Thursday , June 8 2023

Many people with diabetes are not diagnosed


There are a huge number of undiagnosed patients and are therefore not treated and do not control their illness. According to World Atlas Diabetes, the actual number of diabetic patients in Bulgaria is 520,000. Official statistics of the Diabetes Registry show that the number of people with diabetes in Bulgaria exceeds 460,000 people.

These data were provided to the "Diabetes and Pre-Abet" Association. Union for insulin pumps. Diabetes Type 2 Association? Patient organizations "along with you" on the occasion of World Diabetes Day, celebrated on November 14th.

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Patient organizations in Bulgaria underline again the need to develop a comprehensive diabetes policy to address specific problems.
They insist on improving access to examination and diagnosis of diabetes.

At present, there is no complete program in Bulgaria to solve the problems related to: the lack of annual screening programs covering all risk groups, the lack of specialized in small settlements and inaccessible areas, the lack of adequate resources for prevention, in an official letter to the media.
This is the cause of early treatment and the occurrence of diabetic complications. This contributes to additional budget burdens and the need for expensive treatments to treat diabetes and its complications, the organizations said.
Among the major problems in our country are the difficult access to quality medical care in some areas of the country as well as the lack of training programs for all patients diagnosed to improve adherence to the treatment and control of blood sugar. Improve access to diabetes control

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The nature of the disease is such that in diabetic patients the diagnosis, lifestyle and diet are of particular importance for better control of the disease. But also the continuous control of blood sugar. Only 73,000 diabetics receive bandwidth for cash readers returned under the NHIF. In all others, control is weak or completely absent.
Bulgaria is one of the few EU countries that do not fully deliver the sensors and consumables for them. Sensors are the most advanced method for controlling diabetes in both children and adult patients with severe damage and to all others.
"We insist that all diabetics should be treated by an endocrinologist, regardless of whether there are guidelines and if necessary, all diabetics should be dispensary to endocrinologists." Only diabetics with severe complications are currently dispensary to endocrinologists, others observed. We consider a more successful model to be an endocrinologist, it will be beneficial to both patients and will reduce treatment costs, "demand patient organizations.
Attention is also drawn to the fact that diabetic foot prophylaxis in Bulgaria is rare and exceptional. Treatment of patients with diabetic polyneuropathy is often delayed when wounds occur in the 3-5 stages of the disease. There are at least 15,000 Bulgarian diabetics diagnosed with this diabetic complication. It is believed, however, that the number of patients suffering from diabetic foot wounds is about 5 percent of all diabetics, that is, about 26,000 people get ulcers, sores. Approximately 140 people suffer from diabetic foot mutilations each year. Patients in the first and second stages of diabetic polyneuropathy show medication, but many diabetics do not buy them because they can not afford it. In 3-5 stages, diabetics suffer from wounds and ulcers that are difficult and expensive to cure, causing tremendous pain, mobility difficulties, workability, and amputations. Because of the loss of sensitivity in patients with diabetic polyneuropathy, leg injuries may remain unnoticed and lead to ulceration, severe infection and amputation at a later stage.
Diagnosis and pathogenetic treatment of diabetic polyneuropathy, including symptoms-loss and loss of feelings, are required for more screening and more diagnostic devices in clinics, the report said.

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