This issue of HAUSARZT PRAXIS is all about diabetes. The widespread disease is a worldwide problem: The number of patients with diabetes is increasing in all countries. Moreover, a good 50% of all cases are underdiagnosed. In Switzerland, early detection has improved significantly thanks to the continuing education of family physicians. The articles in this issue should also help to further improve the care of people with diabetes so that their quality of life and longevity increases.
In the early 1920s, the first children (type 1 diabetes) were treated with insulin, which in subsequent years and up to the present day has improved the therapeutic situation of those affected to such an extent that with today’s insulin treatment and good diabetes control, an almost normal life expectancy can be achieved for type 1 diabetics.
In his article, Prof. Dr. med. Peter Wiesli, Frauenfeld, provides a detailed overview of the possible use of insulin in the treatment of type 2 diabetes mellitus. It is used here either as an initial or as a later treatment option, alone or combined with other antidiabetic drugs. In particular, the text discusses the possible combinations.
In my article I deal with the topic “diabetic foot”. It is of central importance that this syndrome is detected early, or even better prevented prophylactically, otherwise it can become very expensive (in the worst case, amputation is imminent). What are the symptoms that indicate a compromised foot? What targeted questions should be asked in the primary care office? And what are the specific complications that can occur? These questions will be clarified in the following.
Lastly, Juan Ruiz, MD, Vevey, provides an overview of cardiovascular problems that are common in the context of type 2 diabetes. Statins in particular are used to treat cardiovascular risk factors.
So with the current issue of HAUSARZT PRAXIS, you have a versatile and informative basis and reference book for practice-relevant situations that you will encounter again and again.
I greet you kindly, your
Frank Achermann, MD
HAUSARZT PRAXIS 2014; 9(7): 12
