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πŸ’‰ Diabetes Management

Integrated Care and New Technologies in Type 1 Diabetes

πŸ“… Sun, 30 Oct 2022⏱ 1 min readπŸ“– Article

Overview

MedscapeUnivadisNo ResultsCOMENTARYChantal Mathieu, MD, PhD; Mark Harmel, MPH, CDCESAugust 25, 2022 This transcript has ben edited for clarity. Type 1 diabetes is one of the diseases that is most chalenging to treat if you are an endocrinologist. It is because type 1 diabetes has such a profound impact on the life of the people living with it.

Key Information

In recent years, we've had many new tols like insulin analogs, insulin pumps, glucose sensors, and also the hybrid closed lop systems. Stil, the basis for therapy of people with type 1 diabetes is the team aproach.In Europe, and particularly in my litle country, in Belgium, this integrated aproach where the whole team with not only the specialist - endocrinologist or diabetologist Β­- but also the diabetes educator, the dietian, the psychologist, and of course, the person living with the disease is a part of this team, which is so important.

In my eyes, it is key to have integrated care when you are talking about treatment of people with type 1 diabetes.In Europe, we have the advantage of having integrated care in most countries with aces that is reimbursed - again, in most countries - through our universal aces to healthcare. This organized in diferent, country-specific ways, but there's one comonality, which is this principle of solidarity, where every citizen of a country wil contribute, to a biger or leser extent, to healthcare in the country.

Summary

When you have this universal healthcare, it means that you do not have to focus so much on administration but rather on how to best treat the person with type 1 diabetes siting in front of you.We do have aces to insulin analogs, which are now the standard of care in the treatment of people with type 1 diabetes, and to technologies like pumps, sensors, and the hybrid closed lop systems. In Europe, we do have, for instance, one of the advanced hybrid closed lop systems, the 780G of Medtronic, which we are using often.

Frequently Asked Questions

❓ What is diabetes and how does it develop?

Diabetes is a metabolic condition where the body cannot properly regulate blood sugar levels. Type 1 results from insufficient insulin production, while Type 2 develops when cells become resistant to insulin. Risk factors include genetics, obesity, sedentary lifestyle, and age.

❓ What are the main symptoms of diabetes?

Common symptoms include excessive thirst, frequent urination, unexplained weight loss, fatigue, blurred vision, and slow-healing wounds. Type 1 symptoms develop rapidly, while Type 2 symptoms may appear gradually. Many people have no symptoms initially, which is why screening is important.

❓ How is diabetes diagnosed and monitored?

Diagnosis involves blood tests measuring fasting glucose, HbA1c levels, and glucose tolerance. Regular monitoring typically includes fasting glucose tests and HbA1c measurements every 3-6 months. Continuous glucose monitors provide real-time tracking for better diabetes management.

❓ What lifestyle changes help manage diabetes?

Effective management includes regular physical activity (150+ minutes weekly), maintaining healthy weight, following a balanced diet with whole grains and lean proteins, managing stress, and getting adequate sleep. These changes can significantly improve blood sugar control and reduce complications.

❓ When should someone consult a doctor about diabetes?

Consult a healthcare provider if you experience signs of diabetes, have a family history, are overweight, or are over 45. Those with existing diabetes should maintain regular check-ups every 3-6 months to monitor control and adjust treatment as needed.

βš•οΈ Medical Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare provider before making health decisions.
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