Patient: "If you ask for diabetes, they do not give you a job"


Experts claim that of the 100 patients with this disease, 93 is the most serious type of diabetes type 2; the number of cases is increasing in the country. Diabetes affects more than one million people in the country. Doctors suggest that people are educating themselves on how to deal with the disease.

Ernesto Martinez sounded alarm when he realized that he began to lose weight without obvious reason and to urine more than usual. 18 years ago he began to feel the symptoms. He found that he had type 2 diabetes.

"Overnight I started to lose weight, I was always hungry and I felt excessive urination, I did not have a car then, and wherever I went, I went out of the bus to find the bathroom because it's unchangeable," says Ernesto.

He noticed that everything that happened to his body was not normal, and that was when he asked for professional help. Several tests were carried out and the answer was clear: it had 600 milligrams (mg) per deciliter (dl) of glucose, when the normal levels were between 90 and 130 mg / dl and up to 180 mg / dl per meal.

The following steps have taken measures to restore the body with diet and exercise and take medicines prescribed by a specialist, including insulin.

"I went through two phases, the first worries, I had my own diet, I established myself, but the moment when I sincerely neglected it is that you trust me because I came back to eat more than I should, and I stopped working, "says Ernesto.

To stay stable with diabetes, Ernesto says that the key is in the amount of consumed food, as it can eat two puppies, rather than compete or eat more than this amount, or they consume two tablespoons of beans or rice, but no more.

"Some of the problems that diabetics have is that if you put in an application for employment, you have diabetes, they do not give you a job, or because you have repeatedly asked for permission because you have fallen asleep in diabetes, you get remission and have given someone else your place, "says Martínez.

He met a diabetic patient who told him that he had fainted in his call center several times and accused him of taking drugs, but in fact had a low level of insulin and her body reacted when the blood pressure decreased. He disappeared.

Martinez survived the stages of the disease that were practiced and healthy, but to control the illness with tablets that eight years ago came in order to inject insulin because the pancreas was no longer caused by carelessness.

"I came to this point because my pancreas was very painful, it did not work at all. Of course, we have to accept this, and I think that this is the biggest problem of all people who suffer from diseases, both those who know that they have this, as well as those who do not know that they have, and if they are not well educated, they will continue to make mistakes and we will not be able to control diabetes because we say: "Gasiocyte will not fall poorly twice a day," but you must be aware, "says the patient.

Another problem that occurs in diabetes is that sometimes the body with a high blood sugar level is between 300 mg. and 400 mg., but physically do not have any discomfort to feel diabetics as plain, but with time they give the most serious problems of the disease, says Ernesto.

"Your legs begin to lose sensitivity, you can walk along the beach in hot sand, you see that they all run at a high temperature and you do not feel anything, lose your senses in your arms and legs as when your extremists are asleep and you feel it is lasting. you burn, it can hurt and you do not feel anything, "explains Ernesto.

What happens is a true patient is that metabolism no longer works the same, and when you get repeated infections that are not treated.

"I entered this stage, I had a complicated wound, it started very small and there was intestinal eggs that, besides taking care of rest and treatment, also included antibiotics. I thought that I happened to think that I was admitted to a hospital 70 days, "says Ernesto.

In order to have controlled diabetes, the patient considers that the patient needs not only a normal sugar level but a good diet, good body weight, physical exercise, good blood pressure, timely medication and a level of normal triglyceride and cholesterol.

"Social, people are hard to accept that they have a disease, and I am a man of faith, and I believe that God will heal me, but I also have to do my job to do my part so that I can feel good," he says. Martínez

In Salvador, more than a million people with diabetes, of whom 500,000 are unaware of suffering because of what Roberto Cerritos, head of endocrinology at Rosales Hospital and president of the Salvador Diabetes Association (ASADI), said.

The International Diabetes Federation (IDF) announced in 2015 that there is a diabetes mellitus in the world that will increase to 690 million people by 2040, who will be aware of their suffering, explained Cerritos.

On November 14, the World Diabetes Day was celebrated to raise awareness of the disease. IDF and the World Health Organization (WHO) established this memory in 1991 in response to an increase in diagnosis.

One of the problems that Cerritos mentions is that the vast majority of people do not accept diabetes, and because they do not control them, they suffer the consequences of serious symptoms of the disease.

"We want to prevent relatives of patients with diabetes because it would be ideal to know which children already have diabetic genes, but we can not know this, but the environmental part can change," the specialist said.

The doctor claimed that pediatricians play an important role, because if the doctor finds that there are diabetic relatives in the family, he should insist with the parents, so that the juvenile sings properly, has a balanced diet and consumes energy.

"If a child grows up with the habits of a healthy diet and exercise, he will prevent the onset of diabetes or delay the onset of the disease," Cerritos said.

Already at the reach of adulthood, a person with genetic factors in diabetes should avoid smoking, stress, alcoholism and multiple pregnancies in order to delay the onset of the disease.

On the other hand, Gerson Ávalos, an internist at Rosales Hospital and a student of endocrinology, explained that the symptoms of the disease require a lot of fluid due to high blood sugar; Great desire to urinate, up to 10 times a night, and a lot of fatigue and anxiety to eat more than normal, due to lack of insulin in the body.

Other patients with diabetes may show blurred vision, abdominal pain, vomiting, nausea, weakness, dizziness, and weight loss.

And some serious symptoms, in addition to diabetic feet, strokes and blindness, are erectile dysfunction, pain in the lower extremities, diarrhea, constipation and excessive sweating, he said.

Diabetics, Avalos said, would be ideal for the entire population as it is the healthiest and does not mean limiting foods, but a food plan that should include vegetables, carbohydrates, fruits and remove simple sugars, such as honey, refined sugar , bread and flour.

Cerritos said that it is necessary to educate the population and that health authorities should take measures, because if you are not educated, the number of people with illness will increase and it is impossible to treat all diabetics.

ASADI conducted a study in which it found that the highest number of diabetics in San Salvador and the north of the country was due to the high use of cereals, where most cases were in women, and currently due to poor eating habits, even in children.

In order for a diabetic to remain stable with its disease, it should have an appropriate body weight, normal glucose, 24 hours a day, in addition to blood pressure, cholesterol, hemoglobin triglycerides, and normal urine, because not only the amount of sugar in the blood is those that have to be measured.

ASADI has 30 years, and the main goal is awareness and education about the disease.

They are currently facing two serious problems, one of them being an economic factor that does not allow them to reach the whole of the Salvadorese population, and secondly, people do not accept that they must follow their illness to stay stable, health and psychic.

Today, there are 100 patients who come together every Wednesday to discuss the illness where they receive a conversation to learn more about diabetes and monitor their illness.


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