Dr. Juliana Mihajlovska: Symptoms and signs of diabetes (tip 2) even appear 10 years before the diagnosis was established, but the patient notes.

The World Day of Diabetes this year aims to improve access/exploration. It is estimated that 6.7 million people have died as a result of diabetes only last year, and almost half of those who currently live with diabetes are unaware of their illness and are unaware of the serious health problems that diabetes causes.

“The complications of diabetes can be divided into microvascular (retinopathy, nephropati and neurovascular) and macrovascular (heart attack, brain attack, peripheral artery disease)”, points out Dr. Juliana Mihajlovska, endogkrinologist specialist. “When it comes to treating Type 2 diabetes, the biggest and most important role in its management is the patient himself, with accurate instructions previously provided to deal with all the possible challenges he may face. If we don't stick to those instructions and regulations, diabetes can take on the destructive role in the organism and eventually lead to heavy complications”, Adds Dr. Juliana.

Type 2 diabetes occurs in 90% of diabetes ], and what are the symptoms of the disease?

Dr. Juliana: Diabetes is a disease manifested with an increased level of glucose in the blood. The appearance of Type 2 diabetes depends on some factors such as genetic predisposition, the daily pace of life with an irregular and unhealthy diet, lack of physical activity, irregular body biodiversity (sleep and wake up), a lack of stress management mechanisms, and a lack of body weight.

Symptoms and signs of Type 2 diabetes usually appear for a long time before the diagnosis (even up to 10 years ago), but they go unnoticed by the patient. They are drying the mouth, thirst, frequent urination, weight loss, vague eyesight, and the need to consume more food. Some driving factors that shift the body from the axis of balance and compensation are primarily responsible for the clear display of diabetes, such as bacterial or viral infection, experience intense stress, and so on.

As mentioned, symptoms and symptoms appear for a long time before the diagnosis of Type 2 diabetes is established. What are the criteria that must be met to confirm it?

Dr. Juliana: Some criteria must be met for the diagnosis of Type 2 diabetes. You have to measure twice the glucose in sober blood and the values must be 7 mmol/L, the display of diabetes symptoms, and the random measurement of blood glucose by parameters {11.1 mmol/L, or the measurement of glucose in the blood by parameters que11.1 mml/L in the second hour of the oral tolerance test to glucose <x0. The value of the hbA1c hemoglobin, which must be 6.5%, can be added as additional criteria.

The oral test of glucose tolerance is the golden standard for diabetes diagnosis. The test is done very simply. A patient needs to be loaded with glucose (a easier way is to consume 100-150 grams). Chocolate for three days and the third day be your test. Pregnant women can take this test without advance preparation. In the empty stomach (sel), blood is taken from the veins to determine glycemine, then the syrup of 75 grams. glucose and wait two hours until ventricle blood is recovered again to determine glucose. The positive OGTT is of a glycemie value 11.1 mml/L at the second hour.

The American Diabetes Association (ADA) recommends examining all persons over 45 years of age every 3 years and examining young people if they are overweight (the importance of body mass greater than 25kg/m2) and whether they have an additional risk factor for diabetes (family history, high blood pressure, obesity, sound glycemia higher values, or present resistance to insulin, policy ovary syndrome, etc.).

How is Type 2 diabetes treated, and what are the complications of the disease?

Dr. Juliana: When it comes to treating Type 2 diabetes, the biggest and most important role in managing it is that the patient himself plays, with the orientation and recommendations needed to face all the possible challenges he may face. If we fail to comply with their instructions and regulations, diabetes can take on the principal destructive role in the body and gradually lead to serious complications. The complications of diabetes can be divided into microvascular (retinoptia, nephropia, and neuropathia) and macrovascular (brain stroke, heart attack, peripheral artery disease).

All these complications can be prevented by regular monitoring of the disease, so regular checkups are important...

Dr. Giuliana: Time and appropriate diagnosis as well as proper treatment of Type 2 diabetes, regular control and monitoring, can naturally and favorably modify history, performance and prognosis of the disease itself, and minimize the risk of any complications.

In the “clinic,Zhan Mitrev” all necessary tests and examinations are made to enter or continue together in the world of diabetes and function properly in it.