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heart failure in diabetes is often undetected and untreated



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Heart failure in diabetes is often overlooked

In Germany, more and more patients with diabetes mellitus. In affected individuals can lead to numerous complications. Often the cause of diabetes over time of diseases of the cardiovascular system, such as chronic heart failure. But the decline in cardiac output is often not recognized. It may be dangerous.

More than three million Germans suffer from heart failure

According to health experts over three million people in Germany suffer from heart failure (heart failure). As a result of this condition, the heart is no longer able to provide the body with enough blood and oxygen. This leads, among other things, shortness of breath, loss of productivity, fatigue, and the water content in the legs. Cardiovascular disease can be potentially fatal. However, apparently, it is often not recognized as experts are now reporting.

Although heart failure Diabetes increases the risk of dying earlier than others and are more likely to end up in hospital, reduced cardiac output, it seems, is not always recognized. (Picture: Kwangmoo / fotolia.com)

the risk of early death

Despite the fact that the risk of dying earlier than others, and will likely end up in the hospital increases for people with diabetes on heart failure.

But it seems that the reduced cardiac output is not always recognized.

Then at least show the current data reflecting the daily treatment in Germany and Austria, as reported by DHD Fund (Heart patients with diabetes), published in the German Diabetes Foundation in Science Information Service report (IDW).

Increased risk of heart failure in patients with diabetes

While international studies have shown that diabetes in heart failure (in English: heart failure – HF) patients from 25 to 40 percent occurs and the risk of heart failure in diabetes is doubled, the prevalence in the recently published DPV register analysis (diabetes diabetes -Patients history documentation) by 5.1 percent.

Published in the study "Diabetic Medicine" pool data recorded almost 290,000 patients DPV with type 2 diabetes has been studied for the treatment period 2010-2015.

The aim of the analysis was to determine the prevalence of RF ICD (International Classification of Diseases) coding and analysis of the situation on the basis of standardized documentation of treatment involving multicentric.

According to the information provided in the DPV to register more than 400 wastewater treatment plants, mainly from Germany and Austria, patient data, associated with diabetes.

Undetected and untreated

"The fact that the incidence of heart failure in the analysis of DPV with a little more than 5 per cent was much lower than expected, can clean the acquisition by ICD code must be justified," said study co-author Professor Diethelm Tschöpe, chairman of the DHD Foundation.

According to experts, it can not be safely assumed that patients were studied with type 2 diabetes in the period 2010-2015, aimed at HF.

more likely, that the active diagnosis is often not enough, "the more that the refusal have been widely recognized as an important predictor of complication of diabetes over the last three years is constantly in the spotlight," said Tschöpe.

Clinical experience, however, will continue to show that heart failure, and especially in the early stages of heart failure in patients with diabetes often go unnoticed and treatment.

long-suffering

According to information in the DPV-assessment of the proportion of patients with diabetes with HF increased as expected with age, with more women than men are affected.

In addition, diabetic heart failure had a longer duration of the disease with impaired glucose metabolism.

They were treated more often than in patients without heart failure insulin, HbA1c level was lower and the body mass index (BMI) was higher.

Hypertension and dyslipidemia treated intensively in heart failure patients with diabetes mellitus. (Ad)

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