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Diabetes also creates a risk for the heart. But it can be influenced by modern medicine. Diabetics guide the Slovak Diabetes Association and its education portal

BRATISLAVA, November 16, 2018 (WBN / PR) – According to estimates, one person dies of diabetes every 7 seconds. The most common cause is cardiovascular complications, which is the cause of death worldwide, with up to 65% of people with diabetes. To support diabetics, the Slovak Diabetes Association and its education portal have been made to bring new therapies and active support to patients in connection with the disease. The #OneThing campaign – the only thing you need to know – also highlights the risk of heart complications associated with diabetes. That's your heart – protect it!

At present, 387 million people with diabetes live in the world, more than 400,000 in Slovakia, and their numbers have sharply increased. The disease itself also affects the length of life which is significantly reduced in diabetics. The most common complications that threaten the lives of people with diabetes, including cardiovascular disease, and diabetics are 5 times more likely than healthy adults. Diabetes damages arteries that nourish organs, especially the process of atherosclerosis, which leads to narrowing or even "obstruction". Atherosclerosis is very dangerous, especially when it affects the heart arteries, brain, arteries of the lower extremities or the aorta. This can cause acute heart attack or even sudden death due to disruption of the heart rhythm when the heart muscle is not.

Diabetics also have a higher risk for chronic heart failure, in which the heart loses its ability to fill and pump enough blood, which can cause fluid buildup in the lungs and difficulty breathing, and fluid retention in the lower limbs. The risk of heart failure is three times higher for people with diabetes, and more often they are at risk of having a heart attack. According to WHO, up to 65% of deaths from diabetes in patients over the age of 65 are associated with heart damage.

"Heart failure is the most common cause of hospitalization in the Slovak Republic in recent years. The number of hospitalizations has increased. We also have a signal that the incidence of heart failure is actually higher because it was not diagnosed earlier. It is not excluded that this trend includes increasing numbers of diabetics ", warn prim. doc. MD. Eva Goncalves, CSc.

In Slovakia, the NEFRITI study has recently been completed and evaluated, which also helps identify parameters such as death, causes of death, incidence of cardiovascular disease and the use of modern diabetes treatment, which, according to other large studies, significantly improves patient prognosis. Results were obtained and compared over a period of four years at the beginning 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 causes of death are cardiovascular diseases and events. A very poor prognosis occurs in heart failure patients whose mortality reaches 5 times higher (22% over 4 years) compared to heart failure patients (4.5%).

Photo: Slovak Diabetes Association

Compared to results from other European countries, research shows that heart failure in diabetics in Slovakia is underdiagnosed and may not know more than half of the other patients, which is why they are not adequately treated. One reason might also be the fact that a diabetologist cannot do an EKG because he fails to pay for insurance. "Patients suffering from diabetes and heart failure have a very poor prognosis, because the average survival with this disease is four years," document note. MD. Emil Martinka, PhD, President of the Slovak Diabetes Association and Mayor of the NEDU National Diabetes Center ňubochňa.

The good news that arises from major research in the world is that with modern antidiabetic available in Slovakia, diabetics can adjust not only glycemia but also reduce cardiovascular mortality by 38% and hospitalizations and deaths for heart failure by 35%. In Slovakia, this treatment is given by less than 17% of patients who need it, which is very low. The main cause of limiting the availability of modern medicine is indicative words of treatment restrictions paid by insurance companies that are no longer in accordance with current opinions. In addition, the current effort by ZP to create drug replacement groups is in a way that will lead to a significant reduction in the availability of modern treatments for patients due to increased overpayments. Therefore, the Slovak Diabetes Association asked the Minister not to take steps towards this development.

The Slovak Diabetes Association (SDiA) is a civil association, a joint association between doctors and patients with diabetes mellitus. SDiA's main mission is to contribute to improving the level of care for patients with diabetes mellitus and the conditions for its provision. SDiA founders and members are doctors and patients with diabetes mellitus and other health professionals who work in the fields of diabetology and collaborative discipline, as well as social and cultural life figures active in diabetes mellitus. SDiA carries out its mission objectives through communication and cooperation with state administrations and self-governing bodies, health service providers, professional communities and health insurance companies. One key form of SDIA is the provision of education, education and the creation of educational projects for patients and doctors. SDiA works with professional companies and patient organizations at home and internationally. The mediation of diabetes mellitus plays an important role in increasing awareness of this disease.

Patients with newly diagnosed diabetes or parents of children with this disease often seek answers to questions, problems, solutions, and are often exposed to misleading information and targeted business practices. They are not adequately informed about their rights, social rights, or ways to actively participate in better outcomes from eating, living, collaborating, following, self-testing and self-medication to prevent and develop complications or possible modern treatments . "For patients, we therefore created a comprehensive educational page where they had to find answers to most of their questions about basic knowledge such as dietary principles, social problems, long-term meal plans, treatment principles and treatment options, diabetic foot, counseling, answers for questions about pregnancy or exercise, " closed politely. doc. MD. Emil Martinka, PhD.

This portal finds guidelines on how to prepare delicious and healthy food or even Christmas recipes. For example, what is boiled in the National Endocrinology and Diabetology Institute at ochubochny, exactly according to the recommended content of the carbohydrate unit. Educational portals can help diabetics to get rid of the most common bad habits such as irregular food, inappropriate portions, intake of more food than is appropriate and necessary or even mimic the eating habits of other diabetics. It is important to note that the diabetic diet is individual. With proper education, patients can learn which foods should be limited or completely eliminated, and on the other hand, what foods should they choose.

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

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