In Brazil there are more than 13 million people living with diabetes, according to the Brazilian Diabetes Society. And more than half of these people do not know that they have the disease. Diabetes is a disease that is silent without healing, but has control, so that treatment is continuous.
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In illness, the body does not produce insulin or cannot properly use the insulin it produces. Without or low insulin, sugar becomes excess in the bloodstream.
Diabetes comes in two forms: type 1 and type 2, as explained by endocrinologist Denise Franco about Welfare at Home.
Type 1 diabetes is an autoimmune disease in which cells that produce insulin, namely the pancreas, stop producing insulin. Because it is autoimmune, it can occur at any age, more often in childhood. The most common symptoms are thirst, weight loss, heavy urination, fatigue and weakness. Treatment with insulin and there is no way to prevent it.
In type 2 diabetes, the pancreas produces insulin, but there is resistance. Because insulin doesn't work, the pancreas understands that it needs to produce more. The onset of symptoms is slower and the diagnosis too. Symptoms of increased appetite, excessive urination, ants in the toilet, weakness, leg pain, mouth sores.
Food Care for Diabetes – Photo: Humana Health Care
You can prevent or delay type 2 diabetes with healthy behaviors: eating, physical activity, avoiding alcohol, smoking.
Four common mistakes made by diabetics:
- Eat a lot at once
- Don't eat fruits and vegetables
- Don't do physical activity
Besides genetics and lack of healthy habits, there are other factors that can contribute to the development of the disease:
- Prediabetes diagnosis
- High blood pressure
- High cholesterol
- Chronic Kidney Disease
- Pregnancy Diabetes
- Sleep apnea
Those who use insulin must follow all stages of treatment. Endocrinologist João Salles offers some tips. The first step in treatment is measuring blood sugar levels, blood glucose. "Measuring glucose means controlling disease."
Those who use insulin more than once a day should have a blood glucose test before breakfast, lunch and dinner.
Live with diabetes
For exams you must have: lancet, to pierce a finger; strips to collect a drop of blood; and a device that measures the amount of sugar in the blood band. "It's important to wash your hands, rubbing alcohol, letting it dry and then drilling a hole in the side of your finger." Remove the meter and the sugar runs out!
In the second step, you need to calculate insulin requirements and careful attention to apply the dose. The best place to apply is the outside of the arm or thigh and stomach. Vary the points to avoid injury.
Never throw needles and syringes into ordinary waste. Take it to a health center or pharmacy for disposal in hospital waste. And don't always forget the next dose. "You can't miss insulin. Use it at the right time."
Some people with type 2 diabetes may be able to get rid of the disease by surgery: metabolic surgery. Bariatric surgeon Marcos Leão Villas Boas explained that metabolic surgery is the same as bariatric surgery, the difference is focus. "What has changed is the intention to treat. Focus on disease, diabetes. "
Metabolic Surgery Can Help People with Type 2 Diabetes
In the most commonly used technique for controlling diabetes, diversion is done so that food reaches the digestive tract earlier. "This change in food route causes the small intestine to be stimulated before. This section produces two important hormones: one that carries a feeling of fullness and the other affects sugar. "
But to undergo surgery there are criteria. Have a BMI between 30 and 35, ages 30 to 70, and at least two years treat diabetes without success. Surgery is most effective when done in early diabetes. About half of patients can be controlled by diabetes without medication.
Welfare Podcast – Photo: Comunicação / Globo
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