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Do all children in Croatia have sensors?!
November 19, 2020 /

Do all children in Croatia have sensors?!

10 min read

 The first day of the #ATTD2020 Congress in Madrid is a conference dedicated to technology and diabetes. 11 am, still early in Madrid. Those of us whose abstracts were chosen were expected to put them in designated places. The girls were still waking up while I was like a real nerd placing a large plaid poster.

Do all children in Croatia have sensors?!

asked the charming Brazilian girl with long black hair and dark eyes while I was holding duct tape in my hand.  I looked at her confusedly and then at the poster – as if seeing them both for the first time.  There is not much of that in her country and she could not understand that in a small and poor country in the hilly Balkans, all children have the right to “Life with less pain”.  Let me use the statements of our pediatricians: if a child does not have a sensor, it is only because he really does not want it, and I can almost count them on the fingers of one hand.

 A similar conclusion can be found in the abstract / poster of the Zagreb Diabetes Society exhibited at ATTD, the state-of-the-art technology conference dedicated to diabetes in Madrid (Advanced Technologies & Treatments for Diabetes):

 “Not only do almost all children wear sensors, but even we adults with type 1 diabetes have a chance to get their hands on it” – I proudly replied to the beautiful Brazilian girl.

 

Nationalist, critic or patriot?

 Although I often comment on the incompetence, sluggishness, and non-transparency of the Croatian Health Insurance Fund. However, when I leave “Lijepa naša” (the first two words of our National Anthem meaning Our Beautiful, referring to the homeland), a patriot awakens in me and I have almost only words of praise for the health system and our homeland.  This time is the same. I am not mentioning the introduction of the insulin supplement that almost happened or the superhuman efforts of everyone involved in the for a Life with Less Pain initiative.  Just the result and the result is good.

 What is stated on the poster?

 The data processed in this poster were obtained partially by the Croatian Health Insurance Fund and partially from some other sources. They indicate that the percentage of children with sensors in Croatia is one of the largest in the world.

  1. 92% of children in Croatia use Libre sensors, and 8% of them either do not have any sensor or use some other continuous measurement technology (Enlite, Dexcom, Medtrum…)
  2. 20% of Libre users are children, 80% are adults
  3. by gender, 48% of men and 52% of women are on flash sensors
  4. of the total estimated number of type 1 diabetics (adults and children), 24% of us have sensors
  5. adults with type 1 diabetes and proven hypoglycemia  also have access to the sensors

 

Conclusion

 Everyone will draw their own conclusions from this.  These numbers will probably be too high for National health insurance (HZZO) and too low for Abbott.  It seems to me that they are exactly as they should be, but we still need to work on ensuring that every person with diabetes in Croatia has access to therapy with which they will achieve the best possible results.  In other words, we must have at our disposal all available insulins, sensors, insulin pumps, and even blood strips. Shortly – everything we conclude in cooperation with our diabetologists is necessary.

 Let’s not forget to monitor the outcome of treatment, which will, hopefully, one day come to life again in Croatia.  Thanks to that, our doctors will also have arguments that many parties have – that sensors, in addition to significantly improving the quality of our lives, also improve the regulation of diabetes.

Davor Skeledzija Read more posts by this author
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