(ANSA) – Riccione, May 21 – Only 22% of adults with diabetes hold both pressure and cholesterol and blood sugar under control. Young people, ethnic minorities, people with low income are more at risk of inadequate management and complications of the disease. The American Diabetes Association starts from these data in indicating the final recommendations of the document “Standards of Care in Diabetes 2025”: promote fair access to therapies and technologies, including telemedicine; aim for ‘tailor -made’ care for each patient, and eliminate inequalities.
The objective of the document, illustrated in Riccione at the Panorama Diabete forum and which represents a point of reference for international scientific societies, is to provide updated and based recommendations on scientific evidence to improve the assistance and health of people with diabetes. One of the central elements is that care must be conducted by multidisciplinary teams and must be customized, that is, centered on the individual patient. This means, we read, “that therapeutic decisions must take into account the comorbidity and social determinants of health”.
Chiara the indication to identify with a systematic screening factors that impact on the health and care of those who have diabetes, such as food insecurity, housing difficulties, economic barriers and linguistic problems “that can constitute elements of discrimination”. Furthermore, telemedicine must be guaranteed because “improves the patient self -management” and access to care, especially in rural areas: but must integrate, and not replace, the visits in presence. The cost of drugs “remains a significant barrier” in many contexts, as well as a barrier to overcome is the scarce ‘health literacy’. Finally, it is highlighted as a wrong diet, but also anxiety, depression and poor quality of sleep, “are factors that contribute to hyperglycaemia and wrong behaviors in the treatment of diabetes”. “There are many inputs from American colleagues, which will be important to take into consideration in the drafting of the Italian guidelines”, concludes Riccardo Bonadonna, elected president Sid. (HANDLE).