Less than 20% of Brazilians with type 1 diabetes receive treatment
On World Diabetes Day, research brings new data about the disease in Brazil. A survey presented on November 7 during the 30th Brazilian Congress of Endocrinology and Metabolism shows that less than 20% of Brazilians with type 1 diabetes treat adequately. Data released yesterday by the Ministry of Health also show that 5.6% of Brazilians have diabetes. In this type of disease, the production of insulin in the pancreas is insufficient. Therefore, patients need daily injections of insulin to keep glucose at normal levels.
A total of 3,591 volunteers from all regions of the country participated in the study. All patients underwent treatment for type 1 diabetes by the Unified Health System and 70% of these patients were at low or very low social levels. According to the researchers, there is an important contingent of functional illiterates, people who do not understand the prescription.
The study can be seen as a warning sign for doctors, especially with the growing number of people with diabetes in Brazil. According to Ministry of Health data released earlier this year, 5.6% of Brazilians suffer from diabetes. The index was 5.2% in 2006.
Changes that help to get along with diabetes
Although it is a chronic disease, it is possible to live well with diabetes - it is enough that the patient has healthy habits and follow correctly. "
Invest in the right menu
" A daily intake of 50 to 60% of carbohydrates is usually enough, with complex carbohydrates being preferred - nuts, nuts, whole grains - which will be absorbed more slowly, avoiding peaks of glucose, "says endocrinologist Josivan Lima of the Brazilian Society of Endocrinology and Metabolism. Those who have diabetes may also suffer from low blood glucose, hypoglycemia. Fifteen minutes after eating some sugary foods, check if the amount of glucose in your blood is normal.
Say no to physical inactivity
Physical activity is essential in the treatment of diabetes to keep blood sugar levels controlled and to keep away the risks of weight gain. "Exercise should be done three to five times a week," says endocrinologist Josivan. Patients should focus on mild physical activities, because when caloric expenditure is greater than the replacement of nutrients after training, hypoglycaemia may occur. It is important to know how the glycemic control is before physical activity begins to choose the best food.
Adapt to insulin applications
Most patients with type 1 diabetes, who need to apply insulin with greater frequency, it uses own pens for this function, which cause less discomfort because they have smaller needles and more flexible silicone material. "In addition, it is possible to use insulin pumps through a catheter, which is implanted into the patient's subcutaneous tissue by injecting smaller doses of insulin throughout the day, avoiding the peaks that can cause hypoglycemia," says endocrinologist Josivan. Alcohol consumption is not prohibited, but it should be moderate and should never be empty because isolated consumption may cause hypoglycaemia because alcohol tends to reduce glycemic rates. What can cause nausea, body tremors, excessive hunger, irritation and headaches. It is also important to monitor blood glucose levels before and after consuming alcohol.
People with diabetes are more likely to have anxiety and depression. Patients may experience a sense of anxiety regarding the control of hypoglycemia, insulin application, or weight gain. "Patients with the disease, who become anxious and stressed, tend to be less careful about blood sugar levels, which increases the risk of complications," says Josivan Lima.
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