Diabetes, patients are too often careless. Yet, only a good control of blood glucose to prevent serious complications. A European survey that too few patients are aware of the importance of such an approach1.
Type 2 diabetes is epidemic proportions in Western countries. The magnitude of this scourge, should prevent the occurrence of disease but also its complications when it is diagnosed. Only regular monitoring of blood sugar to prevent serious consequences: cardiovascular disease, eye problems, nervous, renal, amputation.
To avoid serious complications
Control of blood glucose, antidiabetic treatment and modification of the hygiene of life (nutrition and physical activity primarily) can control the disease and prevent the occurrence of severe complications. But between theory and practice, there is a gap which concerned about very many specialists. Today, diabetes type 2 oral antidiabetic Treaty is far from always well controlled: in France, 34 and 46 percent of patients treated with oral medications have glycosylated hemoglobin (HbA1C) greater than 8%.
A figure well above the recommendation of the high authority of health which is not exceed 6.5%. “The measurement of A1C2 gives an idea of the control of diabetes over the past three months, unlike the sugar that gives an instant measure of sugar in the blood.” “A quarterly determination thus allows follow with precision control of diabetes, the effectiveness of the treatments and the evolution of the disease” said PR. Jean-François Gautier of the St Louis hospital.
To better understand the reasons for the poor diabetes control, a survey called Choose Control was conducted in five European countries, in partnership with the International Diabetes Federation (IDF) Europe and The French diabetics Association (AFD) with the support of Lilly laboratories. It gives a picture of the experience and the perception of their diabetic disease.
Better inform the diabetic patient
Poor memory, lack of appropriate or misinterpreted information? Glycosylated hemoglobin is largely unknown. A diabetic patient in three in has not heard and one in four had no recollection of having practice this determination in the past year. Two out of three, among those who did, remember not the result. Moreover, the threshold is not exceeded is not known patients.
“No wonder that three out of four patients feel well controlled.” “One in two minimizes the risk of complications and the severity of the disease” regrets Pierre – Albert Lefebvre of the French Association of diabetes. In addition, the link between glycemic control and the risk of complications is far from being understood: four of ten patients did not care! Ill will? No, because 7 diabetics on 10 are applicants to better control but 9 out of 10 could not obtain a personal objective of control. Finally, surveyed patients are anxious to soon be treated with insulin. While they overestimate its disadvantages (such as injection), they have a surprisingly low understanding of its benefits such as improved control of blood sugar of life expectancy and quality of life.