Serious deficiency in diabetes care – Linkoping news


DEBATE. The care of people with type 2 diabetes is currently not close to reaching the target level set by the National Health Board. This is very serious and we see no signs of increasing real ambition. Half a million people in Sweden suffer from type 2 diabetes and hundreds of thousands suffer from this disease without knowing it. Even more people have precursors, called prediabetes. All of these are at risk of serious complications due to deficiencies that we can see in treating diabetes.

Results of The ongoing patient survey The Diabetes Ball, which we conducted with the Netdoktor patient portal, shows, among other things, that seven out of ten of these diseases were accidentally discovered, for example in connection with health checks at the company's health or health center. This is the potential for extraordinary improvement. A simple blood sugar test can be offered to people at risk. If more previous diagnoses, a lot of suffering can be avoided, while the cost of care will decrease.

Other results very few patients have their legs checked. It is very clear in the National Health Council guidelines that everyone should be offered an annual foot survey. The reason is that damaged blood vessels cause loss of feeling, hard wounds and finally amputation. But today's development is not right, and fewer have been offered surveys. In our patient survey, only 58 percent had received a thorough investigation in the past year. Here in Östergötland, the figure is 72 percent, which is far from the National Health Council's target of 99 percent.

Why not offer Everyone with diabetes on Östergötland has an annual foot survey, which in the long run can be very important? Are there structural, or not primary care barriers having time or resources for this simple measure which are the direct requirements in the guidelines?

Third result self-esteem concerns, that is part of the care that the patient provides. This is about, for example, continuous measurement of blood glucose, insulin injections, adjusting drug dosages, and food control and physical activity. In order for this to work, training is needed. Here, the guideline stipulates that everyone with type 2 diabetes should be offered patient training in groups. But only 18 percent said in the survey that they were offered this. On Östergötland, the figure is as low as 12 percent.

Now health care must be done on Östergötland takes the strength to improve the care of diabetics. The results we can see in the survey are that for many people they are at risk of serious complications such as severe cardiovascular disease, eye damage, kidney damage and amputation due to inadequate treatment. Absolutely not necessary.

Give diabetics greater influence on their treatment, offering modern diabetes medicine, providing medical support and training for lifestyle changes. Today, ancient medicine is too often used so diabetics are often left with several brochures in their hands. Often with a warning that "now you start taking care of yourself". We can never accept this as a patient representative.

Thomas Magnusson and Katarina Bergshem, Diabetes Organizations in Sweden

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