The newspaper of the Lithuanian Diabetes Association
No 2 (30) May 10, 2001
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Prepared by Medisense consultant
L.Kaulakiene.
The information about LDA working hours is provided
Congratulations to Prof. A.Norkus and Dr. S.Sideraite on jubilee
occasion
Novo Nordisk A/S manager Dr. A.Jarasunas
informs about Diabetes school at the LDA.
Thanks to a chairwoman of Vilnius diabetes club “Dia”
Reminding of the subscription of the newspaper “Diabetes”
Page 4
Advertisement of Lilly Company on pens of insulin “Humulin N pen”
Page 5
About 1.5% of the readers answered to the
questions from “Diabetes No1 (29).
1. 89% of
them prescribe the newspaper regularly, 3% prescribe it sometimes, 3% read the
newspaper in the library, and 3% read in the diabetes club and 8% of them
borrow it from others.
2. 81%
read all the information, 8% the 2/3 of information, 5% read only a little part
of knowledge. Other readers did not mark what they read.
3. After
the newspaper have been read, 68% collect all the numbers of it, 11% collect
the most interesting articles and 14% gives the newspaper to others.
4. 57%
said the newspaper helped them to realize an importance of self-control, 49%
reported of better regulation of drug doses, 30% said the newspaper helped them
psychologically, 57% found out about the state support for people with
diabetes, 35% were involved in the activity of diabetes clubs, 70% reported the
newspaper helps to find out news about diabetes.
5. 30% of
readers found out about “Diabetes” from their physician or nurse, 51% - in the
LDA or their diabetes club, 16% heard about it on TV or Radio and 3% were
inquiring in the post for themselves.
6. Evaluation
of the newspaper: 38% - very good, 54% - good, 8% satisfactory.
7. 14% of
readership offered suggestions about articles. They want more information about
diabetes complications, their prevention, drugs, artrozis of hip joints,
advises about nutrition, the care of dialyzed patients, regime. Readers want
articles about illness control by people with diabetes who have an illness for
a long time. Nobody complained for a design of the publication. There was a
suggestion to make a constant paragraph “Questions and Answers”. A big part of
readership wants to get the newspaper once a month. The reader from Kaisiadorys
would like to enter a club, but there is not such a club in this district
(remark by LDA: the diabetes club in Kaisiadorys is registered, but is not
active. We suggest to renew it’s activity).
8. An
information about the readership: 27% people with I type diabetes, 68% people
with II type diabetes, 5% members of families.
9. Education
of readership: higher – 14%, special secondary – 16%, secondary – 51%,
uncompleted secondary – 5%.
10. A
social situation: students - 3%, office workers – 8%, workers – 14%, pensioners
– 70%, unemployed – 5%.
Thanks to all the
readers of “Diabetes”. We value every opinion about our publication. We will
take into account your suggestions and provide as much information as possible.
We invite you to share your experience about coping with illness. It might be,
that your example will help for many people to be more confident, to strengthen
health, work creatively and keep a good mood. Let’s improve our publication
together. Let’s inform about it other people with diabetes and share our
knowledge with those who probably do not know how to manage with bothers. We
look forward to hearing from you.
Page 6
·
During January 8–10, 2001 the first meeting of the
members of the project “The school for people with II type diabetes in the
LDA”. 100 people from 16 districts participate in the program.
·
On January 11 the representatives of the LDA
V.Augustiniene, D.Kvedaraviciene, O.Jurkauskiene, R.Lisauskas, D.Kartheiser met
viceminister of health and presented the suggestions about the necessity to
organize a conference of all health institutions and discuss strategy of
diabetes care in Lithuania. We did not get an answer yet.
·
On February 8 the President of the LDA V.Augustiniene
talked to a State adviser for health K.Staras about the questions of people
with diabetes. K.Staras agreed that it is necessary to organize the meeting of
health care institutions in the Ministry of Health and promised to help in
organization. Later on he informed the LDA about the agreement of the
viceminister of health V.Radavicius.
·
On February 22 in the meeting of the members of Silute
diabetes club the President V.Augustiniene told about the necessity of proper
self-control. The representative of Eksma MTC J.Margelyte conducted cholesterol
analysis free of charge.
·
On February 27 the LDA and Zarasai diabetes club
organized a seminar “Urgent questions of diabetes” for physicians. Prof.
J.Danilevicius and Dr. G.Zaleskis made reports. V.Augustiniene and Z.Cernoviene
presented the LDA and club’s activity.
·
On March 2 the President of the LDA and Dr. G.Zaleskis
met the members of the new Visaginas diabetes club.
·
On March 10 Kaunas community “Likimas” celebrated
ten-year jubilee. The President of the LDA V.Augustiniene congratulated the
club. The little members of community and their parents said many thank words
to the chairwoman L.Vitkauskiene.
All
the participants enjoyed the festival.
·
On March 13 in the Hospital of Red Cross the President
of the LDA told to participants of the courses for nurses-diabetologists about
activity of the LDA and the bothers of people with diabetes. She invited to
help people better control their illness.
·
On March 14 the chiefs of local government,
administration of hospital and clinics and the President of LDA participated in
the meeting, organized by the chairwoman of Druskininkai diabetes club
J.Simoniene. The members of club and press participated as well.
·
On March 22 the delegation from Kursenai diabetes club
(21 persons) visited the LDA residence. They shared bothers and joys. The
supporter of LDA endocrinologist E.Rudinskiene gave many advises to the quests.
·
On March 26 the President of LDA took part in the
seminar “Writing the programs” in the Council for the Affairs of Disabled at
the Government of Lithuania.
·
On March 28 the President of LDA and the members of
the council endocrinologists took part in the symposium “Neuropathy. Current
diagnostics and treatment”.
·
On March 29 J.Janusaitis, J.Laiva, O.Jurkauskiene,
J.Treinys, D.Kavaliauskiene, G.Sereikiene represented LDA in the conference
“Patient and health care” in Lithuanian Parliament (Seimas). V.Augustiniene
made a report “The consumer’s of health care role in the health care system”.
·
On March 30 in the meeting of Elektrenai diabetes club
the President of LDA invited the organizers of work of club to act more
intensively, participate in the activity of LDA, to provide important
information to people with diabetes.
·
During April 4-5 in Vilnius Higher Medicine School
V.Augustiniene gave lectures to students-dietists about the nutrition of people
with diabetes.
·
On March 5 LDA met the representatives of Lithuanian
medicine students organization. On April 27 during the project “For the healthy
tomorrow” the cooperation possibilities were discussed.
·
During April 9-11 the second meeting of the members of
the project “The school for people with II type diabetes in the LDA”.
·
During April 19-20 the President of LDA, the member of
the Steering Committee of the ICDM
V.Augustiniene
took part in the International specialized exhibition of products and services
,,Diabetes. Life Style” in Moscow and in the international seminar for diabetes
press representatives.
·
On April 21 Vilnius club “Dia” organized a conference
for people with diabetes.
·
During May 10-11 the conference for chairmans of the
collective LDA members in Druskininkai is going to take place.
·
During June – August the camps for children and youths
with diabetes are planed in Palanga, Plateliai, Druskininkai. The Chairmans of
clubs are invited to present list of children as soon as possible.
Page 7
LDA information for the members of LDA about possibility to acquire self-control
tools with a discount
IDF information about funds from the IDF Education Foundation
“IDF/Aventis Pharma Fund 2001” and “Mary Jane Mayes Fund 2001”
Page 8
An information about Radviliskis diabetes club celebration of
the World Invalid’s Day.
Information about possibility to order and acquire an armlet
for identification of a person with diabetes is provided. The chairmen of
diabetes clubs are invited to inform people with diabetes, society, emergency
medical service and police about the meaning of an armlet.
Page 9
On September – November 1999 in Siauliai
a tests of HbA1c was conducted for 365 people with diabetes. According to
results, 77.5% of participants badly control an illness (HbAlc more than 7.5%),
19.5% poorly controls an illness (HbAlc – 6.5-7.5%), and only 3% well control
an illness (HbAlc less than 6.5%).
In 1998-2000 such tests were
conducted for 204 people with diabetes from 9 clubs with a help of a chief of
Lithuanian Society of Nurses Diabetes Educators J.Uleckiene. Only 8.3% of them
well control an illness, 39.2% of them controls poorly and even 52.5% - badly.
What is the main reason of unsuccessful treatment? Only those
patients, who feel responsibility, participate in a treatment process and
follows instructions can control an illness. Physician must care of education
his patients while treating chronic diseases. This work is the important part
of treatment and it influences a quality of treatment. Ministries of health in
all European countries signed a resolution for 5 years diabetes education
program in 1991, WHO session. According to it the main tool for good control
and prevention of complications is patients’ education.
There is no good patients’ education in Lithuania. The main
part of information is available only in Vilnius and Kaunas diabetes centers or
sanatoriums in Birstonas and Palanga. It’s pity, not many people are find
themselves there. Endocrinologist of a district can divide only 20 minutes for
one patient. He needs to examine patient, to find out about his state, to plan
additional analysis, to diagnose a reason of symptoms, to correct treatment, to
prescribe medicine, to explain it’s usage and to fill the forms at this time.
There is no doubt that there is no time for education.
In LDA and Siauliai 124
people were asked questions. 37 of them were patients, who use diet and tablets
and 87 of them use insulin injections. They were asked if they acquired
diabetes schools in hospital, clinics, sanatorium and what benefit they got. There are the answers:
Using tablets
or diet
37 |
Did not learn in some school 20 |
Learned, found out about eating planing 12 |
Learned, but found out nothing 5 |
|
Using insulin injections 87 |
Did not learn in some school 25 |
Learned, found out about self-control, insulin doses and eating
planning. 40 |
Learned, but found out nothing 22 |
The insufficiency of learning is confirmed in results of
questionnaire in “Diabetes”, 2000.
There was such amount of
right answers:
81.5% - about diabetes
pathogenesis and clinics.
70% - about insulin injection
technique and changing doses.
69% - about eating planning.
88% - about diabetes
complications.
The most active and intellectual members of the LDA provided
answers to these questions. Other respondents would probably answer even worse.
By Dr. E. Baltrusaitiene
Pages 10-11
R.Simonis tells about his life with cerebral paralysis. He
thanks to his mother for her care. He has brother with diabetes. Robert’s
mother is a chairwoman of Druskininkai diabetes club. (Continuation of this
article in the next number).
Page 12
12 Things You Can Do Today For Healthy Blood Pressure
prepared by Dainara Kartheiser according to “Diabetes
Forecast” November 2000.
Page 13
prepared by Dainara Kartheiser according to “Diabetes
Forecast” April 2000.
Pages 14-15
On March active members of Kursenai diabetes club visited
Vilnius and met representative from Seimas, chiefs of LDA and Dr.E.Rudinskiene.
Kelme diabetes club organized a festival “Hello Spring”.
With a help of Siauliai diabetes club and it’s chairman
A.Slivinskas there was opened a room for diabetes foot care.
A meeting of Druskininkai diabetes club “Atgaja” took place in
a library of sanatorium “Vilnius”.
Photos: Quests in LDA – members of Kursenai diabetes club;
Siauliai diabetes club 10 year jubilee in a hall of local government.
Page 15
The aim of the first specialized exhibition in Moscow during
18-22 April was to inform a society about the news of state and foreign
achievements coping with diabetes. Diabetes prophylaxis and treatment tools,
medicine and services were presented. The exhibition subjects were the
following: medical preparations and medications, patient state control, diet
products, sugar substitutes, food additives, vitamins, means of prevention and
care, clothing, sport supporting systems, sanatorium and resort cure, social
programs for children and adults (including teenagers psychological
consultations), special and advertising books, magazines and journals. There
was organized Day of newspaper “DiaNovosti” (DiaNews). The first conference of
Nurses Diabetologists federation took place too. There was organized meeting of
chairmen of local diabetes organizations, editors of diabetes publications.
There were working diabetes schools. Specialists and people with diabetes
participated in the lectures, seminars, and presentations of firms’ production.
Representatives of International Diabetes Federation European region shared
their experience. The Exhibition was accompanied by a broad advertising
campaign in press, radio and television with an issue of a special exhibition
catalogue. The problems for people with diabetes and specialists and possible
ways of solving them were discussed in the conferences. The problems of lack of
information, lack of insulin and it quality were formulated. Problem of lack of
collaboration between organizations was discussed too. Maintenance with insulin
in every region depends on government insistence and finances. The cheapest
insulin is acquired in many regions and yet it’s lack of it. People with
diabetes are forced to buy it themselves. Those in Moscow have better
conditions that in other regions.
A nurse diabetologist is the closest adviser to person with
diabetes in Samara or St. Petersburg, and in Volgograd and Moscow physicians do
not want to transfer their patients to nurses. Nurses Diabetologists Federation
cares not only of patient’s education, and of psychological state of themselves
too. They seek to legalize their status. There are still some regions, where
children with diabetes are prohibited from physical training. Sometimes
physicians do not agree as well, they afraid of saying their opinion.
Fortunately, in some regions there are some associations trying to improve a
situation and communicate with physicians, fighting with specialists’
ambitions.
Active organizations in Perme, Volgograd, Kazachstan, Moscow,
St. Petersburg, Samara improves the life of people with diabetes in their
region. There are things to learn from them. Diabetes journals and newspapers
are published.
Physicians and people with
diabetes are happy the situation improved during recent 10 years. According to
endocrinologist E.Voichik diabetes associations, journal “Dia-Novosti”, TV
helped much. An information about diabetes is spread to society and the
specialists. A bigger part of society understands the importance of diabetes
control. Parents are happy, that their children learn, work, have families and
are good advisers for friends with diabetes.
I am happy that I had an opportunity to participate in Moscow
exhibition, to spread information on activities of LDA and ICDM. I have met
many wonderful people there. I would like to say many thanks to IDF,
Organizational Committee of Exhibition and Eli Lilly.
By V.Augustiniene, president of LDA
Pages 16-17
Pages 18-19
Diabetes Register Center invites to answer these questions.
The knowledge about diabetes helps to evaluate condition of health. An exact
number of patients will help to determinate necessary help.
Page 20
Advertisements on self-control devices of representatives of Roche Diagnistics
company “Eksmos MTC”
Page 21
By Dainara Kartheiser according to “Diabetes Forecast” December
2000.
Pages 22-24
By Dainara Kartheiser according to “Diabetes Forecast” 2000.
Page 24
By Dainara Kartheiser according to “Diabetes Forecast” 2000.
Pages 25-27
By Dainara Kartheiser according to “Diabetes Forecast” March
2000.
Page 28
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