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Diabetes also creates a risk to the heart. But it can be affected by modern treatment. Diabetics guide the Slovak Diabetes Association and its educational portal


BRATISLAVA, November 16, 2018 (WBN / PR) – According to estimates, one person died of diabetes every 7 seconds. The most common cause is cardiovascular complications, which are the cause of deaths worldwide in up to 65% of diabetics. To support diabetics, the Slovak Diabetes Association and its training portal have been created to get new therapies and active support to the patient in connection with the disease. # OneThing campaign – all you need to know – also raises the risk of cardiac complications associated with diabetes. It's your heart – protect it!

Nowadays, 387 million people with diabetes live in the world, more than 400,000 in Slovakia, and their numbers are increasing sharply. The disease itself also affects life expectancy, which is significantly reduced in diabetics. The most common complications that threaten the life of diabetics are cardiovascular disease, and people with diabetes are 5 times more likely than healthy adults. Diabetes is harmful to the arteries that nourish the organs, especially the atherosclerosis process, leading to a decrease or even "obstruction". Atherosclerosis is particularly dangerous, especially when it affects the heart, the brain, the lower extremities or the aorta. It can lead to an acute myocardial infarction or even sudden death due to cardiac arrhythmias when the heart muscle is not.

Diabetics also have a higher risk of chronic heart failure, where the heart loses its ability to fill and pump blood sufficiently, which can cause fluid build-up in the lungs and breathing difficulties, as well as fluid retention in the lower legs. The risk of heart failure is three times higher for diabetics, and more often they risk for heart attacks. According to the WHO, up to 65% of the deaths from diabetes in patients over 65 years of age are related to cardiac injuries.

"Heart failure is the most common cause of hospitalization in Slovakia in recent years, the number of hospital stays is increasing. We also have signals that the incidence of heart failure is even higher because it is not diagnosed early. It is not excluded that these trends include an increasing number of diabetics," warn prim. doc. MD. Eva Goncalves, CSc.

In Slovakia, the NEFRITI study has recently been conducted and evaluated, which has also helped to identify parameters such as mortality, cause of death, cardiovascular disease and the use of modern diabetes treatment, which according to other major studies significantly improves patient prognosis. The results were obtained and compared during the four-year period at the beginning and after four years of 1301 patients with type 2 diabetes. During this period, 79 patients died, representing an average mortality rate of 15 deaths / 1,000 patients per year. The main cause of death was cardiovascular disease and events. A particularly poor estimate was in patients with heart failure whose mortality was up to 5 times higher (22% over 4 years) than in patients with heart failure (4.5%).

Photo: Slovak Diabetes Association

Compared with the results of other European countries, the study showed that heart failure in diabetic patients in Slovakia is underdiagnosed and probably does not know more than half of other such patients, so they are not adequately treated. One reason may also be that a diabetic can not conduct an ECG examination because he does not pay him insurance. "Patients suffering from diabetes and heart failure have a very poor forecast because the average survival of this disease is four years" notes doc. MD. Emil Martinka, PhD, President of the Slovak Diabetes Association and Mayor of the National Diabetes Center DOWN Ľubochňa.

The good news that has arisen from major global studies is that with modern anti-diabetes available in Slovakia, diabetics can not only adapt glycemia but also reduce cardiac mortality by up to 38% and hospitalization and death for heart failure up to 35%. However, in Slovakia, this treatment is provided by less than 17% of patients who need it, which is very low. The main reason for the availability of modern treatment is limited is the formulation of indication of treatment restrictions paid by an insurance company that no longer complies with the current opinion. In addition, ZP's current efforts to create substitute groups of drugs in a manner that would lead to a significant reduction in access to modern treatment for patients due to the increase of overpayments. The Slovak Diabetes Association therefore urged the minister not to take action against such developments.

The Slovak Diabetes Association (SDiA) is a citizens association, a joint association of doctors and patients with diabetes mellitus. SDiA's main task is to help improve the level of care for patients with diabetes mellitus and the conditions of supply. The founders and members of SDiA are physicians and patients with diabetes mellitus and other healthcare professionals working in diabetic and cooperative disciplines, as well as social and cultural life figures that are active in diabetes mellitus. SDiA carries out the objectives of its mission through communication and cooperation with state administration and self-governing bodies, healthcare providers, professional societies and health insurance companies. One of the most important forms of SDiA is the provision of education, training and creation of educational projects for patients and doctors. SDiA works with professional companies and patient organizations both at home and abroad. Mediation of diabetes mellitus plays an important role in raising awareness about this disease.

Patients with newly diagnosed diabetes or parents of a child with this disease often seek answers to their questions, problems, solutions, and are often exposed to misleading information and targeted business practices. They are not sufficiently informed about their rights, social rights or ways of actively participating in better results of eating, living, cooperating, following, self-testing and self-medication to prevent and develop complications or opportunities for modern treatment. "For patients, we therefore create a comprehensive educational side where they will find answers to most of their questions about basic knowledge, such as diets, social issues, long-term meal plans, care principles and treatment options, diabetic foot, counseling, answers to questions about pregnancy or sports " closes prim. doc. MD. Emil Martinka, PhD student.

The portal finds guides on how to prepare a good and healthy diet or even christmas recipes. For example, it is cooked in the National Endocrinology and Diabetology Institute in Ľubochny, exactly according to the recommended content of carbohydrates. The training portal can help diabetics to get rid of the most common bad habits such as irregular meals, inappropriate portions, the intake of more food than is appropriate and necessary or even copying diets in other diabetics. It is important to note that diabetic diet is individual. Through proper education, patients can learn what foods should restrict or completely eliminate, and on the other hand, what foods they should prefer.

The # OneThing campaign or all you need to know emphasizes increased cardiovascular risk in patients with type 2 diabetes and highlights the growing number of new patients with this diagnosis. Experts highlight the inadequate training of patients with type 2 diabetes and the risks associated with this disease. An annual increase in the number of newly employed patients is also alarming. The World Diabetes Day campaign highlights the possibilities of reducing the risk of heart and overheating #OneThing; #IbaJednoSrdce; #IbaJednaVec works, and also informs about problems on social networks.

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