1 in 2 patients with diabetes is not diagnosed, according to the International Diabetes Federation. November 14 is World Diabetes Day, when specialists warn us about this disease, which is beginning to gain worldwide.
The excess of kilograms is a major risk factor in the onset of diabetes, a disease that suffers over 1.7 million Romanians. According to the International Diabetes Federation, 1 in 2 patients who have this disease is not diagnosed.
“Studies have shown that the accumulation of excess weight is closely linked to the onset of diabetes, which is confirmed every day in the activity of the practice. On World Diabetes Day, we want to tell patients that this diagnosis is not a fatality.
Both the disease and its complications can be prevented or combated by adopting a healthy lifestyle, meaning a balanced diet, physical activity and restful sleep. The diet is essential in the management of diabetes, because it constitutes half of its treatment, the other half being represented by the oral or injectable medication, ”said Dr. Mihaela Posea, a specialist in diabetes, nutrition and metabolic diseases at the Smart Nutrition clinic.
In specialized clinics nutritional assessments of patients' health are performed using the bioimpedance body composition analyzer, a tool that provides extremely accurate information about the real weight, the ideal weight, the dissociated body composition in compartments (in water, mass muscle mass, mineral mass and fat), body mass index, metabolic rate and biological age of the body.
If the analysis shows that the patient is overweight or obese, a blood glucose test is performed to detect diabetes or prediabetes (according to the 2019 American Diabetes Association guideline; The American Diabetes Association – "Standards of Medical Care in Diabetes"). The diagnosis is established when 2 different measurements show blood glucose values above 126 mg / dl (values measured in the morning, after 8-10 hours of fasting). Another diagnostic assay that can help diagnose is glycosylated hemoglobin A1c, which must be at least 6.5% to indicate the presence of diabetes.
“Nutrition education for the diabetes patient plays a very important role, but the source from which he gets his information is equally important. Lately, the number of diabetic people who have crossed the threshold of the clinic has been increasing, which represents a positive change. Our diabetes doctors teach patients how to have a proper diet and turn it into a lifestyle so that the disease is kept under control and the risk of future complications is as low as possible. Patients are greeted by a professional team of doctors specialized in diabetes, nutrition and metabolic diseases, with a rich clinical experience and research activities, among which is one of the 8 doctors in Romania certified by the World Obesity Federation, ”said Andreea Vasile, director of the clinic cited.
Doctors recommend people of any age, overweight or obese (BMI greater than 25 kg / m2) and who have a first-degree relative with diabetes, to periodically test their blood glucose levels. The same is recommended for those who have a normal body mass index, but are sedentary and have cases of diabetes in the family.
Untreated diabetes presents an increased risk for complications such as diabetic retinopathy (eye damage), kidney failure (kidney damage), cardiovascular disease, peripheral nerve disorders (diabetic foot) and stroke.