Wednesday , December 2 2020

Insulin is "out of the eye" – popular but life-threatening



Insulin is "out of the eye" – popular but life threatening, warns the doctor.

According to the Hygiene Institute Health Information Center, the number of deaths from diabetes mellitus in Lithuania has almost doubled in the last decade.

As diabetes experts point out, it is important not just to talk about the possibilities of treating diabetes, but also about the patient's actions. Many people still get insulin from the eye, they do not seek help from specialists and then risk the life-threatening consequences.

According to Violetė Bičkauskienė, a diabetic at Santaros clinics at Vilnius University Hospital, this can be caused by insufficient care in the treatment of diabetes, which largely depends on the patient's own choices.

"Patients must perform self-monitoring, constantly monitor the disease and analyze it, so it's important not to be afraid to seek advice from specialists who can learn it," emphasizes V. Bičkauskienė.

It is especially important to understand how to adjust your insulin dosage yourself, as it will continue forever.

In Lithuania, diabetics – diabetic nurses working in medical institutions that can be referred by family doctors – are advised by diabetes patients for several years.

Diabetics learn to focus on what and why the patient is discussing the causes of glucose fluctuations, the importance of self-control and everything related to diabetes in human life.

Patients should be alert. Many people with type 2 diabetes receive insulin, why they, like those with type 1 diabetes, are particularly interested in understanding how to adjust the dose because it should be done regularly.

When initiating the patient's insulin treatment, the first three months determine what will be the control in recent years. Failure to achieve the indicators required at the start of treatment will reduce their chances of reaching them in the future, and the patient should therefore be involved in patient care initially.

"Based on glucose measurements, when assessing the amount of carbohydrates in a meal, the patient should consider how much insulin should be taken. Each body's sensitivity to insulin is different. Therefore, insulin doses for the same food are also chosen individually," explained a nurse, a diabetic therapist.

By calculating carbohydrates and choosing your own insulin dose, patients will not only delay the complications of the disease but also directly affect the outcome of the treatment of diabetes.

Improved glycemic control can reduce the risk of cardiovascular disease by as much as 25%. over a period of 10 years.

Optimal blood glucose levels are often hampered by the insufficient dose of insulin. Previously, insulin therapy has been associated with hypoglycaemia, excessive glucose levels and increased body weight gain, and patients were reluctant to increase the dose.

Nowadays, patients are increasingly being treated with the new generation of basal insulins, which not only show longer and more fair effects but also more in line with human physiology, reduces the incidence of hypoglycaemia and has a lower effect on the patient's body weight.

When treatment with tablet formulations is no longer effective, the latest European and American diabetes treatment recommends basalt insulin as first-hand treatment as mixed insulin and insulin injections in a syringe may increase the risk of hypoglycaemia and weight gain.


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