Saturday , March 6 2021

World Diabetes Day: Experts from Uri Cantonal Hospital provide information

More and more people are having diabetes. Patrick Jacks, Food Consultancy Manager, and Esther Hunkeler, diabetes counselor, answer some common questions about this topic.

Patrick Jauch-Herger, Patrick Jauch-Herger, Uri Cantonal Hospital Nutrition Advisor, advises the patient. (Image: PD)

Patrick Jauch-Herger, Patrick Jauch-Herger, Uri Cantonal Hospital Nutrition Advisor, advises the patient. (Image: PD)

The World Day for Diabetes was launched in 1991, given the rapidly growing number of people with diabetes worldwide. The date on November 14 commemorates the birth of Frederick G. Banting, who, along with Charles Herbert Best, discovered vital hormone insulin in 1921, as stated in the Uri Statement of the Cantonal Hospital.

On this day, the world needs to focus on diabetes, its causes and its impact on the lives of the affected people. "First of all, it should be noted that diabetes is not a problem in some problems, but more and more people all over the world are supposed to be ill," writes the Swiss Diabetes Society (LSG).

Is early diagnosis of diabetes possible?

Esther Hunkeler: Type 2 diabetes, formerly known as adult diabetes. If someone belongs to a risk group, it is advisable for the family doctor to check blood sugar regularly. Thus, high blood sugar can be detected at an early stage and start initial measures, such as changing lifestyles through nutrition counseling. The early detection of Type 1 diabetes, which occurs predominantly in childhood and adolescence, and can usually develop at any stage of life. The reason for this is that the pancreas suddenly stops producing insulin and this is not unpredictable.

Ester Hunkelere is a diabetes counselor at the Uri Cantonal Hospital. (Image: PD)

Ester Hunkelere is a diabetes counselor at the Uri Cantonal Hospital. (Image: PD)

Risk group? So, how does anyone say if he or she is at risk of diabetes?

Esters Hunkelers: People have an increased risk of developing diabetes if, for example, they are overweight, have high blood pressure and high cholesterol. These factors are enhanced if they have close relatives who already have diabetes, such as father, mother or brother. However, people with normal body weight, but they are related to the family, may also develop diabetes. In addition, studies have shown that regular physical activity can be an effective way to prevent diabetes.

Cold is also a sweet season. What does it mean for diabetics?

Ester Hunkeler: Eating and drinking directly affects blood sugar levels. In diabetes counseling, I often ask nutrition questions, which are then discussed in nutritional counseling. In a close diabetes counseling, I explained the patient to a clinical picture. They also learn to measure blood glucose correctly. In addition, patients should learn to understand their individual diabetes treatment, whether it is the type of action of the medicine or the insulin regimen. If someone injects insulin, he will also teach me. The purpose of diabetes counseling is to make the patient well aware of diabetes with the help of a doctor.

Patrik Jauch: Sweets are not completely washed away from food, even with diabetes mellitus. It is usually useful to plan sweets and desserts just after the main meal, not between them.

Is too much sweetness to consume diabetes?

Patrik Jauch: People often say this, but they are not entitled. The main factor is overweight or, in particular, excessive abdominal fat. It has the greatest impact. And then you have to say that it affects not only white sugar but also the total amount of carbohydrates that also affects fructose, starch additives, malt sugar or milk sugar. Excessive intake in addition to the effect on weight and abdominal fat may also be independently affected when type 2 diabetes "disappears". Offer with event – including sweets – but also for a balanced diet.

Usually for food. How does the risk of a disease really depend on diet?

Patrik Jauch: A well-balanced diet is essential to maintaining good health. This applies not only to eating vegetables, but also about the overall balance. Nowadays, it is known that various illnesses such as diabetes, cardiovascular diseases and many others can be avoided for a long time – but not 100 percent. Nutrition or malnutrition is just a risk factor, such as heredity, the environment, smoking, etc.

Is diabetes a welfare illness?

Esther Hunkeler: Yes, part of it is certainly due to the well-being of our society. A large part of the population is working as a sedentary worker. In addition, food is always available everywhere, especially high-energy and high-calorie foods. These two factors contribute to overweight, which in turn is a risk factor for early onset diabetes.

In the morning after getting up, a cup of coffee, espresso. What would you say as a nutritionist?

Patrik Jauch: Breakfast is important. People who eat breakfast, even recent research, are less likely to be affected by diabetes, obesity or its consequences. So I do not drink coffee. Especially with coffee it is assumed that it also has a positive effect on the cardiovascular system. However, I would suggest dietary recommendations that you most likely would have imagined to eat at breakfast. Lastly, I would like to set a specific target for the next meeting.

Cleanse Healthy, Avoid Diabetes. Can you say that

Patrik Jauch: Avoidance is maybe the wrong word, but delays it. So, if you are eating a healthy, so-called type 2 diabetes called age-old sugar, it's only 90 years and not 60 years if you get a strong marital status. However, Type 1 diabetes is not a lifestyle. It can be affected both in youth and in old age, even if the lifestyle is healthy.

Should diabetics have more exercise?

Esther Hunkeler: Yes, absolutely. Regular physical activity is an important part of the treatment, as exercises can lower your blood sugar even without insulin. Movement has a positive effect on sugar metabolism over a 150-minute week. It does not matter if you have a swim twice a week for 60 minutes, or a 30-minute bike home coach at home or 30 minutes after a quick jog after dinner four times a week. And, of course, it does not matter if someone moves more than 150 minutes a week.

Are there any special dietary recommendations for diabetes?

Patrik Jauch: Today's recommendations are based on a balanced diet. However, the "right" diet is appropriate therapy. Regardless of whether they need to focus only on the way of life, the use of tablets or the injection of insulin, this is significantly different from the recommendations. It's important to know about opportunities and then decide how much you can and want to do. He wants to make the most of the change in lifestyle, and the other wants to introduce the most important cornerstones of everyday life, which is also good. Therefore, we recommend individual counseling rather than very general information.

Can someone come to your hospital if they have a question about their nutrition and health?

Patrik Jauch: Yes, in diseases such as diabetes, everyone has the right to six to twelve nutrition counseling and nine consultations for diabetes during the calendar year. If you have a doctor's prescription, they are taken over by basic health insurance. Therefore, it is worth discussing the possible distribution of family doctors. (Pd / ml)

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