Sunday , March 7 2021

Serious Deficiencies in Diabetes Care – Linkoping News

The debate. The treatment of people with type 2 diabetes is currently not close to the target levels set by the National Health Council. This is very serious, and we do not see any signs of a real increase in goals. Half a million people in Sweden are suffering from type 2 diabetes, and hundreds of thousands more are ill, they do not know about it. Even more people are precursors, so-called prediabetes. All of these are at the risk of serious complications, due to the disadvantages that we can see in diabetes care.

Result from The current patient survey on Diabetes Ball, which we carry out with the Netdoktor Patient Portal, shows, among other things, that seven out of ten have been uncovered accidentally, such as a health check in the health center or company health. Here is a great improvement potential. People at risk can offer a simple blood sugar level. If you had a previous diagnosis, you could avoid great suffering, but the cost of care would be reduced.

Another result is that very many patients test their legs. The National Health Council's guidelines make it very clear that everyone should have an annual footprint. The reason is that damaged blood vessels lead to loss of feelings, difficult wounds and ultimately amputations. But today, the development is wrong, and maintenance is offered less. In our patient survey, only 58 percent of the previous year have received a thorough investigation. This Östergötland figure was 72%, far from the 99% target of the National Health Council.

Why not offer Everyone with diabetes in Ostergötland has an annual foot test that can be very important in the long run? Are there structural barriers or does primary care have time or resources for this simple measure, which is a direct requirement in the guidelines?

Third result refers to self-esteem, that is, the portion of care provided by the patients themselves. This applies, for example, to continuous blood glucose measurement, insulin injections, dose adjustments and food and physical activity control. Training is required for this to work. The guidelines here state that everyone with type 2 diabetes should be offered group training for patients. However, only 18 percent in the poll claimed that they were offered it. The Östergötland figure was as small as 12 percent.

Now health care has to be done Östergötland is playing to improve diabetes care for patients. The results we can see in the survey are such that many people are at risk of serious complications, such as serious cardiovascular disease, eye damage, kidney damage and amputation due to inadequate care. Absolutely unnecessary.

Give diabetes patients greater impact on treatment, modern diabetic medicines, medical support and exercises for lifestyle changes. Old-fashioned treatments are too often used today, so people with diabetes often leave some brochures in their hands. Often, with the warning that "you start to take care of yourself now." We can never accept it as a patient representative.

Thomas Magnusson and Katarina Bergshem, a diabetes organization in Sweden

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