14 November 2018 01:42
Updated on November 14, 2018 15:04
On 14 November, the International Diabetes Organization (IDF) and the World Health Organization (WHO) announced November 14th on World Diabetes Day to raise awareness of the disease.
The focus on this subject, La Familia and La Diabetes, is to highlight the educational role of the family in terms of knowing the disease, its prevention and care.
Gricel Ron, a specialist in diabetes and intensive care, explained exclusively National web that the disease occurs as a result of a reduction in the hormone produced by the pancreas: the insulin used by the human body to process sugar and turn it into energy.
"Diabetes is a compromise that initially can be immune, in which the pancreas gland does not produce more true amount of insulin for the metabolism and use of sugars or carbohydrates," said Ron.
The doctor has listed three warning signs for discovering early people who may be prone to being diabetic or who already have a disease.
"The first of the signs is" acanthosis nigricans ", which is a black coloration in the neck, which means a tendency to malignant metabolic disturbances in the future with sugar," he explained.
In addition, he alerted to warning factors such as blood glucose levels – blood sugar – and the presence of visceral obesity without being obese. These early warning signs are essential for disease diagnosis.
"Limit levels of glycemia with more or less persistent values between 100 and 110 indicate that the level of insulin production is not normal. Visceral obesity is the second sign of alarm. Such obesity is apparent in people who do not have very large arms but have a very visible abdomen. This is an abundant fatty tissue that can indicate a diabetic stigma, "adds a specialist.
The most accurate mechanism for determining whether or not you have diabetes is a blood test to determine the level of sugar before and after the meal.
"Normal values of sugar are between 60 and 80. A person can have intolerance to carbohydrates, intolerance to sugar and flour when their level approaches 110 or 140. But if the values have a value higher than 126, per post, or 200, two hours after eating, the person is already diabetic, "he said.
The specialist also explained that two types of diabetes, directly related to the age of the patient, added the cause of the decrease in insulin production in the pancreas.
"There are various types of diabetes: type 1, which occurs in children with an average age of 10 years and 16 years, so that your pancreas does not produce insulin anymore, and every day they need to inject the hormone because their body does not produce. , which consists of type 2, consists of people aged over 40 years, which means that insulin production is gradually decreasing, "he said.
He explained that the biggest difference between the two types of diabetes is that he develops a type 1 disorder called metabolic acidosis, which can be fatal to the patient.
"Metabolic acidosis is the response of a body looking to compensate with the use of acids when dealing with the deficit in the production of sugar as a source of energy. Its development in blood can lead to death," he said.
He added that there is a type of temporary diabetes that can occur in women at the stage of pregnancy, which is scientifically known as "gestational diabetes".
"Gestational diabetes is found in some pregnant women who have a genetic predisposition: they have transient diabetes, that is, during the gestation period. The appearance of the disease during this period should be a warning sound for these women as it finds them as potential diabetics when they reach the age of forty years when they entered the group of type 2 diabetics, "he added.
Dr. Ron said that although the preventive treatment of patients who have a higher likelihood of diabetes and those they already have include the use of medicines, the most effective way to control sugar is a balanced diet and activity. Routine physics
American physician Elliot P. Joslin, one of the world's leading experts on diabetes, said that regardless of drugs that laboratories can bring to the market, for preventative care of people's health, there is nothing to replace the benefits of a combination of proper nutrition and physical activities as part of daily routine, "he said.
Diabetes in Venezuela
The specialist said that although there are no official statistics in Venezuela about a significant number of diseases, such as diabetes, dengue, diphtheria or measles, it is estimated that there is currently 6% of diabetes in the country. which represents more than 2,000,000 people.
"In Venezuela there is no proper registry of statistics, not only in terms of diabetes, but also in terms of measles, dengue, diphtheria, among others. But the number of patients with diabetes is high. More than 6% of the Venezuelan population is considered diabetic," said.
Mr Ron regretted that although the theme chosen by the International Diabetes Organization this year, the "family and diabetes", to be aware of the impact of the disease on the family core, it does not carry out any prevention or notification in the country the population of the consequences that could cause the disease.
"Unfortunately, there is no prevention in our country. Diabetes is a disease in which, if the patient does not have enough knowledge about this, he will inevitably die with severe complications such as heartbeats and will also be associated with the painful dialysis process. that in dialysis centers most patients are diabetic, "he said.
Medicines and disease crisis
The doctor said that due to the lack of medicines in the country patients with diabetes can not receive treatment in time, which increases the mortality rate.
"Treatment of the issue of medicines in Venezuela is difficult: in the case of diabetics, metformin is not achieved, which is a sensitizer so that insulin can perform its sugar processing tasks.If type 1 diabetics need insulin because they do not die.Unfortunately there have been many examples of young people, who died because they could not use insulin because this was not achieved in the country, "he said.
In addition, the specialist stated that patients should measure the glucose level of blood glucose in a day to determine the dosage of the drugs to be taken, but due to the crisis of medicinal products, this treatment rate
"A diabetic patient should measure the insulin level daily, but it is difficult for them, and panorama becomes uncertain due to the lack of glucose and reagent strains in the country," he complained.
Ron said that under normal circumstances people with a diagnosis of diabetes should live a normal life, without that meaningful death penalty, as happens in Venezuela.
"A patient with knowledge of his illness and treatment will die of anything less diabetes," he concluded.