Diabetes is one chronic disease difficult to live for those who have it. It can be prevented and treated.

The International Diabetes Day , November 14, is an opportunity to focus on this chronic silent impacting the quality of life of people with the disease. Like any chronic disease, diabetes is a long-term illness, progressive, often associated with disability and the threat of serious complications.

Disease, but of diabetes

There are many diabetes. The type 1 diabetes or insulin-dependent diabetes results from an inability of the pancreas to secrete insulin, a hormone essential in the diet of our cells to glucose. It represents 5-10% of cases of diabetes seen in the world and frequently appears in young subjects. The type 2 diabetes or diabetes mellitus is a disorder of glucose metabolism characterized by hyperglycemia, that is to say, the elevation of blood glucose. It typically affects patients over 40 years, but is often detected until much later, about 65 years. The gestational diabetes may also be, that is to say, appear during pregnancy. It reflects glucose intolerance of the mother and may be a risk factor for subsequent development of type 2 diabetes.

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Disease more frequently

Between 2000 and 2005, the prevalence of diabetes increased 5.7%. The incidence of diabetes is the largest between 75 and 79 years, reaching 18% of men and 13% of women in 2007. In 2005, 32,000 deaths, or 6% of deaths in France were linked to diabetes and its complications, including cardiovascular.

Disease impacting the quality of life of its carriers

Difficulty following the tuition for a child to the limitation of the sport, diabetes confronts the patient’s ability to recognize for himself that he is living with a disease and the capacity of its environment to accept his illness . It also requires to change their habits to prevent complications: diet , glucose monitoring, regular monitoring of treatment, forcing diabetic patients to integrate their illness into their daily lives.

A multidisciplinary management

Type 2 diabetes may indeed be treated by a dietary management and adequate physical activity, by tablets and / or insulin injections. If diabetes medications were intensified between 2001 and 2007, glycemic control is still inadequate for 41% of people with type 2 diabetes, which puts them at risk of complications: vascular risk, lower limb amputation, myocardial infarction or insufficiency kidney. In addition, an estimated 500,000 French have diabetes because they are unaware of a non-systematic screening in the absence of symptoms suggestive of the disease. Diabetes remains a serious condition that social security recognized as such by including it in the affections subject to a refund of 100%.