The fact that diabetes— A disease that is characterized by a high content of sugar in the blood, they know almost everything. As that diabetes treatment involved
However, modern doctors believe that substantial aid diabetics can have and others — in particular, psychologists and andrology. As for themselves
If the overall depressive disorders suffer
The studies also found that most people with diabetes suffer from depression nozogennyh (a complex of negative thoughts associated with the disease itself).
- In the case of Type 2 diabetes is common and dysthymia — a protracted depression, which is characterized by low mood is not so much how much
somatic-vegetativelike symptoms someother diseases.
- Diabetics type 1 dysthymia does not happen — but they have a "popular" cyclothymia (regular alternation of states with the decadent state of high spirits and vitality).
The researchers point out that the last two types of depression are similar in origin to the respective types of diabetes. Cyclothymia is more common in adolescence and is associated with a genetic predisposition (as diabetes 1 type). Dysthymia is associated with the negative impact of the environment, and it usually occurs in adulthood (as diabetes 2 type).
It is quite natural that depression does not help to be treated for diabetes. What would have been the correct doctors' recommendations, they will not give the desired effect compensation — as it is also determined by the behavior of patients. Among all chronic diseases diabetes is the most complex in the number of medical procedures to be carried out independently: this diet, and physical activity, and blood glucose control and insulin therapy, and much more. In order to do it all, the patient need not only time and money, but also a large dose of enthusiasm.
At the same time, patients who differ negative view of themselves and their future in three times more likely not to follow the doctor. As a consequence, depressed diabetics are always worse glycemic control, higher incidence of complications, higher mortality rates and other
What are the reasons for the lack of dealing with depression? Here are guilty and patients (afraid to go to a psychiatrist) and physicians (traditionally diabetologists do not consider psychological problems "their"). Meanwhile, the struggle with mild depression or depression of moderate severity — the competence of endocrinologists. Especially when you consider that they lead their patients for decades, so they have more opportunities to treat patients "as individuals." And to determine the symptoms of depression are not required to carry out complex psychological tests. Enough to ask the patient, not whether he has reduced the mood for a long time, and if he has not lost interest in what was once gave him pleasure?
According to the doctors, I can even make a psychological profile of the person who can successfully achieve compensation for diabetes. These are people who are prone to self-discipline, as well as having good learning disabilities. However, only a quarter of people with diabetes has such features. With the rest of the same need more serious work and personal approach in terms of therapy.
Erection problems in diabetes
Erectile dysfunction — one of the most common complications of diabetes. However, patients are often embarrassed to seek medical help and suffer in silence, torturing themselves and their partners.
Meanwhile, erectile dysfunction (ED) is fraught with problems, not only with sex. In particular, the ED is often the first manifestation of atherosclerosis. 57% of men who underwent
The share of people with diabetes account for 40% of all cases of ED. And if the other men with erection problems usually begin after 40 years, diabetics — already 25. And in this age of erectile dysfunction can lead to serious psychological problems. And without solving them, can hardly be effectively fight diabetes.
Until recently there was no effective means for the treatment of ED. The doctors could offer patients a mechanical device
However, the use of these agents in patients with diabetes gives a lower efficiency than the other male — 68%. The fact that these drugs modulate the natural erection for their actions, you must have sex drive. And people suffering from obesity or type 2 diabetes, it can be reduced. So for them a "Cialis" is not enough: we need combination therapy of male sex hormones (androgens). In this case, the probability of reduction reaches 80% erection.
Patients with diabetes prescribed by a fairly complex set of procedures to control blood sugar, blood fat, blood pressure. Unfortunately, no more than 20% of diabetics can hold all of these parameters are normal. Through
A role in these failures play attitude of doctors and patients.
Removing these barriers made possible by the establishment of more friendly and partnership relations between doctors and patients. It is known fact that the friendly attitude of the doctor allows almost 20% increase in the number of patients achieving compensation.