Diabetics underestimate risks - Faced with diabetes, patients are often too careless. Yet only a good glycemic control can prevent serious complications. A European survey reveals that too few patients are aware of the importance of this approach 1.
Diabetics underestimate risks
Type 2 diabetes is epidemic looks like in western countries. Given the scale of this scourge, we must prevent the occurrence of the disease but also its complications when diagnosed. Only regular glucose control can prevent serious consequences: cardiovascular disease, eye problems, nerve, kidney, amputation.
avoid serious complications
Control of blood glucose, diabetes care and modification of lifestyle (nutrition and physical activity mainly) to control the disease and prevent the occurrence of severe complications. But between theory and practice, there is a gap that worries of many specialists. Today, type 2 diabetes treated with oral agents is far from being well controlled: in France, 34 to 46% of patients treated with oral antidiabetic agents have a glycated hemoglobin (HbA1C) above 8% . A figure well above the recommendation of the High Authority of Health is not to exceed 6.5%. "The measurement of A1C 2 gives an indication of diabetes control over the last three months, unlike blood sugar that gives an instantaneous measurement of sugar in the blood. A quarterly dosing allows to accurately track control diabetes, treatment efficacy and disease progression, "said Pr. Jean-François Gautier at St. Louis hospital.
To better understand the reasons for this poor control of diabetes, a survey called Choose Control was conducted in five European countries, in partnership with the International Diabetes Federation (IDF) Europe and the French Diabetes Association (AFD) with the support Lilly laboratories. It gives a picture of the experience and perception of their disease by diabetics.
Better inform the diabetic patient
Poor memory, lack of proper information or misinterpreted? The glycated hemoglobin is largely unknown. A diabetic patient in three has not heard and one in four does not remember having made practice this assay over the past year. Two out of three among those who did, do not remember the outcome. Moreover, the threshold is not exceeded is unknown patients.
"No wonder that three out of four patients believe themselves well controlled. A two minimizes the risk of complications and severity of the disease" regrets Pierre-Albert Lefebvre of the French Diabetes Association. Moreover, the link between glycemic control and risk of occurrence of complications is far from including: four out of ten patients do not care! Ill will? No, for diabetics 7 out of 10 applicants to better control but 9 out of 10 could not obtain a personal goal of control. Finally, the patients surveyed demonstrate concern needing to be addressed soon by insulin. So they overestimate its disadvantages (such as the need for injection), they have surprisingly little idea of its advantages such as improved glycemic control, the life expectancy and quality of life.
In everyday life, it is unable to eat and drink what you want, which is the main handicap quoted by diabetics 9 out of 10. The link between obesity and diabetes is well known although it is difficult to lose weight (only 4 out of 10 have lost weight). Oscillating between frustration and anxiety, weight gain worries. but weight loss is the reverse as a stimulant on the other aspects of lifestyle.
Promote patient education
Revealing weaknesses in the management of type 2 diabetes treated with current medications, this survey underlines once again the importance of information and patient education. It highlights the value of a constant dialogue doctor / patient to make compatible the objectives of the first and the expectations of the second. Only a rational and personalized treatment project, discussed periodically in common, can obviously gain the support of the patient and push him to take charge to achieve better control of their diabetes, weight, mode of life and its transition to other treatment options.
Facing the time bomb of a silent epidemic with serious consequences, the International Diabetes Federation (IDF) Europe recommends that patients quickly benefit from increased education to understand and control their diabetes, the interest of measuring the 'HbA1C and the threshold is not exceeded and that doctors get more involved in this necessary therapeutic education