Thursday , February 2 2023

World Diabetes Day: Experts at the Cantonal Hospital provide information


More and more people are affected by diabetes. Patrick Jauch (Head of Nutrition Counseling) and Esther Hunkeler (Diabetes Consultant) answer frequently asked questions on this topic.

Patrik Jauch-Herger, nutrition counselor at Uri Cantonal Hospital, advises the patient. (Photo caption: PD)

Patrik Jauch-Herger, nutrition counselor at Uri Cantonal Hospital, advises the patient. (Photo caption: PD)

World Diabetes Day began in 1991 as the number of diabetic patients worldwide surged. November 14 celebrates the birthday of Frederick G. Banting, who was found with Charles Herbert Best in 1921, commemorating the important hormone insulin as stated in the Kanton Hospital Uri's statement.

On this day, diabetes and its causes and impacts on the lives of affected people must be noted by the world. The Swiss Diabetes Association (SDG) said: "Diabetes is not a problem at all, but it becomes clear that more and more people around the world have to live with the disease.

Is early detection of diabetes possible?

Esther Hunkeler: In a type 2 diabetes, previously called adult-onset diabetes, certainly. If someone is in a risk group, it is reasonable to check your blood pressure regularly. Thus, high blood sugar levels can be detected early and initial measures such as changes in lifestyle through nutritional counseling can be initiated. There is no early detection of type 1 diabetes, mainly in childhood and adolescence, and can occur at any stage in general. This is because the pancreas suddenly stops insulin production and this is unpredictable.

Esther Hunkeler is a diabetes consultant at Uri Cantonal Hospital. (Photo caption: PD)

Esther Hunkeler is a diabetes consultant at Uri Cantonal Hospital. (Photo caption: PD)

Risk group? So how do you know if you are at risk for diabetes?

Esther Hunkeler: For example, people who are overweight or suffer from high blood pressure and high cholesterol levels are at high risk for developing diabetes. These factors are added when there is a close relative (eg father, mother or sibling) already with diabetes. However, even if the weight is normal, people who are biased toward the family may get diabetes. Studies have also shown that regular physical activity can be an effective way to prevent diabetes.

Cold and sweet season. What does this mean for people with diabetes?

Esther Hunkeler: Meals and drinking directly affect blood sugar levels. In diabetes counseling I often get questions about nutrition, which is discussed in nutritional counseling. Describe the clinical picture to the patient in diabetes counseling. They also learn how to measure blood sugar properly. Patients also need to understand the individual diabetes therapies that can be the way drugs or insulin therapy work. If someone injects insulin, I will also be trained. The goal of diabetes counseling is to help patients manage their diabetes with the help of a doctor.

Patrik Jauch: Even if you have diabetes, you do not have to wipe it out of your diet. It is common to usually make reservations between cookies and desserts instead of meals.

Is the consumption of too much sweets the cause of diabetes?

Patrik Jauch: People often say that, but they are not right. The main factor is overweight, especially overweight. It has the biggest impact. And it should be said that it affects not only white sugar but also the total carbohydrates that affect sugar, starch supplements, maltose or lactose. Excessive intake has an independent effect on the development of type 2 diabetes, as well as the effects of weight and abdominal fat. It includes measurement tools, including sweets, but it is part of a balanced diet.

Nutrition in general. How does disease risk actually depend on diet?

Patrik Jauch: A balanced diet is essential to maintaining good health. This is not about eating vegetables, but about the overall balance. Today, it is known that many diseases such as diabetes, cardiovascular disease and many other diseases can be avoided for a long time, but 100% can not be prevented. Nutrition and malnutrition are also risk factors such as heredity, the environment, and smoking.

Is diabetes a disease for prosperity?

Esther Hunkeler: Yes, that part is obviously due to the prosperity of our society. Much of the population is pursuing a job that sits down. Food can also be used at any time, especially high energy, high calorie foods. These two factors promote overweight and are a risk factor for the onset of diabetes.

A cup of coffee and an espresso in the morning after it happened. As a nutritionist?

Patrik Jauch: Breakfast is important. People who eat breakfast are less likely to suffer from diabetes, obesity or as a result, according to recent studies. So I will not cancel the coffee. Especially coffee is assumed to have a positive effect on cardiovascular. However, I would imagine that nutrition is eating the most for breakfast. At best, we will set specific goals until the next meeting.

Keep your health and avoid diabetes. Can you say that?

Patrik Jauch: Avoiding is probably the wrong word, but delaying. Therefore, when you have a healthy diet, you will get age-sugar, a diabetic. If you have a strong family orientation, you will be 90 instead of 60. However, type 1 diabetes has nothing to do with lifestyle. Even if your lifestyle is healthy, you may be affected by your young age as well as your age.

Do diabetics need more sports?

Esther Hunkeler: Yes. Regular physical activity is an important part of the treatment concept because exercise can lower blood sugar without insulin. Exercising within 150 minutes a week has a positive effect on the metabolism. It takes 60 minutes to swim for 60 minutes twice a week, 30 minutes to train at home, and 30 minutes to finish dinner four times a week. Of course, it does not matter if someone moves over 150 minutes a week.

Do you have any special dietary recommendations for diabetes?

Patrik Jauch: Today's basics are a normal balanced formula. However, "right" dieting is appropriate for each treatment. Whether you need to pay attention to your lifestyle, take medication or inject insulin is fundamentally different from the recommendations. It is important to know about the possibilities and it is important to decide how much or what you want to do. One wants to get the maximum with lifestyle changes, and the other wants to implement the most important foundation in everyday life. That's why we encourage individual counseling instead of very general information.

Can people come to the hospital if they have questions about diet and health?

Patrik Jauch: Yes, for diseases like diabetes, everyone deserves 6-12 nutritional counseling and 9 diabetes counseling a year. They will be taken over by the basic insurance of your health insurance if you have a medical prescription. It is therefore worth discussing possible assignments with the family. (PD / ml)

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