update: 07.11.2018 18:21
published: 07.11.2018, 17:54
Prague – In the past 10 years, 15 percent of diabetics have been treated, last year nearly 930,000. Others do not yet know about their diagnosis. The treatment of these patients accounts for about 13 percent of total health care costs, averaging 53,000 krons per patient. Information has been given today at a press conference of the Czech pharmaceutical companies (ČAFF) on the World Day of Sugar Disease, marked on November 14th.
About 90 percent of diabetics have type 2 diabetes that is half genetically conditioned, and the other half is an unhealthy lifestyle. According to DiaVize's diabetes, Marty Klement's diabetes, 30 minutes of physical activity, including walking or gardening, reduces the risk of diabetes by as much as one third.
For type 2 diabetes, the body has an excess of insulin that can not be released as quickly as it needs the patient. In addition, their own insulin does not function as it is, and so-called insulin resistance appears.
Last year, about 33 billion crowns were spent on treating second-degree diabetes in the Czech Republic, with a total of about 300 billion euros in health care. If the number of diabetics has increased at the same rate as before, in 2035, every ten Cea will suffer. "Permanent growth becomes unrealistic with time," added Clement.
Patients usually take a combination of up to four drugs for diabetes, the other for blood pressure or high cholesterol. "Patients are not treated with a combination of ten drugs, because if they do not follow the diet, their glycemic will not be standard," said Klement, saying the cost of working with the patient and his way of life was considerably lower and often more effective than the treatment. More than a third of them do not follow the doctor's treatment.
Czech Diabetic Society supports patient education. Research shows that group therapies are even more effective than individual patient talks. Next year, according to Clement, he will also pay for health insurance. "The problem is to introduce them to the patients, but if they come back, regular checks are often returned," she added.
A patient who changes his lifestyle can achieve such progress that he will not have to take so much medicine and be cheaper for the health system. Martin Mátl, the director of the CFAF, is also trying to save the costs of public health insurance by introducing so-called generic medicines, copies of the original medicines that have patent patents. An example is a medicine of merformin, which is used by most diabetics. Over the past ten years, according to Math, he has generically saved 3.7 billion crowns.
In addition, diabetics not only cure symptoms that are directly related to diabetes, but more often suffer from chronic complications such as heart disease and kidney failure. The risk of stroke increases diabetes two to four times, five times the infarct, heart failure, or coronary artery disease.