Wednesday , May 18 2022

Patient: "If you make a request for diabetes, they do not give you a job"


Specialists claim that out of 100 patients with 93 patients suffering from Type 2 diabetes, the hardest; the number of cases is increasing in the country. Diabetes affects more than a million people in the country. Doctors suggest that people learn how to deal with diseases.

In Ernest Martinez, the alarm rang when he realized that he began to lose weight without obvious reason and to urinate more than usual. 18 years ago he started to feel the symptoms. He found out he had Type 2 diabetes.

"I started losing weight overnight, I was always hungry and I felt excessive urine, I did not have a car at that time, and where I went, I got out of the bus to look for a bathroom, because that's not possible," Ernesto says.

He noticed that everything that had happened to his body was not normal, and then he sought professional help. Several tests were performed and the answer was clear: he had 600 milligrams (mg) per decilitre (dl) of glucose, when the normal levels were between 90 and 130 mg / dl and up to 180 mg / dl after consumption.

The next steps were taken to restore your body by diet and exercise and taking medication prescribed by a specialist, including insulin.

"I went through two phases, the first to worry, I had my own diet, I practiced, but there was a moment when I sincerely neglected: it is you to believe because I returned to meal more than I needed and stopped running, says Ernesto.

To stay stable with diabetes, Ernesto says that the key is in the amount of food consumed, as they can eat two buds, but they do not compete or eat more than that amount, or consume serving two tablespoons of grains or rice, but no more.

"Some of the problems that diabetics have is that if you put into the job application that you have diabetes, they do not give you work or because you are looking for a permit on a recurring basis, because you are sick of diabetes, you will get fired and put someone else in your place" says Martinez.

He met a diabetic patient who told him that he had several times felt in his work at the call center, and were blamed for taking drugs, but in reality had a low level of insulin, and her body reacted when blood pressure falls. It's gone.

Martinez spent the stages of the disease that they practiced, eating healthy, but controlling the disease of pills that had arrived eight years ago to inject the insulin, since the pancreas did not produce it anymore due to anxiety.

"I arrived by the moment because the pancreas was a sick disease, it did not work at all. Of course, we have to accept that and I think that this is the biggest problem for all people who are ill and those who know that they have it and those who do not know they have, and if they are not well educated, they will continue to make mistakes and we will not be able to control diabetes because we say: "Gasiocyte will not fall bad twice a day," but you should be aware, "the patient says.

Another problem with diabetes is that sometimes the body has a high blood sugar level, between 300 mg. and 400 mg., but physically do not have the disadvantage of feeling diabetic as unusual, but with time the most frustrating problems of the disease give, Ernesto says.

"Feet begins to lose sensitivity, you can walk on the beach in hot sand, you see how everyone is going through a high temperature, and you do not feel anything, lose your senses in your hands and feet, like when your extremities sleep, and you feel it permanently. , you can hurt and feel nothing, "explains Ernesto.

What is happening, says the patient, is that metabolism no longer works the same, and when you have occasional infections that do not cure.

"I went into that phase, I had a complicated wound, it started very small and an ulcer appeared, and it is already very careful, besides rest and medication, to take antibiotics. I thought that I had to happen to think, received at the hospital 70 day, "says Ernesto.

In order to have controlled diabetes, according to the patient, it is necessary not only to have a normal level of sugar, but to make good nutrition, have good weight, exercise, good blood pressure, take medication on time and have levels of normal triglyceride and cholesterol.

"Socialally, it's hard for people to accept that they have a disease, and I am a man of faith and I believe that God will heal me, but I must do my part in order to do my part so that I can feel good," he says. Martinez

In Salvador, there are more than a million people with diabetes, of which 500,000 are not aware that they are suffering from it, says Roberto Cerritos, head of the Endocrinology Service at the Rosales Hospital and president of the Salvadoran Diabetes Association (ASADI).

In 2015, the International Diabetes Federation (IDF) announced that it has 465 million people with diabetes, which by the year 2040 has risen to 690 million people, who will be aware that they are suffering from it, explained Cerritos.

The celebration of the World Diabetes Day, on November 14th, arose in order to raise awareness of the disease. IDF and the World Health Organization (VHO) established this commemoration in 1991, in response to an increase in diagnosis.

One of the problems Serritos mentioned is that the vast majority of people do not accept diabetes, and since they do not control it, they suffer the consequences of serious symptoms of the disease.

"We want to prevent relatives of diabetics because it would be ideal to know which children are already coming with a diabetic genome, but we can not know it, but a part of environmental protection can change," said a specialist.

The doctor claimed that pediatricians play an important role, because if a doctor finds out that he has diabetic relatives in his family, he should insist with his parents to eat the juice correctly, have a balanced diet and consume energy.

"If a child grows up in the habits of eating healthy and exercise, it will prevent the onset of diabetes or postpone the onset of the disease," Cerritos said.

Already after adulthood, a person with genetic factors of diabetes should avoid smoking, stress, alcoholism and multiple pregnancy in order to delay the onset of illness.

On the other hand, Gerson Avalos, an internist at Rosales Hospital and an endocrinology student, explained that among the symptoms of the disease, they need to drink plenty of fluids due to high blood sugar levels; Many urge to urinate, up to 10 times a night, and a lot of tiredness and anxiety to eat more than normal, due to lack of insulin in the body.

Other patients with diabetes can cause blurred vision, abdominal pain, vomiting, nausea, nausea, dizziness, and weight loss.

And some serious symptoms, diabetic foot, brain and blindness are erectile dysfunction, lower extremity pain, diarrhea, constipation and excessive sweating, he said.

Diabetics, Avalos said, would be ideal for the entire population, because it is the healthiest and does not mean limiting some kind of food, but to make a plan of food that must include vegetables, carbohydrates, fruits and remove simple sugars, such as honey, refined sugar, bread and flour.

Cerritos said that it is necessary to educate the population and that the health authorities should take measures, because if you do not get educated, the number of people with illness will increase even more and it would be impossible to treat all diabetics.

ASADI conducted a study in which it found that most diabetics were in San Salvador and the north of the country due to high cereal consumption, where most cases are in women, and is currently due to poor eating habits, also in children.

In order for a diabetic to remain stable with its disease, it must have its own weight, normal glucose, 24 hours a day, in addition to blood pressure, cholesterol, triglycerides, hemoglobin and normal urine, because not only blood sugar levels are the ones they must measure.

ASADI is 30 years old and the main goal is to raise awareness and educate the illness.

They are currently facing two serious problems, one of them being an economic factor that does not allow them to reach the entire Salvadoran population, and the second is that people do not accept that they must follow their illness in order to stay stable, medically and mentally.

Today there are 100 patients who meet each Wednesday to discuss the illness, where they get conversations to learn more about diabetes and follow the illness.

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