands of complications ranging from amputations to premature deaths due to cardiovascular diseases, as well as an inaccurate burden on the health system of emergency income and hospitalizations.”
But in spite of this, 80% of cases of type 2 diabetes could be prevented with educational measures such as the promotion of a healthy lifestyle, “but on which half of the patients who are diagnosed with diabetes are not reported or formed,” as reflected in the National Pact for Type 2 diabetes.
In addition, it should also be noted that according to data from the Spanish Society of Diabetes (SED), Spain is diagnosed 386.003 new cases of type 2 diabetes a year, that is, 1,057 a day. These figures make the economic burden of diabetes 8.2% of the total health budget 5,809 million euros annually, according to the Methodological guide to estimate associated costs of diabetes.
“Type 2 diabetes has become one of the main causes of cardiovascular disease, kidney failure, and blindness, among other incapacitating comorbidities, which generate high human, social and economic costs,” warns the president of FEDE. In this sense, a study of the Hospital Ramón y Cajal estimates that the average cost of macro and microvascular complications of people with diabetes is 4,124 €.
The National Pact for Type 2 diabetes includes problems and solutions in the areas of assistance, training, research and technology, among others. “The consequences of type 2 diabetes must be addressed from various fronts, as this pathology, which affects almost 6,000.000 of Spanish, not only affects the health of the people who suffer it but also in different economic and social spheres such as education or innovation,” says Perán.
The proposals in the health field propose to promote effective awareness campaigns to make an early diagnosis of the alteration in the metabolism of carbohydrates, which affects almost 30% of the population. It is also intended to achieve a screening that allows patients with high-risk diabetes to be recognized, as mortality from this condition has increased, according to the World Health Organization (WHO) in its World report on diabetes. Todo sobre Hoteles
The National Pact for Type 2 diabetes also requests the establishment of routine consultations to prevent and address chronic complications to alleviate the increase in comorbidities and decrease the quality of life of patients. “Some programs have shown that intensive surveillance in the lifestyle could reduce the incidence of type 2 diabetes by 58% for 3 years. We want to highlight the importance that the primary care doctor may derive from the patient’s pathologies specialist,” adds the president of FEDE. Therefore, the FEDE proposes continuous, integral and planned assistance and diabetological education individually, jointly, continued in time and personalized.
More technology and research
In addition, the use of new technologies in the autonomous communities that do not yet have these resources is encouraged. It is committed to interactive telemedicine in real time as a feasible mechanism for diabetes prevention programs and evidence suggests that its results are kept in the long term. It is also requested to invest in the research of new drugs and to improve access to new cost-efficient insulins that have proven to improve the quality of life of patients.
Increased training of health professionals
On the other hand, the importance of recognizing the continuing training of health professionals is indicated. “They should be trained in aspects that include modifications in the patient’s lifestyles, non-pharmacology management of risk factors, improving the approach of adherence and nutrition education for unprocessed foods,” says the president of FEDE. Another proposal is the recovery of the school nursing figure to provide health education from childhood.
Priority to the emotional health of the patient
FEDE also warns about the need to address the emotional health of the person with type 2 diabetes. These patients are between 2 and 3 times more likely to present depression than people without diabetes. “The stress and anxiety of living with the disease may cause patients not to be fully adherent to the treatment. Especially it occurs at the time of diagnosis, both to patients and family members,” Perán warns. Therefore, the creation of support groups and access to health care with emotional health training in chronic diseases is requested.
Finally, emphasis is placed on the need for greater involvement of the person with type 2 diabetes in decision-making that affect his or her pathology. “We ask for education for the patient and his family to take care of their own health and improve adherence to treatments. An active and motivated patient has full responsibility for controlling his/her disease and works as a team with health professionals and health institutions,” insists the president of FEDE. It is also intended to promote the participation of patient representatives in the definition of health policies that affect them as a collective.
The National Pact for Type 2 Diabetes within the actions of the campaign Do not turn your back to diabetes, an initiative that includes awareness-raising activities in social networks and in public entities and private companies, as well as meetings with political and social representatives. With this campaign, the Spanish Federation of Diabetes (FEDE) wants to make visible the situation of abandonment in which almost 6,000.000 people with diabetes live in Spain and to call on the Public Administration to invest the necessary resources so that patients can have quality of life and avoid complications due to a poor control of their pathology.
FEDE promotes a document with proposals to reduce the impact of type 2 diabetes
80% of cases of type 2 diabetes can be prevented but half of patients do not receive training on their disease. In Spain, 1,057 new cases of type 2 diabetes ar
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