During the past 10 years, 15 percent of diabetics have been treated, almost 930 thousand last year. Other people still do not know about their diagnosis. Treatment of these patients costs about 13 percent of total health care costs, on average, amounts to 53 thousand kronor per patient. The information was given at a news conference of the Czech Association of Pharmaceutical Companies (ČAFF) on World Diabetes Day, which is celebrated on November 14th.
About 90% of diabetics have diabetes of the second type, which is half genetically conditioned, and the other half is an unhealthy lifestyle. According to the head of Diabetes Diabetes, Marty Clement's diabetes, 30 minutes of physical activity, including walking or gardening, reduces the risk of diabetes by as much as a third.
For type 2 diabetes, the body has an excess of insulin that can not be released soon enough for the patient. In addition, their own insulin does not function as there is so-called insulin resistance.
Last year, about 33 billion crowns were spent on treating second-class diabetes in the Czech Republic, with a total of about 300 billion in health care. If the number of diabetics increases at the same rate as before, in 2035, every ten Czech will suffer. "Continuous growth will become unrealistic over time," added Clement.
Patients usually take a combination of up to four drugs for diabetes, others for blood pressure, or high cholesterol levels. "Patients are not treated with a combination of ten medicines, because if they do not follow the diet, their glycemia will not be standard," said Clement, saying that the cost of working with the patient and his lifestyle is much lower and often more effective than the treatment. More than a third of them do not follow the treatment of doctors.
The Czech Diabetic Society supports the education of patients. Studies show that group therapies are even more effective than individual talk with the patient. From next year, according to Clement, health insurance companies also pay. "The problem is that patients arrive there, but if they return, they return more often than regular checks," she added.
A patient who changes his lifestyle can achieve such an improvement that he would not have to take so much medication and be cheaper for the health system. Martin Matl, director of CAFF, is also trying to save public health insurance costs by introducing so-called generic drugs, a copy of original drugs that have completed patent protection. An example is the merformin drug, which is used by most diabetics. Over the past ten years, according to Math, the generic has saved 3.7 billion kronor.
In addition, diabetics do not only treat symptoms that are directly related to diabetes, but often suffer from chronic complications such as heart disease and kidney failure. Risk of stroke increases diabetes by two to four times, five times infarction, heart failure, or coronary artery disease.
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