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Diabetes also creates a risk for the heart. But this can be influenced by modern treatment. Diabetics lead the Slovak association for diabetes and its educational portal



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BRATISLAVA, November 16, 2018 (VBN / PR) – According to estimates, one person died of diabetes every 7 seconds. The most common cause is cardiovascular complications, which are the cause of death worldwide in up to 65% of diabetics. In order to support diabetics, the Slovak Diabetes Association and its educational portal have been created to bring new therapies and active support to the patient in relation to illnesses. Campaign # OneThing – the only thing you need to know – also highlights the risk of heart complications associated with diabetes. This is your heart – protect it!

Today, there are 387 million people living with diabetes in the world, more than 400,000 in Slovakia, and their number is increasing rapidly. The disease itself also affects the length of life that has been significantly reduced in diabetics. The most common complications that endanger the lives of diabetics include cardiovascular disease, and people with diabetes are 5 times greater than healthy adults. Diabetes damages arteries that nourish organs, especially the atherosclerosis process, which leads to their narrowing or even "obstruction". Atherosclerosis is particularly dangerous, especially when it affects the arteries of the heart, brain, arteries of the lower extremities or aorta. This can lead to an acute heart attack or even sudden death due to a heart rhythm disorder when the cardiac muscle is not.

Diabetics also have a greater risk of chronic heart failure, in which the heart loses its ability to fill and pump enough blood, which can cause fluid in the lungs and difficulty breathing, as well as keeping the fluid in the lower limbs. The risk of heart failure is three times higher in diabetics, and more often the risk of heart attack. According to VHO, up to 65% of diabetic deaths in patients older than 65 years are associated with heart damage.

"Cardiac insufficiency is the most common cause of hospitalization in the Slovak Republic in recent years, and the number of these hospitalizations is increasing." We also have signs that the incidence of heart failure is actually even higher because it has not been diagnosed before, it is not excluded that these trends include an increasing number of diabetics, warns prim. Doc. Dr. Eva Goncalves, CSc.

The NEFRITI study in Slovakia was recently completed and evaluated, which also helped 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 and comparisons over 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 of 15 deaths / 1000 patients per year. The main cause of death were cardiovascular diseases and events. A particularly poor prognosis was in patients with heart failure whose mortality was up to 5 times higher (22% over 4 years) than in patients with non-cardiac insufficiency (4.5%).

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Photo: Slovak Association for Diabetes

Compared with the results of other European countries, the study found that heart failure in diabetics in Slovakia is insufficient and probably does not know more than half of other such patients, which is why they are not applied adequately. One of the reasons may be the fact that a diabetic can not perform an ECG examination because it does not pay insurance. "Patients suffering from diabetes and heart failure have a very poor prognosis, since the average survival of this disease is four years" notes doc. Dr. Dr. Emil Martinka, President of the Slovak Association for Diabetes and the Mayor of the National Center for Diabetes NEDU Lubochna.

The good news that emerged from the world's major studies is that with modern antidiabetes available in Slovakia, diabetic patients can adapt not only glycemia, but also reduce cardiovascular mortality to 38% and hospitalization and death for heart failure up to 35%. In Slovakia, however, this treatment gives less than 17% of patients who need it, which is very low. The main reason for limiting the availability of modern treatment is the text of the indication of the restriction of treatment paid by an insurance house that is no longer in line with the present opinion. In addition, existing efforts by the ZP to create remission groups are in a way that would significantly reduce the availability of modern treatment for patients due to increased overpayments. The Slovak Diabetes Association therefore urged the minister not to take steps towards such development.

The Slovak Association for Diabetes (SDiA) is a citizens' association, a joint association of drugs and patients with diabetes mellitus. The main mission of SDiA is to contribute to improving the level of care for patients with diabetes mellitus and the conditions for its delivery. Founders and members of the SDiA are doctors and patients with diabetes mellitus and other health professionals working in the field of diabetology and collaborative disciplines, as well as social and cultural life figures that are active in diabetes mellitus. SDiA achieves the goals of its mission through communication and cooperation with state administration bodies and self-governments, health service providers, professional societies and health insurance companies. One of the key forms of SDiA is the provision of education, education and creation of educational projects for patients and doctors. SDiA works with professional companies and patient organizations at home, but also internationally. Mediation of diabetes mellitus plays an important role in raising awareness of this disease.

Patients with newly diagnosed diabetes or parents with this disease often seek answers to their questions, problems, solutions and are often exposed to wrong information and targeted business practices. They are not sufficiently informed about their rights, social rights or ways to participate actively in better nutrition, life, cooperation, compliance, self-testing and self-help to prevent and develop complications or the possibility of modern treatment. "For patients, we therefore create a comprehensive educational page where you should find answers to most of their questions about basic knowledge such as nutrition principles, social issues, long term meal plans, care principles and treatment options, diabetic foot, counseling, responses to pregnancy issues or sport " closes prim. Doc. Dr. Emil Martinka, dr.

The portal finds guides on how to prepare a delicious and healthy diet or even Christmas recipes. For example, what is being cooked at the National Institute of Endocrinology and Diabetology in Lubochni, exactly in line with the recommended carbohydrate content. An educational portal can help diabetics get rid of the most common bad habits, such as an irregular meal, inadequate portions, more food intake than necessary and necessary, and even copying habits in dieting other diabetics. It is important to note that diabetic nutrition is individual. By right education, patients can find out which foods should be limited or completely eliminated, and on the other hand which foods should prefer.

Campaign # OneThing or the only thing you need to know puts emphasis on increased cardiovascular risk in patients with type 2 diabetes and highlights an increasing number of new patients with this diagnosis. Experts emphasize the inadequate education of patients with type 2 diabetes and the risks associated with this disease. The annual increase in the number of new patients is also alarming. The World Diabetes Campaign highlights the potential to reduce heart disease and overheal # OneThing; # IbaJednoSrdce; # Iba JednaVec works, and also notifies about problems on social networks.

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