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Newspaper of the Lithuanian Diabetes Association
No 4 (48) November 2005
Lilly - the general sponsor. Page 1 World
Diabetes Day 2005 Put
feet First: Prevent Amputations Letter from IDF President and
President-Elect Dear Friends, World
Diabetes Day was established by IDF and WHO in 1991 with the aim of
coordinating diabetes advocacy worldwide. It has become the primary awareness
campaign of the global diabetes community. Through the
activities if IDF member associations and partners, the World Diabetes Day campaign
reaches millions of people all over the world. It unites the diabetes
communities from more than 145 countries in what is both a targeted campaign to
raise awareness of diabetes and its complications and the celebration of the
lives of people with diabetes everywhere. World
Diabetes Day events centre on the theme chosen to highlight issues that are of
particular concern to people with diabetes. As of this year, IDF is devoting
more recourse in support of its membership. Rather than focus all our efforts
on one day, we are spreading activities over the year in order to extract
maximum benefit from the awareness-raising opportunities that present
themselves. In recent
years, World Diabetes Day has focused on the complications of diabetes
affecting the heart, eyes, and the kidneys. This year, the emphasis falls on
foot problems caused by diabetes, one of the more serious and costly
complications of the disease. The slogan for the 2005 campaign is: Somewhere in the world, a leg is lost to diabetes every thirty seconds.
Given the high incidence of diabetic foot ulcers and the frequency with which,
though often treatable, they lead to amputation, the choice of theme is highly
appropriate. It is also fitting that 2005 marks the shift towards year-longing
campaigning. This will enable IDF to promote forcefully the message that, with
relatively low investment, governments can advance education and prevention
that will result in lower rates of amputation than the unacceptable figures we
see today. It is possible to reduce amputation rates by between 49 % and 85 %. It is imperative that we increase awareness among careers at all levels
of healthcare services worldwide. It is imperative that we reduce the
unnecessary suffering that foot complications can bring. It is imperative that
we act now! World Diabetes Day brings together our members associations, the World
Health Organization and its regional offices, organizations involved in
diabetes or diabetes-related areas, industry partners, health professionals,
and individuals with an interest in diabetes from all over the world. Let us
once again join forces to give visibility to diabetes and improve the lives of
all who are, directly or indirectly, affected by the condition. We look forward to working in collaboration with all of you to make a
success out of the 2005 campaign. With best wishes, Prof. Pierre Lefebvre Prof.
Martin Silink IDF President IDF
President-Elect Page 2 Put
feet first prevent amputations Foot facts Remember that even if foot problems are painless they can still be
serious. *** Lithuanian
Diabetes Association published the book “Diabetes and foot care” prepared by
International Diabetes Federation. The main sponsor is The Lithuanian Council
for the Affairs of Disabled under the Government of the Republic of Lithuania.
This publication is available in Lithuanian Diabetes Association and local
diabetes clubs. Page 3 Time
to act in Lithuania The data collected in the main Rehabilitation hospital with 60 years of
prosthetic experience in Lithuania show that in 2004 year: The cost of rehabilitation and prosthetic is over 10 000 Lt for one
patient; it increased highly due to need home care and social services. It is
necessary to save the remaining leg with all possible preventive care. Adequate rehabilitation and prosthesis fitting is the best provided by
multidisciplinary team in specialized centre. The team will include physicians,
a nurse, a physiotherapist, a podiatrist, an orthotist and prosthetic
technician. Dear
readership, My often
thought is about the reasons why we bristle at artificial fences in every step
of our lives and must to use our strengths, work-time and speak or discuss on
topics which are clear enough. The same would be to stand near open door and
not be able to go out. I understand that every politic cadency is important for
governing parties in order to present themselves and implement their wishes.
Still, abyss of these wishes is great and we must fill it to start talking
about future perspectives of state and society, bringing and promising
respectful choices, creating natural values. Most
talented and those, who lacked money for life left our country. That’s why we
who stayed meet more fences creating future perspectives or correcting mistakes
better. More, it is not clear, what perspective is chosen by Government or is
there any perspective at all. As the perspective grows with word and promises
as well as political interests, it becomes farer from us and we are damned to
live in grey routine defended by those who are interested in it. These
defenders have a strong power. Future perspective of state will always be a
tool for manipulation for coming and going politics. For example I provide one
fact. During 10-11 October seminar “Strengthening Patients’ Organizations in
European Union” was organized by European Patients’ Forum in Brussels. Meetings
and discussions with the members of European Parliament took place, but
Lithuania became the only state – no Lithuanian Members of EP took part. It is
experience as well. This experience is very painful, as further events are even
nicer: the authors of Lithuanian National Diabetes Program do not even imagine
the goal of this program, if it must serve for patient or for themselve. This
program could not be called as National and financed by state budget. This
unqualified, primitive and unreasoned work will cost much for all simple
people. Our own
strengths must be used. We must continually bring our bargain and create our
future perspective everyday. Future as well as New Year will come independently
from us. The question is what we are going to give them. The next
newspaper will appear already in 2006. That’s why I congratulate all the
members of Lithuanian Diabetes Association, sponsors and those who helped
implementing goals during 2005. Be healthy,
happy and strong. 14th
November, World Diabetes Day, should unit us even more. Unfitness, courage,
respect and love should be cherished everyday. We need them as the air,
daylight or happiness. Vida Augustiniene Page 4 Pioglitazon
diminishes a thread of infarct and insult Eli Lilly
presents its’ new medicine for people with diabetes Page 5 Therapy of insulin pumps – nowadays situation Prepared by
Prof. Dr. Helmut R.Henrichs Photo: Prof. Dr. Helmut R.Henrichs Page 6 LDA
is the member of the International Diabetes Federation The
information about LDA is provided and the usefulness of being the member of LDA
is stressed. Attention! Web-page address has changed! Web-page: www.dia.lt; e-mail: info@dia.lt
Page 7 Pioglitazon
diminishes a thread of infarct and insult Continued
from page 5 Pages 7 - 9 Diabetes and children At the
moment according to Lithuanian lows and Government decisions, families caring
for disabled child is supported with the next material support: Children
rated having disability of medium level are supported with state social support
relief in amount of 1.5 of basic pension as well as purposive compensation for
nursing expenses (in amount of 0.5 of basic pension). Basic price
of insulin is compensated by 100 %. 150 tests of
blood glucose per month are compensated. One pack of
glucagons per year is compensated. The whole
basic price of medical rehabilitation is compensated as well as health
repairing treatment for those who were sent to complete treatment after
stationary. Basic price
of sanatorium treatment is compensated by 90 %. Preferred
credit remainders for families caring for disabled child and obtained credit
till 2002-12-31 are compensated by 20 %. Subsidies of
living place credit for families caring for disabled child are compensated by
20 %. Family
caring for disabled child and living in place rented by local-government with
the less area than 10 square meters or 14 square meters has the right to
improvement of social living place conditions. Families
caring for disabled child have the right to social living place. Lists of those
families are constructed according to the date appeal was registered in local
government. Disabled
child till 16 and one person attending him have the right to 80 % discount for
tickets to regular local transport, long-rout buses, trains, ships or rafts. Women caring
for disabled child can not be imposed to work overtime or duty-journey if not
admit for themselves. Working
woman caring for disabled child get one extra vacation day per month (or have
shorter work week by 2 hours), budgeting these days from companies,
institutions or organizations’ funds. Worker
caring for disabled child alone gets 35 vacation days per year. Workers
caring for disabled child till 16 alone can choose their holiday time after 6
months working continuity. Parents
caring for disabled child till 16 can get till 30 days holiday without pay
every year in agreed time. People with
low income get compensations for heating, hot water and hard firing. It is
recommended that local government define lower rate for income tax for parents
caring disabled child and working with business certificate. According to
the decision by local governments’ council, families caring for disabled child
can be free from paying addition cost because of engineer buildings in acquired
land area. In the case
all conditions are equal, disable persons are invited to study to high and
higher schools primarily. Disable
persons have the right to primarily services in medical institutions, bus and
train stations and airports. Questions to solve Starting
this year State Patients’ Fund compensates more self-control tools for children
till 18 by 12 times. Still, older youth and especially students lack it. Many
children would like to be treated by insulin pump. They are very expensive at
the moment, state does not compensate its’ price as well as sustenance. Rest and
teaching camps are organized for youth and children. They are very expensive
and many parents do not have money to send their children there. Only 20-30
children receive support per year and there are even 600 of them in Lithuania. Prepared by
Egle Marija Jakimaviciene, the member of board and council of LDA and the chief
of Vilnius diabetes club “Diabite plius”. Photos: II conference. Jelena Simoniene with
her son and children of Druskininkai club II conference for youth
and children; Aiste Jakimaviciute with quests Delegates
of the conference; the second from the right – doctor endocrinologist Rasele
Kiseliuniene Pages 9-11 Diabite plius exists ten year One of four
existing diabetes clubs for youth and children “Diabite plius” celebrates its’
ten year jubilee this year. Diabetes clubs for youth and children differs from
other clubs, as they are visited not only by those with diabetes but by their
parents as well. On 23
September over 100 people could meet during the 2nd conference for
youth and children with diabetes organized by the club together with Lithuanian
Diabetes Association. Representative of Lithuanian Health Ministry
A.Raskauskiene, the member of IDF European Region Board Prof. H.R.Henrichs from
Germany, the chief of relief organization Lithuanian Mercy Lift Ausrine
Karaitis and the member of it Prane Slutiene from USA were the quests of the
conference. Participants heard the presentations about children’s diabetes (Dr.
E.Jasinskiene), treatment with insulin (Dr. Z.Visockiene), activity of diabetes
clubs for children and youth (Dr. E.Jakimaviciene), diabetes educational camps
(J.Simoniene), psychic health of youth and children (psychologist J.Zilinskiene),
news from UAB Abovita, Eksmos MTC and Novo Nordisk Pharma. The main attention
was paid to treatment with insulin pumps. The number people constantly using
hypodermic insulin infusion is increasing in Lithuania and a big part of them
are children and youth. Lithuanian physicians lack experience using this
method, that’s why Prof. H.R.Henrichs agreed to share his impressions about
caring of more than 2000 patients using insulin pump. Professor was convincing
while presenting scientific results, naming advantages of this method and
practice important for patients. In the eve of the conference professor read a
lecture for physicians about treatment with insulin pump and answered their
questions. Ten year
jubilee of Vilnius diabetes club for youth and children “Diabite plius” was
celebrated during the conference. Most active members of the club and its’
supporters were thanked. Thanks for
the main sponsor of the conference Abovita,
other sponsors Eli Lilly Lietuva, Sanofi-Aventis Lietuva, Novo
Nordisk Pharma, Eksmos MTC, Interlux, Vilnius Antakalnis
clinics and Lithuanian Mercy Lift. Photos: Dr.
Egle Marija Jakimaviciene Dr.
Egle Jakimaviciene, the president of LDA Vida Augustiniene, assistant of health
minister A.Raskauskiene, Daiva Puluikiene With
the quest Prof. Helmut Henrichs in Vokieciu str., Vilnius after the conference Page 11 An armlet for identification LDA
information Page 12 Strengthen
our immunity According to
broadcast “Sveikatos ABC” archive Advertisement on medicine Glucan Forte by Aconitum Pages 13 -
14 Chronicle
of Lithuanian Diabetes Association Photos: The members of LDA Council are
discussing. Plateliai, August 2005 After the conference near
Plateliai lake J.Simoniene,
V.Augustiniene and Lilly Karn in Druskininkai camp for youth and children Tests
of blood glucose are conducted near LDA stand during exposition BaltMedica.
September 2005 Pages 14 –
15 Good
mood in Nightingales’ valley and other places Diabetes teaching camps become popular more and more. One of the most
active communities is Taurage community “Insula” guided by Algirdas Ardinskas.
About 100 campers this year visited Nightingales’ valley, where quests and
physicians communicated to them on different topics. Advertisement on self control tools by Interlux Pages 16 - 18 This year
traditional meeting of Vilkaviskis, Marijampole and Sakiai diabetes clubs took
place in a county side Ozkabaliai. The member of Vilkaviskis diabetes club
“Insula” told about their trip to different Lithuanian nature and culture
memorials. The president of LDA Vida Augustiniene visited Pakruojis diabetes
club “Vita”. She invited the members of this club to be more active while
defending their rights. She provided information about compensated medicine and
selfcontrol tools and stressed, that people should not trust information
received from medics. V.Augustiniene informed about decision confirmed by
Health Ministry; physicians who saved compensated money are going to receive
grant at the end of the year and that medics recommendations about expensive
medicaments can be influenced by their obligations to pharmacy companies. Irena
Lisovskaja told her impressions about diabetes educational camp in Druskininkai
this year. Irena Onaitiene from Telsiai told her impressions about the trip to
herbs cultivator farm. Rest and rehabilitation centre “Pusynas” presents its’
services. Vaida Karbociene is happy for the possibility to rest in the first
diabetes educational camp where children rested together with their parents.
Diabetes educator Dorota Sutova worked in I and II type diabetes educational
camps this year. She presents results from these camps: increase in theoretical
knowledge was 22 % and 19 %; average of blood glucose was 8.8 mmol/l and 7.26
mmol/l. Participants of these camps Lilita Lazauninkaite, Ina Lingiene and
Jovita R. thanks for guides and supporters of this camp. Photos: The
president of Latvian Diabetes association Inara Puzule visited the camp Campers with II type
diabetes in Plateliai Singers Agne Gulbinskyte
and Inga Jokubauskaite Crowded from Lithuania and
Latvia we did not lack activity Near Plateliai lake… Advertisement on vitamins Magnex by Vitabalans oy Page 19 Benfotiamin saves nerves, blood vessels and organs According to “Interniste”, 2005 Advertisement by Worwag Pharma GmbH&Co K.G Pages 20 -
21 Letters Continued
from page 18 Page 22 Seminar “Strengthening patients’ organizations in
European Union” 10 – 11
October 2005, Brussels Seminar was
organized by European patients’ forum, which unites European patients’ organizations
and propagates society health representing patients’ rights. 6 representatives
from Lithuania were invited. A great opportunity was given to hear presentation
by the president of European Patients’ Forum Rodney Elgi about Forum activity
in Europe and representing patients’ rights while preparing new lows or
changing old ones in European Unit law documents. Members of EP told about
European Parliament institutions and structure and their meaning to patients’
organizations. Still, Lithuania was exceptional country, as Lithuanian
representatives did not manage to meet any of our elected MEP. It is pity, that
patients’ organizations’ opinion and offerings are not heard in Europe as well
as in Lithuania. Photo: Discussion with the member of the
Board of International Alliance of Patients’ Organizations Rod Mitchell Acknowledgement To support
provider Vytautas Galvonas, the member of LR Parliament Page 23 Advertisement dressing by ConvaTec Conferences in Athens During 9 –
15 September the conference by FEND and EASD took place in Athens.
Representatives from all over the world took part in it. Diabetology themes
were analyzed by representatives from Greece, Poland, Spain, Danmark, Sweeden,
Slovenia, Germany and other countries. Diabetes control and prophylactics is
different in European Union countries. Only 9 of 25 countries have diabetes
programs. Page 24 Conference of EASD Record
number (12841) of delegates from the entire world crowded to the capital of
Greece Athens, where the 41st conference of European Diabetes
Studies Association took place. Activity of Lithuanian Diabetes Association was
exposed in a stand and was highly valued by the president of EASD Prof.
E.Ferrannini and participants of the conference. More information about main questions
discussed during the conference and scientific reports one can find www.easd.org . Photos: At Eli Lilly stand with Nicole Johnson
during the conference in Athens At LDA stand A.Danyliene,
V.Augustiniene and the president of EASD Prof. E.Ferrannini J.Uleckiene,
V.Augustiniene, Prof. V.Jorgens, A.Danyliene and Dr. Z.Visockiene Page 25 Advertisement on dressings by Molnlycke Health Care Board Meeting of IDF European region The meeting
took place in Athens, Greece on 4th September 2005. 4th
June sitting protocol project was confirmed during it. Audit report for 2004 is
presented in it and Gluco-Forum work group results are discussed. The main
theme for analyzing was board activity while co-operating with European Union
institutions. The main goal of IDF European region activity is to work with
European Commission, Health Ministries and other European and national partners
in order to prepare consistent and coordinated European diabetes strategy. We
invite European Commission to prepare European diabetes structure as
recommendation for diabetes prevention, diagnosis and control useful for all
Europeans with diabetes. IDF European region board and members-associations are
going to strengthen and support guiding EU countries (Great Britain, Austria
and Finland) in their political pressure on other countries EU members while
supporting EU diabetes strategy. Members-associations of IDF European region
will seek for close so-operation with national health ministries in order to
guarantee political support for EU recommendations. Page 26 Self control; Micro-capillary overturn Prepared by
Dr. Gintaras Zaleskis Advertisement by Eksmos MTC Pages 27 -
28 Advertisement on selfcontrol tool Accu-Chek by Roche
Diagnostics For diabetes not to be a difficult bargain Photo: Guide
of Joniskis diabetes club “Viltis” Aldona Gostautiene with nurse Rasa
Vypartiene Advertisement by Sanofi -Aventis Page 29 Advertisement on selfcontrol tools SensoCard by Limeta The 8th
EHF forum took place during 5 – 8 October in Gastein, Austria. Participants
from 15 countries analyzed such spreading disorders as diabetes and overweight.
All lectors stressed that there are still many cases of patients’ rights
injuries. Patients’ organizations, representing patients’ rights, should be
involved into the process of decision making. Politics’ reluctance to devote
more money for health care budget was stressed as one of the main mistakes of
health system. More information about European Health Forum one can find www.ehfg.org . Page 30 Events by IDF European region 14 – 16
October 2005, Munich, Germany During 14
October Meeting protocol of 10th September Athens Meeting was
confirmed and preparing questions of General Assembly and conference were
discussed. The next board Meeting is planed on 25th February 2006. During 14
October General Assembly protocol of 22nd October Slovenia Meeting
was confirmed as well as financial report for 2004-2005 activity and budget
plan for 2005-2006. Max Hansen elected to the member of the board. During 15 –
16 October conference different diabetes themes were discussed. It is pleasant
to stress that activity of LDA was positively valued by National Associations
as well as guides of IDF European region. It is pity and even shame that
Lithuanian creators of National Diabetes Program do not even imagine the goal
of the program and to whom it is made for – patients or themselves. The project
sent to LDA to acquaint do not mach any International Recommendations. The
Representatives of the Lithuanian Diabetes Association was not invited to
participate in creating the Program. The Program lacks real diabetes prevention, diagnosis and control goals or
tools. It can not be even named National Diabetes Program and to be financed
with State budget money. Newspaper Diabetes LDA reminds
of subscribing newspaper “Diabetes” for 2006 year period. Page 31 New long lasting analog Advertisement on injector FlexPen by Novo Nordisk
Pharma Page 32 Advertisement on medicine Espumisan Advertisement on selfcontrol tool Optium Xceed
by Abbott MediSense Congratulations LDA congratulates
Vidmantas Pilibaitis in his sport winnings. Information
in English is prepared by Jûratë Èinèikaitë
Sponsors: Abbott Medisense representative UAB Abovita, Aconitum, Sanofi-Aventis Lietuva, Berlin Chemie Menarini Baltic, Convatec, Eksmos MTC, Interlux, Limeta, Novo Nordisk Pharma, Diagnostics branch of HOFFMAN - LA ROCHE Ltd. representative, Vitabalans OY representative, Wörwag Pharma GmbH & Co. KG..
Put feet First: Prevent Amputations
Things to do
Things to avoid
Letters
European Health Forum
Meeting of IDF European region Board
General Assembly of
IDF European region
Conference “We are stronger together”