Newspaper Diabetas
The newspaper of the Lithuanian Diabetes Association
No 2 (26) May 10, 2000

Eli Lilly - the general sponsor.
The newspaper is supported by: Abbott Medisense, Berlin-Chemie Menarini group, Boehringer Mannheim representatives Eksmos MTC, company Ferrosan A/SM, firm "Korys", Novo Nordisk, company "Olga & Olga", Phizer H.C.P. Corporation.


Page 1

A new approach to the health care
Prepared from the IDF journal "Diabetes Voice" by D. Kartheiser
     It is supposed already in most of countries that the tradition of management of patient's diabetes by a doctor has had one's day. Self-control has been recognised as the main part of the treatment. It is important to learn of self-control of diabetes as early as possible. Patient must take the responsibility of the management of the disease in his hands, instead of shearing it with the doctor. Medical professionals should ensure the best education of the patients in terms of self-management of diabetes.


Page 2
Lithuanian Diabetes Association is a member of the International Diabetes Federation

An invitation to become a member of the Lithuanian Diabetes Association
     There are presented the advantages of the membership of the LDA. The way to become a member of LDA is to enter the club of diabetes in your district.
     If you don't know were to find the club, please call us on phone number 370-2-768884 or find us by address: LDA, Didlaukio 45-108, 2057 Vilnius.
     Internet: www.omnitel.net/lda e-mail: diabetas@is.lt



Page 3
For the welfare of the LDA members

     The study of investigations of diabetes control and complications in the USA (DCCT) and perspective studies of diabetes in the United Kingdom has been completed recently. It has been established by them that regular control of the blood glucose level and checking of the blood pressure determine patient's health condition as in type I, as in type II diabetes. Good control of blood glucose, blood pressure and lipids helps to decrease rate of complications in 30-70% (The edition of the IDF "Diabetes Health Economics: Facts, Figures and Forecasts", 1999).
     The State Health Insurance reimburses for 100% 150 diagnostic sticks for blood glucose control per year for all patients using insulin and 300 of them for pregnant women during pregnancy.
     The LDA is sponsored by representatives of Roche Diagnostics "Eksmos MTC" and Abbott Medisense. All members of the LDA can obtain self-control devices Glucotrend and Precission on favourable terms.

Self control and care of diabetes
Prepared from the IDF journal "Diabetes Voice" by D. Kartheiser
     The article deals about the importance of checking of the blood glucose of the patients by themselves. Self-control enables the patient to reach better results of the management of the disease and to adopt himself to the different situations of his life.


Consultation in the LDA residence

Pages 4-5
Means of the control of diabetes

Prepared from the IDF journal "Diabetes Voice" by D. Kartheiser
     The criteria of choosing of self-control devices like apparatus for the checking of blood glucose, lancets and the ways to look after these devices are described in the article. The importance of fixing of blood glucose data in the diary, as well as measurement of the glycosylated haemoglobin or fructosamine of the blood is reminded to the readers.



Page 6
GlucoWatch

Prepared by L. Kaulakiene
     The US company Cygnus has announced the creation of a new device for the measuring of blood glucose. The GlucoWatch® frequent, automatic and non-invasive biographer is a wrist-worn device intended for detecting trends and tracking patterns in glucose level in adults (age 18 and older) with diabetes.
     The GlucoWatch® biographer has the potential to offer:
  Automatic and frequent measurements
  Alerts for high and low glucose levels
  Trend indicator with each glucose reading
  Event markers to record seven different activities (e.g., meal, insulin)
  Time icon indicates "time to next measurement"
  Programmable display in 14 languages
     Following a three-hour warm-up period, the device is capable of providing up to three glucose readings per hour for 12 hours after a single point calibration with the results from a standard finger-stick meter. The GlucoWatch® biographer uses reverse iontophoresis to collect glucose samples through intact skin. The biographer uses the calibration value previously entered by the patient to convert the signal into a glucose measurement. The glucose measurement is then displayed on the biographer and stored in memory.
     If the Glucowatch is approved by the FDA, it could be available in the second half of 2000. The expected price could be about 225-400 USD.

Let's sow a grain of goodness
By L .Vitkauskiene, the President of community "Likimas" of Kaunas
     Competition of drawings of children of the community was organised on 11 of March. Children of 6-11 years of age drew pictures about the Easter festival. All of the competitioners received prizes. Our sponsors were joint stock company "Hermis", stock company "Naujasis Nevezis", and the Trade Company of Fruits and Vegetables of Kaunas.



Pages 7-8
Advertisements on self control devices of representatives of Roche Diagnostics CSC "Eksmos MTC".


Advertisement on new single pens of insulin of Lilly company.



Pages 9-10
Attention presidents and members of collectives of the LDA (clubs, societies and communities)

LDA information
     The appeal to all members of diabetes clubs of Lithuania to make their efforts for the improvement of the work of their chairmen and presidents in representation of their clubs and relations with the Association.

Cronicle of the Lithuanian Diabetes Association
  On 8 of Feb, 2000 representatives of the LDA (dr. E. Baltrusaitiene, D. Kveda-raviciene, R. Lisauskas, I. Matuliene, A. Jusyte, and V. Augustiniene) met with members of the State Health Insurance. Difficulties arising to the patients with diabetes in terms of their wishes to be treated in sanatoria, of deficit in means of self-control and other problems were discussed in this meeting. Suggestions about the improvement of the situation were offered. Actual questions about reimbursed drugs, means of medical care, and services were answered.
  On 11 of Feb at the LDA Council meeting the account of the activities in 1999, the plan of the work in 2000 were confirmed. The project of the Programme to the Council for the Affairs of Disabled at the Government of LR for the 2001 was approved. Representatives of Pfizer H. C. P. Corporation in Lithuania were admitted as a permanent sponsor of the LDA. New remedies Amaryl and Prostavasin and sweetener Cukradiet were introduced.
  On 14 of Feb at the meeting with representatives of Novo Nordisk plans of the collaboration were discussed.
  On 15 of Feb at the republican course organised by the Society of Lithuanian dietologists the LDA President V. Augustiniene made an oral presentation "Modern Approach to Diabetes Mellitus and its Correction with Diet".
  On 21 of Feb fairs of collaboration of the LDA with CSC "Labomeda" were discussed at the meeting with its chairman A.Garsva.
  On 21 of Feb the LDA President V. Augustiniene and Executive Secretary D. Kvedaraviciene had a meeting with a work group formed by Ministry of health care under guidance of A. Armonaviciene. They informed about the anxiety of people suffering from diabetes due to the changing project of the list of reimbursed means of medical care (20% of the MLS reimbursement for the nutrition were struck off). Suggestions about more rational use of means for the outpatient care of diabetes were presented.
  On 26 of Feb the LDA President V. Augustiniene took part at the report meeting of Siauliai diabetes club "Lemtis". She expressed dissatisfaction about the erroneous information given by club chairman A. Slivinskas to the LDA (the number of members was reduced several times when indicated, the membership dues are not paid, and the LDA regulations are not kept).
  On 29 of Feb the LDA met representatives of Roche Diagnostics Rita Mirz-Bierbaum and Gintaras Zaleckis. Possibilities of collaboration were discussed.
  On 2-5 of March in European Parliament in Brussels a conference " Patients' Organisations and the Collaboration between the East and the West in the Questions of Health Care" was organised. The LDA President V. Augustiniene by the invitation of the Committee of Health Affairs at the Parliament of LR participated there.
  On 8 of March conference "Diabetes can be treated "healthier" already: the options of treatment" organised by the LDA and Scientific Society of Lithuanian Geriatrists and Gerontologists took place in the Municipality of Vilnius city.
  On 15 of March the LDA President V. Augustiniene took part in the report meeting of the diabetes community of Vilkaviskis "Insula". Members of the club were complaining about not functioning at the moment diabetes school and diabetes foot-care ward. Under the care of the club all its members could check the glycosylated hemoglobin free of charge. The results are not gladdening: in most of the members the disease is decompensated.
  On 17 of March the first meeting of the LDA collective members from Vilnius and Alytus districts took place in Druskininkai. The main directions of the LDA activities were discussed, the actual questions of regional diabetes organisations were presented more widely, and experience of the work was shared.
  On 17 of March at the meeting with diabetes club "Dia" of Vilnius city the LDA expressed concern about the improper activities of the club: regulations neither of the club, nor of the LDA are kept.
  On 18 of March at the report meeting of Marijampole diabetes club the LDA President and Executive Secretary took part. The activities of the club were evaluated as very good.
  On 21 of March the Council of the Affairs of Invalids by the Government of LR organised a seminar "For the making of programs". The LDA President and accountant Gailute Cincikiene took part there.
  On 21 of March at the LDA leaders' meeting with Vilnius diabetes club "Dia" board the possibilities of improvement of activities of the club were discussed. The board of the club was obligated to organise a report-election meeting of all members in the nearest future.
  On 23 of March a meeting of Vilnius club "Dia-Bite" took place.
  On 25 of March members of collectives of the LDA from Marijampole and Kaunas districts met together in Marijampole.
  On 28 of March representatives of the LDA (Prof. J. Danilevicius, V. Augustiniene, D. Kvedaraviciene) and representative of the Association of patients with nephrological diseases "Gyvastis" U. Sakuniene met with the Committee of Health Affairs at the Parliament of LR and the Committee of Social Affairs and Work. They informed the Committees about difficulties arising to the patients with diabetes. Suggestions how to improve the condition were offered. The representatives of the Parliament were invited to help the LDA to organise a meeting of all institutions concerned with care of diabetes in order to discuss the directions of strategy of the prevention and treatment of diabetes and its complications.
  On 29 of March for the first time all members of the LDA collective of Vilnius city took counsel together about the improvement of their activities.
  On 30 of March the LDA President V. Augustiniene made an oral presentation about the importance of control of diabetes at the conference of leaders of laboratories of health institutions of Vilnius district in the Clinics of Santariskes.
  On 31 of March the Higher Medical School for Nurses of Vilnius which lodges the LDA was celebrating the jubilee of 60 years of its activity. The LDA President and Executive Secretary publicly acknowledged the help of the collective in charitably lending of the premises.
  During 7-8 of April the company Novo Nordisk organised the II meeting of the diabetes associations of the Baltic states in Tallinn. Representatives of the LDA V. Augustiniene and D. Kvedaraviciene were invited to the meeting. Vice-president of the IDF Leena Etu-Seppala, representatives of diabetes associations from Finland, Estonia, Latvia and Lithuania shared their work experience.
  On 13 of April at the LDA Council sitting CSC "Labomeda" was admitted as a permanent sponsor of the LDA, and a community of people with diabetes from Kaunas "Aronija" was admitted as a collective member.
  During 13-14 of April seminar of diabetes associations of Lithuania and Denmark "Shearing of experience of the work in districts" took place. The sponsor of the meeting was the company Novo Nordisk.
  On 24 of April Vilnius children club "Dia-Bite" organised the Easter festival.
  On 27 of April sitting of diabetes club of Taurage took place.
  During 1-2 of May the Council for the Affairs of Disabled at the Government of LR organised seminar for the questions of rights of disabled people, where the LDA Board member R. Lisauskas took part.
  On 5 of May representatives of diabetes clubs of Taurage and Klaipeda districts met together in Skuodas.
  During June and July the LDA organises camps for children and youths, and travellings with a raft "Bliuskis". We invite diabetes clubs to present lists of those who wishes to participate there as soon as possible.



Page 11
Meeting of leaders of clubs

LDA information
     At the LDA Council meeting on 11th of February it was decided to organise meetings of leaders of the clubs in smaller groups in future in order to have a possibility to discuss the work affairs in more details. 7 meetings in cities and districts were provided. Such meetings already took place in Druskininkai, Marijampole, Vilnius, and Skuodas. Kelme and Zarasai will organise such useful meetings in near future.



Page 12
Brewer's yeast

By Dr. R. Berontiene
     Some history of using of brewer's yeast in medicine, their biochemical composition and qualities are described in the article.

Sweet pretzels with raisins
     A recipe from "Diabetes Journal" (1997), prepared by L. Kaulakiene

Wine and diabetes
From "Diabetes Journal" (1997), prepared by L. Kaulakiene
     Kinds of wine and its influence to the blood sugar of people with diabetes are discussed.



The community of Kaunas "Likimas" cares about leisure of children
Pages 13-15
Psychological aspects of diabetes

Prepared by Dr. S. Zukauskaite
     Psychological aspects of children and adolescents suffering from diabetes and how to deal with them are described in the article.

"I don't want to be different!", Amusement alleviate pain, When children will control diabetes by themselves
From foreign press prepared by D. Kartheiser
     Advice to a family how to deal with a child with diabetes in terms of psychological atmosphere, encouraging of independence of a child, and how to alleviate pain by pleasant things are presented in these articles.

Treatment possibilities
The LDA information
     On 8 of March a conference "Diabetes can be treated "healthier" already: the options of treatment" organised by the LDA and Scientific Society of Lithuanian Geriatrists and Gerontologists took place in the Municipality of Vilnius city. Representatives of the Parliament of LR, the Government and non-governmental institutions, press, and people with diabetes participated at the meeting. A Chairman was Dr. Medardas Ciobotas. It is pleasant to mention that the Chairman of the Committee of the Health Affairs at the Parliament of LR Antanas Matulas, Juozas Galdikas and other members of this Committee, as well as a lot of journalists and participants from different organisations took part at the meeting.



Page 16
Easter eggs are trundling in the morning

By vice-president of the children diabetes club of Vilnius city "Dia-Bite" D. Kartheiser
     Members of the children diabetes club "Dia-Bite" of Vilnius had a nice opportunity to celebrate the Easter and to see a performance of theatre "Teatriukas", based on Juozas Erlickas poetry, named "Make merry". It was organised in the Higher Medical School for Nurses of Vilnius. Participants are thankful to their sponsor JSC "Eksmos MTC", actors and the Head of the school Irena Grakauskiene.
The unforgettable Easter with "Teatriukas"

It's kind to be a member of the club
By a member of diabetes club of Skuodas G. Krivickiene
     Diabetes club of Skuodas has elected a new Board. It has 56 members, 11 of them are children. The author is happy about activities of the club and its leader V. Dauginis.



Pages 17-18
Information from the International Diabetes Federation about Funds

     Doctors who specialise in diabetes care and diabetes educators are invited to apply for the grants of Mary Jane Mayes and Aventis Pharma funds.

Advertisement of the CSC "Diagnosta" on self-control devices



Page 19
Doctor's consultation free of charge

     Representatives of company Novo Nordisc of Denmark together with the LDA arranged a new cabinet for diabetes education. People with diabetes can consult a doctor-endocrinologist about all questions of treatment, self-control, nutrition and social problems free of charge, three times per week.
     The address of the cabinet is Didlaukio 45-111, Vilnius

Advertisement of representatives of "Pfizer H. C. P. Corporation" in Lithuania on pain relieving cream "Ben-Gay"



Pages 20-21
Let's use means of treatment more rationally

By Dr. A.Ereliene
     The author of the letter worries about patients with diabetes who would loose a possibility of treatment and diabetes education in the Department of endocrinology of the hospital "Raudonasis Kryzius" of Vilnius. It was offered from the State Health Insurance to reduce the number of in-patients in one third. This would worsen the care of diabetes especially of poor people, mostly who arrive from countryside districts of Vilnius. The complications for these patients caused because of this drastic reform would cost more than we could save by reducing hospitalisation.

Conference in the European Parliament
By the LDA President V.Augustiniene
     On 2-5 of March in Brussels a conference "Patients' Organisations and the Collaboration between the East and the West in the Questions of Health Care" was organised by the European Parliament. As representatives from Lithuania the Chairman of the Committee of the Health Affairs of the Parliament of LR A. Matulas, Minister of Health Care R. Alekna, the LDA President V. Augustiniene, the Chairwomen of Lithuanian Community of Guardianship of Mentally Handicapped People D. Migaliova, representative of the Community of Lithuanian Association of Patients with Nephrological Diseases "Gyvastis" U. Sakuniene took part there.

Meeting in the Parliament of LR
LDA information
     On 28 of March representatives of the LDA (Prof. J.Danilevicius, Dr. G.Vitkauskas, V.Augustiniene, D.Kvedaraviciene) and representative of the Association of patients with nephrological diseases "Gyvastis" U. Sakuniene informed the Committee of Health Affairs at the Parliament of LR and the Committee of Social Affairs and Work about difficulties arising for the patients with diabetes at the meeting. Suggestions how to improve the condition were offered. Chairman of the Committee of the Health Affairs of the Parliament of LR A. Matulas has promised to organise a meeting in May of all institutions concerned with care of diabetes in order to discuss the directions of strategy of the prevention and treatment of diabetes and its complications.

Seminar of Lithuanian and Denmark Diabetes Associations
LDA information
     In August of 1999 at the meeting of Diabetes Associations of northern countries we received a suggestion to organise the seminar of the LDA and Diabetes Association of Denmark. During 13-14 of April this seminar, named "Shearing of experience of the work in districts" took place in Vilnius. The sponsor of the meeting was company Novo Nordisk. People from 39 Lithuanian diabetes clubs and communities and the Board member of the Diabetes Association of Denmark Jorgen Pedersen met together. Oral presentations were made by representative of Lithuanian Community of Guardianship of Mentally Handicapped People I. Zapkute, Prof. J. Danilevicius, Dr. G. Zaleckis, the LDA accountant G. Cincikiene, representative of Novo Nordisk company A. Jarasiunas. The guest from Denmark J. Pedersen acquainted with the activities of DDA, the epidemiological situation of diabetes in Denmark, and the governmental support for their patients suffering from diabetes.
During a minute of respite at the seminar of Diabetes Associations of Lithuania and Denmark

Travelling over Lithuania
By a member of club "Insula" of Taurage A.Mizgiriene
     The author of the letter is happy about the activities of the club "Insula" (the Chairwoman is S. Osteikiene) organising beautiful trips to the different places of Lithuania.



Pages 22-23
Let us know and win

Prepared by Dr.Rima Berontiene
     Editorial board of "Diabetas" continues the competition "What do we know about diabetes". Actual questions about this disease will be published in every issue of the newspaper of 2000, the answers to the questions will be found in the other issue. The answers to be sent to the editors within 3 weeks after the publishing of the issue. 5 winners will be selected after every issue. At the end of the year the best participants will be selected. They will be granted with prizes set up by our sponsors.
     13 new questions and answers to the first questions are printed.



Page 24
Berlin-Chemie advertisement on Espumisan®


Abbott laboratories, "Labomeda" advertisement on self-control device Precision Q1D (Medisense)

Three new books
     Advertisement about three new books "Insulin helps me to feel better", "My book about diabetes mellitus", and "How do I treat my diabetes", written by V.Jorgens, M.Grusser, P.Kronsbein, and M.Berger, which are translated to Lithuanian. These books could be purchased in bookstores or the LDA.