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The newspaper of the Lithuanian Diabetes Association
No 2 (46) May 2005
Eli Lilly - the general sponsor. Pages 1-3 Who enjoy when
people are ill? A proper diet is one of the most important parts of diabetes
treatment process. While having diabetes, using medicine is not enough for good
blood glucose control. It is very important to combine properly food and
medicine. People with diabetes do not use some special diet. It should be
rational and to guarantee enough carbohydrates according to medicine
requirements and proper parts of food materials. We must to use more fibers and
less sugar and fat produce. Food influence directly blood glucose. That’s why
people with diabetes must choose good quality and valuable food: many grain
products, vegetables, fruits, lean meat, fish and dairy produce. Such food
allowance is more expensive than healthy people with pour income can choose. Compensation for
food (20 or 15 % of MLL) was been paying for people with diabetes since 1991,
according to the order of Minister of Health and director of “SODRA” (State Social
Insurance Fund) and decision of Government. State Patients’ Fund
continued executing this function later. Since that time Lithuanian Diabetes
Association almost nine times (every year) defends an importance of proper diet
for people with diabetes. When
Z.Padaiga became a minister of health, during his first meeting with the
members of the Council of Representatives of Patients’ Organizations of
Lithuania told that payment of compensation for food for people with diabetes
would be suspended. The same fact was mentioned in his speech during the
conference “Strategy of Diabetes care. The role of the Lithuanian Diabetes
Association” holding a 15-year jubilee of LDA (28 January 2005). The minister
stressed, that Ministry of Health is a partner of Lithuanian Diabetes
Association, that’s why he commits himself together with LDA to discuss all
questions for improvement of diabetes care. In
spite that there were many public declarations that Lithuanian Diabetes
Association recommended to suspend payment of compensations for food, the truth
is, that LDA was informed by officers of Ministry of Health about the fact,
that a payment of compensation for food will be stopped. The main reasons for
this decision were declared: According
to data of consultant of ministry of
health prof. A.Norkus, a difference between number of people receiving these
compensations and number of people using
tablets or insulin is near 16 000. ·
No other patients’ groups get compensations in cash. It means that
people with diabetes have privileges without motives. In
this time government was very strict with decision to suspend payment of
compensations for people with diabetes. Lithuanian Diabetes Association decided
to require this money would be used in the best manner. It is obvious; the main
aim was to require that all this money would be used for people with diabetes.
At the beginning of negotiations some State officers thought that the state
gives too much money for people with diabetes. Still
we should not forget that part of people with diabetes get free only symbolic
quantity strips per year. Since
1997, when people with diabetes using insulin got 150 (pregnant women 300)
diagnostic tests per year, the situation did not changed. Patient
who properly controls himself this amount of tests uses during one month. LDA
many times tried to pay attention of state officers to the pour level of
diabetes control, but consultants (endocrinologists) of health ministry had other
opinion. They did not see a problem there. Appeals of LDA to give more money
for diabetes control, met the payment of compensations for food. That’s why LDA
seeks for rightness and keeps a position that all money paid for payment of
compensation for food would be given for self-control tests. LDA understands
that after payment of compensation is suspended, the most pour people with
diabetes will be worse with their social status, that’s why it requires that
diabetes care questions would be solved in a complex way, together with social
care and other responsible institutions. The
situation of diabetes care in Lithuania was worsen in time of reform of health
system. It destroyed system of education of people with diabetes and diabetes
foot care rooms. Since 1996 financing of program of National Diabetes Programme
was suspended. While LDA constantly requires, the working group for preparing
new National diabetes program was confirmed in 2002 (chairman of group was
prof. A.Norkus, consultant endocrinologist of Ministry of Health). According to
the order of Minister of Health, this program was to be prepared till 2003. It
is a pity, the program is not prepared till today. A
negotiation for redistribution of money of suspended payment of compensation
for food was made in a hurry and not according to given promise of Minister of
Health to LDA. An opinion of patients and specialists endocrinologists was
different when talking about the number of self-control tests. During the first
discussion doctors offered to increase the number of compensated blood glucose
tests by a slight amount: 600 diagnostic tests for children, 300 tests for
people with diabetes using insulin, 100 tests for people with diabetes using
tablets, to compensate tests of HbA1c 4 times per year for people with type 1
diabetes and 3 times per year for people with type 2 diabetes. Additionally 6
groups of medicine for diabetes and its’ complications treatment would be
enlisted into compensated medicine list. LDA did not agree with such a decision,
appealed to journalists, started collecting patients’ signs. Offered amounts of
compensated tests started growing. During the sitting of the Council of
Obligatory Insurance of Health on 25 February 2005, the decision was made to
compensate 1000 diagnostic tests for children. During negotiations State
Patients’ Fund do not gave an exact number of people with diabetes using
insulin and tablets as well as the amount of money, given for payment of
compensations for food. It was various
from 20 to 17.5 millions Litas. Seeking
for limpidity for redistribution of money of suspended payment of compensation
for food and requiring discussions on strategy of diabetes care in completion
of all difficulties of people with diabetes in Lithuania, LDA collected over 3
000 patients’ signs and appealed to all high institutions of Lithuania (the
President, the Chairman of Seimas and Prime-Minister) and journalists on 28
February 2005. According that reason the meeting of representatives of all
institutions of diabetes care was organized in Committee on Health Affairs
in Seimas of the Republic of Lithuania
on 23 March 2005. After
the resolution of conference (on 28 January 2005) and other documents given by
LDA were examined, the committee listened to questions raised by participants
of meeting and made a decision on 6 April 2005. Though
the meeting in Seimas of Lithuania on 23 March 2005 was already planned, the
Council of Obligatory Insurance of Health once again discussed question on
redistribution of money of suspended payment of compensation for food on 22
March 2005. The numbers of compensated self-control tests raised: 1800 tests
for children and 600 tests for people with type 1diabetes; other numbers left
the same. Then the fact appeared that even in this situation there are 3
millions Litas left: during the first discussion the president of LDA was
informed that all money are distributed to compensating these tests – 17.5
million Litas. LDA initiated decision of Ministry of Health to appeal to
Ministry of Social Security and Labour to find possibilities to help for the
most pour people with diabetes to improve their social status. Where
should 3 million Litas spent, meeting in the Ministry of Health was organized
on 30 March 2005. In a discussion took part the members of Committee on Health
Affairs of Seimas of Republic of Lithuania A.Matulas, V.M.Cigrejiene,
N.Zymantas, the representatives of LDA V.Augustiniene, E.M.Jakimaviciene,
G.Naidzinaviciene, J.Janusaitis, specialists endocrinologists prof. A.Norkus,
Dr.R.Sulcaite, Dr.B.Urbonaite, adviser of Minister of Health E.Vaitkus,
secretary of Ministry of Health
R.Baranauskiene. The representatives of the Ministry of Health offered
again to enlist the new medicine in compensated list, but in the end of
discussions the decision was made according to LDA suggestions to compensate
self-control tests: ·
1800 diagnostic tests per year for children; ·
600 diagnostic tests per year for people with type 1 diabetes; ·
300 diagnostic tests per year for people with type 2 diabetes using insulin; ·
150 diagnostic tests per year for people with type 2 diabetes do not
using insulin; ·
Tests of HbA1c: 4 times per year for people with type 1 diabetes and 2
times per year for people with type 2 diabetes; ·
One glucagons set per year for children. Only
after second time of the answer for appeal was asked, the officers of office of
President of Republic of Lithuania A.Morkuniene and R.Janoniene invited to the
meeting the representatives of LDA, of Ministry of Health, of State Patients’
Fund and specialists endocrinologists on 7 April 2005. During the meeting
representatives of LDA were asked to answer questions of officers of President
office formulated with tendency and all the answers were followed by huge
teachings with the offer “do not to try to bite the biggest piece of bread
(money), for we can be unable to swallow up it”. Officers and specialists
offered to distribute the money of suspended payment of compensation for food
only according to the suggestions of officers of Health Ministry and specialists,
not paying their attention to LDA. We think, these officers did not give an
appeal with patients’ signs to the President of Republic of Lithuania till this
meeting. In case we asked for a written answer to 28 February 2005 appeal, they
said that we have discussed on all questions today and why we need it. Only
after that they promised to inform the President of Republic of Lithuania. The
representatives of the Lithuanian Diabetes Association do not object to that
some medicine would be enlisted into a list of compensated medicine for
treatment of diabetes complications and for prevention, but they do not agree
that money for their compensating would be used from suspended payment of
compensation for food. Officers
and specialists of Ministry of Health wanted this money to use for solving
other diabetes problems as well. It appeared that much money needs the
preparation of National diabetes program. We do not doubt that this program is
important, but the question is, if strategy of State programs preparation can
be financed from Fund of Obligatory Insurance of Health, which is formed by
patients’ paid money. A doubt was stressed not only by representatives of LDA,
but also by the members of Committee on Health Affairs of Seimas of Republic of
Lithuania and director of State Patients’ Fund A. Sasnauskas. It
is difficult to foresee the final decision, as goals of officers and
specialists are other for the using money of suspended payment of compensation
for food not only for the necessaries
of life of patients. We believe that the sound mind will win and the offerings
of LDA will be took into account, as well as decision of Committee on Health
Affairs of Seimas of Republic of Lithuania. People’s
ability to use compensated self-control tests will be clear in the future. It
is not a secret, that even 150 diagnostic tests were not used by almost of a
half of patients. Some medicine institutions saving money forbided doctors to
prescribe these tests or some doctors did not prescribe these tests by
themselves. Lithuanian Diabetes Association invites all patients not to be
indifferent to their health and doctors to help patients to understand an
importance of self-control not limiting them to use support of government. We
invite all people with diabetes to become a member of Lithuanian Diabetes
Association. Only with common efforts we be able to achieve a proper medical
care and officers will not jeer at patients. All important information you can
find in the newspaper “Diabetes”. You can subscribe it in post offices of
Lithuania. Vida Augustiniene, Egle Jakimaviciene Page 4 Decision of Committee on Health Affairs of Seimas of
Republic of Lithuania No. 8 “Due to health problems of people with
diabetes” After analysis of resolution
of Conference and other given documents of Lithuanian Diabetes Association, 23
March 2005 was organized discussion on health and social problems of people
with diabetes, listened a declared problems and offerings by representatives of
LDA and local diabetes clubs, evaluated of opinions and offerings presented by
specialists of Institute of Endocrinology and of clinics at Kaunas University
of Medicine and of Center of Family Medicine at Vilnius University of Faculty
of Medicine as well as chiefs and specialists from other clinics and hospitals,
made analysis of information given by officers of Ministry of Health, of State
Patients’ Fund, of Ministry of Social Security and Labour, of State Patients’
Fund, of State Social Insurance Fund
and of Ministry of Education, the Committee on Health Affairs of Seimas of Republic of Lithuania states
that participants of the discussion declared almost the same health and social
problems for people with diabetes, that is, lack of compensated self-control
means and diagnostic tests for blood glucose and HbA1c, suspension of payment of compensation for food,
abolishment of rooms of diabetes foot care
and diabetes education, there are no legalized the valuation of services
for nurses diabetes educators, late diagnosis of diabetes, not effective control
of this disease, etc. Because the suspension of payment of compensation for
food the social status of people with diabetes will become worse. The decision
of the Council of Obligatory Insurance of Health was not discussed in the
Committee on Health Affairs of Seimas of Republic of Lithuania and did not
coordinate with Ministry of Social Security and Labour. According to these motives
the Committee has decided: The
chief of Committee D.
Mikutiene Pages 5-6 28 February 2005, No. 05-71 To: The President of the Republic
of Lithuania The Chairman of Seimas of the
Republic of Lithuania Prime Minister of the
Republic of Lithuania Copies to: Committee on Health Affairs of Seimas of the republic of Lithuania Minister of Health State Patients’ Fund Media Appeal On 28 January 2005 Lithuanian Diabetes Association organized the
conference “Strategy of diabetes treatment and prevention. The role of LDA”.
The representatives of Committee on Health Affairs of Seimas of the Republic of
Lithuania, Ministries of Health, of Social Security and Labour, of Education, of State Patients’ Fund, of Commission
of medical and social examination, of World Health Organization, of
International Diabetes Federation, of institutions of education and of health,
members of LDA, representatives of other patients’ organizations took part in
it. During the conference commemorated to 15-year jubilee of LDA not only
rejoice at the achievements for the welfare of people with diabetes were
stressed and bad situation of health system was evaluated and the resolution
was confirmed (“Diabetes” No. 1 (45)). Minister of Health Z.Padaiga
in his speech in the Conference evaluated the activities of LDA very well and
agreed that improvement of diabetes care system is necessary. He stressed that
20 million Lt were paid for compensation for food for people with diabetes
during 2004. The Minister stressed as well that Ministry of Health is a partner
of Lithuanian Diabetes Association that’s why Ministry of Health is committed
oneself to solve questions of improvement of diabetes care system in common
efforts with representatives of LDA. During discussion on 7
February 2005 in the Institute of Endocrinology of KMU organized by adviser of
Minister of Health E.Vaitkus and specialists of institutions of health only of
3rd and 2nd level
was decided to recommend to Minister of Health to suspend the payment of
compensation for food for people with diabetes. E.Vaitkus did not even allow to
vice-president of LDA prof. J.Danilevicius to participate in the discussion. In
meeting was decided to distribute this money for compensation of medicine and
some part of them for increasing a number of compensated blood glucose tests. Officers and specialists of
Ministry of Health disregarded the suggestions of president of LDA to allocate
all sum of suspended the payment of compensation for food to compensate
diagnostic tests of blood glucose and HbA1c. E.Vaitkus declared that the money
does not belong to LDA and LDA will not decide the distribution of them. The
decisions will be made by specialists, not by patients. The question about the
number of people with diabetes at the moment and sum of money spent on
medicine, self-control means and the payment of compensation for food was not
answered. Adviser A. Vaitkus mentioned only the sum 20 millions on the payment
of compensation for food. He said that other money will be counted by Ministry
of Health and by State Patients’ Fund, and LDA should not bother
about them. According to E.Vaitkus, people with diabetes have too many
privileges. According to data from
presentation of Consultant of Ministry of Health Prof. A.Norkus on 28 January
2005, there are about 64 000 people with diabetes in Lithuania. According to
him, near 16 000 people are treated only with diet in spite of getting 20 % MLL
compensation. He thinks, this number could be only near 1 000. 5 000 of people
has type 1 diabetes, 14 000 of people have type 2 diabetes and use insulin and
near 29 000 people use tablets (“Diabetes” No. 1 (45)). The same data were
mentioned by Prof. A.Norkus during meeting on 7 February 2005 answering the
question to president of LDA. Neglecting asking of LDA on
18 January 2005, State Patients’ Fund did
not provide any data about number of diabetes cases, sum of money spent on
diabetes control and treatment of complications. In writing No. 10-(10.3-22-1)
of Ministry of Health the president of LDA was invited to participate in
sitting on 23 February 2005 with the aim to discuss and analyze the resolution
of conference of LDA held on 28 January 2005 and asking of Dr. E.Janulionyte on
confirming a program of education for volunteers non medical specialists.
Before sitting all participants were asked to sign list. After the first
question was discussed, the representatives of patients were asked to leave
room. Only specialists of Ministry of Health were discussing on LDA resolution.
The asking of president of LDA to send a copy of decision was followed by
specialist G.Paulauskiene answer that the decision will be send to Committee on
Health Affairs of Seimas of the Republic of Lithuania and LDA will get an
answer from it. The answer is not received till today. The question of suspension of
the payment of compensation for food for people with diabetes and
redistribution of sum of money was not enlisted into agenda of meeting of the
Council of Obligatory Insurance of Health on 25 February 2005. It was discussed
as supplementary question after the Minister of Health left the sitting. The
plan was pre-thought. The data presented to the Council were not the same as
the protocol of meeting of commission organized by E.Vaitkus on 7 February
2005. After the president of LDA
informed the Council of Obligatory Insurance of Health about the process of
discussions and her invitation to members of Council do not to make a hasty
decision, made the president of Lithuanian Medics’ Union L.Labanauskas
indignant. He said that he does not understand why president of LDA is unhappy
if all sum of money of suspended of the payment of compensation for food will
be distribute for compensation of self-control means. He offered to the Council
to confirm a project of decision. The director of the State Patients’ Fund A.Sasnauskas reported a decision was
confirmed by common agreement. After making a claim to
Council that officers ignore patients’ rights and even jeer at them while
making important decisions for them, adviser of Ministry of Health E.Vaitkus
stressed that everything was agreed with the president of LDA and he said that
she even signed agreement. Also he reported that resolution of LDA was not
discussed in the sitting of specialists of Ministry of Health on 23 February
2005. LDA required the data about
sum of money spent for compensations for food and number of people receiving it
in 2004. President of LDA got data after meeting of Council. The sum of money
for compensations for food was changed from 20 to 17.5 million. However, 16 000
people with diabetes treated only with diet were disappeared, but there were
written much more number (even 9 000) of people with diabetes treated with
insulin or with tablets in the list. LDA directs yours attention
to that that officers of Ministry of Health were dishonest distributing the money of suspended of payment of
compensation for food for people with diabetes. The
president of LDA Vida Augustiniene Pages 6 – 7 21 March 2005, No. 05-81 To Minister of Health
Z.Padaiga Copies: to members of o the Council of Obligatory Insurance of
Health To chairwoman of Committee on
Health Affairs of Seimas of the Republic of
Lithuania Due to suspended payment of
compensation for food (20% MLL) for
people with diabetes. Lithuanian Diabetes
Association is bothered on hasty decisions of Ministry of Health influencing
thousands of people and wish of Ministry to have done with organization
defending rights of patients’. During the sitting of the
Council of Obligatory Insurance of Health on 25 February the question of
suspended payment of compensation for food (20% MLL) for people with diabetes
and redistribution of money for compensation self-control means was discussed.
Compensations for food were paid according to decision No. 21-5-3148/614 of
Ministry of Health and of Board of State Social Insurance on 12 September 1991
and the decision No. 403 of Government on 7 October 1991. During discussion the
data on number of people with diabetes using insulin, medicine, or only diet
was not provided as well as data on sum of money spent on medicine,
self-control means and compensation for food were not given. An appeal of the
president of LDA do not have discussions on this question until the planed
sitting of Committee on Health Affairs of Seimas of the Republic of Lithuania
will not be held and the real number of patients will not be provided was not
heard and the decision to suspend payment of compensation for food was
confirmed. Consultant of Ministry of Health E.Vaitkus informed the Council of
Obligatory Health Insurance that Lithuanian Diabetes Association has signed the
agreement with Ministry of Health according to
this decision. Minister of Health Z.Padaiga
stated the same fact during LTV broadcast “Panorama” on 6 March. The Lithuanian
Diabetes Association informs you that it has not signed any agreement with
Ministry of Health on this question until now. Only after confirming this
decision on 25 February 2005, State Patients’ Fund gave false information about
number of people with diabetes. Only then we found out that declared 20
millions for compensation for food changed into 17.5 millions (from 20 mln) as
well as that this money will be the sum, distributed for compensation of
self-control means and HbA1c tests. On 1 March 2005 ELTA report announces:
“Additional compensated self-control means for people with diabetes will cost
near 8 million Lt and additional compensated hemoglobin tests will cost near 5
million during 2005. Where 4.5 millions Litas will be used is a question for
discussion”. To the question of the
president of LDA about her invitation to Health Ministry sitting she could not
participate, E.Vaitkus informed Council of Obligatory Insurance of Health that
on 23 February 2005 was no sitting in Ministry of Health on the questions of
LDA resolution. An answer Nr. 10-(10.1-22-1)
on 8 March 2005 of Minister of Health Z.Padaiga was received in office of Seimas
of the Republic of Lithuania (reg. Nr. No. 450-GA-200 on 10 March 2005 ) on
sitting in Ministry of Health on 23
February 2005, where the resolution of
LDA was discussed. On 8 March 2005 LDA received
writing of officer of Seimas of the Republic of Lithuania B.Baltrusaityte (reg.
No. 450-S-200/020). There was information that on the instructions of the
chairman of Seimas A.Paulauskas the Appeal of the LDA on the payment of
compensation for food is given to Committee of Health Affairs of Seimas. On 9 March 2005 Adviser of
Minister of Health E.Vaitkus invited the president of LDA to Health Ministry on
10 March to discuss conclusions of sitting on 7 Ferbruary 2005 by phone.
President of LDA asked adviser who is going to take part in this sitting. She mentioned
that LDA is waiting the answer of institutions of Government on hasty decisions
to suspend payment of compensation for food made by Ministry of Health.
President of LDA informed adviser of Minister of Health that LDA is not going
to sign any decisions. E.Vaitkus answered that Secretary of Ministry of Health
R.Baranauskiene, he and 2 lowers are going to take part in meeting. He ordered
to bring him statute of LDA because he has a suspicion that LDA is not legal
organization. He thinks that the LDA is not registered according new law issued
in 2004. The president of LDA explained him that LDA is independent
organization and the Ministry of Health has not right to butt in LDA’s affairs.
E. Vaitkus suggested to explain it during the meeting, where speech of president of LDA will be recorded. The writing of LDA No. 05-77
to Minister of Health Z.Padaiga on strategy of diabetes care was registered
before the meeting on 10 March 2005 and the copy of it was presented to Adviser
of Minister of Health E.Vaitkus. At the beginning of meeting
secretary J.Lesiene asked E. Vaitkus if the lowers should be invited and turned
on the recorder. During the meeting E.Vaitkus and R.Baranauskiene put the
psychological pressure upon president of LDA requiring to answer the same
questions given differently and requiring to sign a protocol that
V.Augustiniene took part in the sitting. Later this paper was added to project
of decision of Council of Obligatory Insurance of Health on 22 March 2005
sitting. On
23 March 2005 the meeting on all questions of diabetes care, as well as the
question on suspended payment of compensation for food, will be organized by
Committee on Health Affairs of Seimas of the Republic of Lithuania. The
representatives from different institutions of health care are invited to this
meeting as well as LDA. We appeal to Minister of
Health Z.Padaiga and the members of Council not to discuss on the project of
decision to suspend payment of compensation for food in the meeting of Council
of Obligatory Insurance of Health on 22 March 2005. Remark: the protocol of
sitting of the Council of Obligatory Insurance of Health on 25 February 2005
was presented only on 21 March. I do not agree with some word of
affirmation, which were not said during
the sitting. The president of Lithuanian Diabetes Association Vida
Augustiniene Page 7 10 March 2005 No. 05-77 To Minister of Health
Z.Padaiga Strategy of Diabetes Care According to the resolution
confirmed during the meeting of the Council of LDA and conference “Strategy of
Diabetes Care. The role of LDA” held on 28 January 2005 Lithuanian Diabetes
Association offers to solve problems of diabetes care and control in a complex
way. That’s why a discussion of
all institutions of government must be organized and it is going to take place
in Committee on Health Affairs of Seimas of the Republic Lithuania in the
nearest future. After real evaluation of
prevalence of diabetes, threatening complications and real financial abilities,
the working group from representatives of all institutions of health care must
be formed to prepare a National Diabetes Program. The questions of diabetes
care must be solved in consecutive order according to the National Diabetes
Program. The president of Lithuanian Diabetes Association Vida
Augustiniene Page 8 Meliton Complex effectively diminishes an amount of
sugar and bad cholesterol in the blood Prepared by Doctor –
Consultant Greta Parakeviciute An advertisement on tablets Meliton Complex Page 9 The
information about LDA is provided and the usefulness of being the member of LDA
is stressed. “Diabetes” presents Diabetes school in LDA: Dr. Egle Rudinskiene
consults and educates people with diabetes in the office of LDA in Vilnius. Page 10 For the sake of generous aim On 31 March and 1 April 2005
Plunge cultural centre hall was crowded with public. All of them wanted to see
and hear a concert “Stolen songs 2005” organized by Plunge club “Lions”. The
members of the club invited livers of Plunge to listen their songs as well as
add to the generous aim supporting children with hard illnesses. From the very
first day of existing Plunge club “Lions” seeks to serve and help those who
wait for help mostly. They support disabled children as well as little by
little induce society to act in the same manner. We can help for our near
people ourselves not waiting for foreigners’ help. The members of the club with
such thoughts organized a festival for 1 April. A number of those who wanted to
see singing members of the club were grater than was expected. That’s why too
festivals took part instead of one. Lithuanian Diabetes
Association sincerely thanks the chief of the club “Lions” and its’ members as
well as livers of Plunge for their generous action. Dr. Raimundas Doviltis aims
an especial honor for his several time support for children with diabetes. We
are proud of the care for Plunge livers by the nurse diabetologist of Plunge
diabetes club Aldona Danyliene. Her earning was club “Lions” care of little
Ieva. We believe that your
kindliness will warm your own heart, make works easier and days clearer because
of stronger children health and their smiles. Poets say, the love you show to
your near returns. Lithuanian Diabetes Association Page 11 An advertisement on self-control tool Super Glucocard
II by Interlux Letters Janina Jankauskiene from
Siauliai searches for a friend who would have diabetes and whould like to talk
to her about living with disease. A.Danyliene and A.Mockute
from Plunge tell about Pancake Tuesday in family clinics “Inesa”. D.Kuitiene tells about trip
of members of Plunge diabetes club to Kaunas. Pages 12 - 13 Chronicle of the Lithuanian Diabetes Association An advertisement on vitamins C-vita by Vitabalans oy Page 14 Newspaper “Diabetes” Letters The member of diabetes club
“Vita” Ina Lingiene tells about Health Day in Pakruojis local government. V.Baltrusaitis from
Marijampole comments on a problem because of needles for injections. Page 15 The news for treatment of people type 2 diabetes Prepared by Dr. Egle
Rudinskiene Page 16 The legends are spread about soy According to foreign press
prepared by Dr. Egle Rudinskiene Page 17 An advertisement on vitamins Diabetiker-Vitamine by
Worvag Pharma Vitamins are the means of prevention and treatment of
complications Prepared by Dr. Egle
Rudinskiene Page 18 Continnued from page 15 Page 19 An advertisement on means for feet for people with
diabetes by Convatec Pages 19-23 What do we know about cholesterol? According to foreign press
prepared by Dr. Egle Rudinskiene Page 21 An advertisement on self-control means SensoCard by
Limeta Page 23 An advertisement on self-control means Care Sens by
Eksmos MTC Pages 24 - 25 Sweating Prepared by Dr. Egle
Rudinskiene Page 25 Attention! The new insulin Prepared by Dr. Rima
Berontiene Page 26 The results of tests during action “Limit < 7” An action “Limit < 7”
organized by Lithuanian Diabetes Association and pharmaceutical Company
“Sanofi-Aventis” gain a huge attention by people with diabetes. Organizers of
the action visited 12 towns of Lithuania during 2004 – 2005 year. Over 550
patients took part in it. During the action people with
diabetes were tested for HbA1c free of charge. Dr. Egle Varanauskiene from
Department of Endocrinology of KMU presented lectures on diabetes control,
treatment and avoiding complications. An importance of HbA1c test was stressed.
This test is to be conducted 3-4 times per year, as it shows diabetes control
during 3 months period. Optimal result of this test is less than 7 percents.
Still, during the action appeared 70 % patients badly control their disease as
their result of HbA1c is over 7 %. Organizers of the action in
spite to evaluate effectiveness of diabetes control interview the 526 patients.
Only 4% of them test HbA1c 3-4 times per year, 28 % never tested their HbA1c
and 15 % tested during this action for the first time. Even 40 % of interviewed
patients’ last result of this test was over 8 %. “Criteria for diabetes
control are very strict and good diabetes control is achieved only by
contemporary medical means, patients’ faculties and efforts and doctors’
guidance. Data from interview and tests made during the action must be serious
warning to patients inviting them to care of their health more. After negative
results are found patient is recommended to consult with his doctor for further
control of diabetes. Interview of people with diabetes
showed more than a half of respondents experienced hypoglycemia, 5 % of them
experienced it 5-6 times per last month, 3 % more than 6 times. 18 %
experienced 1-2 times of it during last month. Hypoglycemia is very
dangerous for people with diabetes especially if it starts at night and patient
does not feel it. Hypoglycemia can cause changes in brain. Medicine diminishing
hypoglycemia risk to minimal already exist. One of them is basic insulin
injected once a day and guaranteeing optimal control of hypoglycemia all the
day. Many patients tried this medicine and raised their control of disease by
meaningful level. Those who afraid starting using insulin we offer not to be
feared and to start using it on time. All people with type 1
diabetes can be treated with insulin. People with type 2 diabetes can be
treated with tablets and diet at the beginning of disease. Unfortunately, all
people who use tablets should know they are effective approximately 5 years.
Later to achieve an optimal diabetes control you must use insulin. The
consequences of bad diabetes treating and control are eyes, foot, kidneys, and
heart and blood - vessels diseases. Dr. E.Varanauskiene told these things
during the lectures. An advertisement by Sanofi-Aventis Page 27 An armlet for identification LDA information Pages 27-29 Higher blood pressure Prepared by Dr. Egle
Rudinskiene Pages 30-31 Answers to urgent questions about CD Prepared by Dr. Lina
Zabuliene Page 31 Page 32 An advertisement on medicine Espumisan An advertisement on self-control tool Optium Xceed by
Abovita Congratulations for hero of an anniversary
Sponsors: Abbott Medisense representative UAB Abovita, Aconitum, Sanofi-Aventis, Berlin Chemie Menarini Baltic, Convatec, Interlux, Limeta, Roche Diagnostics, UAB "Eksmos MTC", Novo Nordisk, Wörwag Pharma GmbH & Co. KG., Vitabalans OY.
LDA is the
member of the International Diabetes Federation
An
advertisement on insulin pen FlexPen by Novo Nordisk