More than four million people in Germany are diabetic. Their number grows annually by three percent. Unfortunately, many diabetics take the necessary changes in diet and lifestyle lightly. But this negligence can have deadly consequences after only a few years. Slightly to moderately elevated levels of blood sugar, blood pressure or blood lipids are just not painful.
Negligence in the control of blood sugar can have fatal consequences, because our body "remembers" all fluctuations in blood sugar levels. The longer and more pronounced the blood sugar levels are over the normal range over the years, the higher the risk of blindness, kidney failure, myocardial infarction and limb amputations. In Germany, about 25, 000 amputations are made every year due to diabetes, and this proportion increases by four percent each year. Every year, about 4, 000 diabetics begin dialysis because of diabetes-related kidney failure, and about 7, 000 diabetics go blind every year due to diabetic eye damage, the so-called diabetic retinopathy.
The right attitude
These late damage can only be prevented by setting the blood sugar level as normal as possible. However, this can only succeed if the diabetic controls his blood sugar level several times a day and adjusts the insulin dose accordingly. This blood glucose self-management is referred to as "optimized diabetes control" in comparison to conventional control, in which at prescribed times two to four times a day an amount of insulin prescribed by the doctor is injected. Large studies involving thousands of diabetics have shown that optimized diabetes control as part of the blood sugar self-management process halves the risk of kidney damage. The danger of blindness sinks by almost two-thirds. The blood sugar self-control and the independent adjustment of the insulin dose are therefore today in the center of optimized diabetes management. Added to this are healthy nutrition and exercise.
Before that, however, those affected must learn to "manage" their metabolism. Participation in a structured training program is therefore a prerequisite for achieving the therapy goal: maintaining the quality of life. Regular self-monitoring and active participation in diabetes therapy can prevent or postpone complications of diabetes. The values documented over a longer period of time facilitate cooperation between doctor and patient. Acute metabolic imbalances can be detected and avoided at an early stage.
Here the patient is required
The following checks can be carried out by yourself.
- Measurement of blood sugar (The test strip gives a statement about the current blood glucose value.)
- Examination of the urine for sugar (sugar is also found in the urine only from a blood sugar above 180 mg / dl (10 mmol / l).)
- Examination of urine for ketone bodies (acetone)
- Determine the body weight
- Blood pressure measurement
- Inspection of the feet
Remember, self-control in diabetes creates security, freedom and self-confidence. Self-controlled diabetes is like a seafaring without a compass. A doctor, a diabetes consultant or a pharmacist will explain how to use the test strip or meter correctly.