The opinions expressed by Chayo Busquets are supported by his extensive experience as a family
therapist and in the previous analysis of the cases presented here welcome, that is,
Chayo Contigo in Joya. We begin, indeed, very good everyone here
to Chayo Contigo. I hope those who had a vacation last week have passed,
well, well, they have. The best possible thing is that they
' ve rested, had a lot of fun. And good for those who
are still on vacation, for they are welcome here to Chayo Contigo, of
course, who have already returned to work. Well, I hope that by
these hours they will say and I even forget that I was on vacation,
because what a terrible job it costs, raised it in the morning to catch
up again, but I hope that by these hours they have really caught it
and that they are with very good attitude. Today, as you know,
we have our complete program with Gaby Martínez Amaconne, who is our Gaby of
first aid and who, as we told you last Thursday, because today he
was playing again this program that we have every two months to review a topic
in depth. So Gaby welcomes you. Thank you very much, bye greetings
to you and to all those who hear us there on their radios, in
the car, in the kitchen, in the house, where they walk,
where they walk? I' m formally introducing you to Gaby. She is
a psychologist for the National Autonomous University of Mexico, Medical Emergency Technician for the
squadron. Sos is a life support instructor for pre- hospital trauma, vertical
rescue, risk management, civil protection plans and has specialized in first aid courses
at home. She has covered service on board ambulances and rescue services on rough
terrain, in the middle and high mountains and in underground rivers, and has
been providing training for more than twenty years. So, before we leave the
program, as we usually go, Gaby, how they get in touch with
you for your courses. Thank you very much, for at first you can
send a wats with all the confidence of the world to fifty- five,
fifty- one, four, fifty- nine, eighty- five, or
you can write me to the post office, Gaby, spark Gmail. You
can also be on the lookout for our information updates on social networks Instagram and
Facebook find us as sparks, first exiles. That' s how I like
it immensely and today we are going to talk about a topic that, unfortunately,
in this country has become increasingly important, very important, totally more relevant.
Why don' t we start a little bit, why is diabetes?
I think it' s all right Look. The diabetes coming in. It
' s a metabolic disease where our body requires sugar, it requires energy,
and it' s going to require it that way. But I mean,
if I' m going to draw you a whole picture of this wonderful body
that each of us has sometimes as much as we consume that rich energy,
of carbohydrates, of sugar, etcetera, etc. It cannot be processed because
we have not regulated insulin well, which is another ingredient necessary for it to
function normally. I wouldn' t come in as a first aid issue,
but if something decompensates there, if I' m going in, okay,
then it' s normal. If you know you have suspicions, you have
diabetes, then that' s straight with the doctor. Uh- huh If
it' s any of this here, it' s out of control.
That' s what today' s show is for, that' s perfect.
That part turns. It is very important to clarify it, because one
thing that had always been very clear is that first aid does not replace medical
care. They help in what and look is super common, which is the
best thing, you say child is that you gave him a diabetic coma huat
no and then you say what diabetes was. No, but I' m
not going to start studying what diabetes is or what the levels were before.
I mean, yes, I have to know how to identify. Today we
' re going to make this picture, we' re going to unfold what
diabetes is, what can be complicated and what we' re going to attend
to, without a doubt. So stay, because it' s very important
and if, in addition to everything, you have it or have it your
children, who can now be for vacation days with you at home, can
listen to the program to know what to do if you have to help you
or identify the today and what happens, if it happens to them at school
on that side and they can tell the friends to the teacher. This is
what you do. If such a thing happens to me, so let us
take advantage that we have them with us today to listen to us. So
having already made the clarification Gaby, what is diabetes, what happens finally in
the body, where we go, when we have to attend to something because
it' s out of control what I already know OK to see let'
s think about it' s not like I feel good, I feel bad
and then maybe I have diabetes. There' s no numbers in between OK,
so it' s important. Some time ago we were talking about what
the vital signs were and someone was telling me listen the oximeter also measures a
vital sign no, because it really doesn' t mean, it doesn'
t enter the parameter. And I was also asked about the glucometer. What
the glucometer measures is going to be the blood glucose level, but it'
s not a vital sign. They' re going to be indicators. Okay,
so it' s normal for a person, when he wakes up fast
without having breakfast, to call himself, to take a little bit of blood
out of his finger, to put it on his meter. And it'
s usually between seventy and ninety- nine hundred points rounding him doing. If
it' s within that margin it' s normal 100 fasts, it'
s between one hundred and one hundred and twenty- five, we could be
talking about pre- diabetes. Now he hears that this measure is consistent for
a whole week, a whole month. I' ve been taking it and
throwing this at me. So we' re already talking about maybe they'
re bigger issues. It can also be taken once the food is consumed.
There are also normal parameters. Perhaps the most common thing is to do the
measurement in fasting, you hear that I already went to the doctor, and
the doctor sent me to do no number of studies and from these studies they
told me that I am diabetic. We can tell. There may be type
one diabetes and type two diabetes. Then, in one I will depend on
insulin injection and in another not only to take care and be monitoring what it
is that I consume, what it is that I am taking recurrently, not
to abuse the best of blue or sweet foods, etc. Etc. But
I say they' re not the only, the only types of diabetes that
exist. For example, we were already talking about pregnant women. There is
also gestational diabetes and it is normal. It can even appear to you during
pregnancy and disappear. There may be monogenic diabetes, which has to do with
a genetic issue. Or there may be a secondary diabetes that implies that it
is not diabetes as a single disease, but is derived from another situation.
So, what do you do well, first he' ll have the other
situation and eventually he' ll have to disappear the secondary diabete. Then,
yes, there may be several situations. The number is going to give me
an indicator of imagine a your light green, yellow, red, green,
everything is fine in order, but yellow, whatout or careful we have to
monitor ourselves and red no longer there is another, we no longer have to
be constantly taking care of ourselves. Okay, yeah, on that topic.
Now how is it with this that you just explained. I would understand that
if a person is not yet diagnosed with diabetes, but without a foot to
feel bad. Ok what discomforts would have to make a person go to a
medical checkup, because, well, normally the one with the sugar meter is
because he or she is already diabetic and then he or she has the sugar
meter to see what' s going on when he or she feels bad.
Sure, but because I' m not diabetic I don' t have,
I' ve never bought the sugar meter nor am I doing it every day
to see if something is happening. Then let' s start a little bit
by telling people what kind of symptoms are happening with a certain frequency would have
to make you suspect that you need to go see what' s going on
with that. But I' m walking through life. I apparently feel normal,
but I' m starting to see little details you have to point out
to me. See the doctor for the first increase in SED and the ideas
of being a bayo pipis pip Then, this increases diabetes, it can cause
an increase in SED and, as a result, you take water and alle
go bath to be a peepi, especially at night, an increase in hunger.
We can also not experience hunger due to lack of insulin to transport glucose.
So it' s important that if I' m already starting to add
up, that' s maybe, you say well one x I pop it
two symptoms, I pop it, but go see how many popcorn. No.
Just as you lower a finger if you are very hungry, you have
a lot of headquarters, you go to the bathroom often lower another finger if
you have constant fatigue, if you feel constant, like chronic and you say
even more that I sleep and sleep and sleep no more than I don'
t repair what happens unexplained weight loss. He could be associated, not necessarily,
but under a finger. If you also add blurred vision, it could
be and frequent infections not people with diabetes can be susceptible and infections, especially
tracturinary or urinary infections, such as skin infections, gum infections. And this,
in turn, is going to go hand in hand with a finger down.
If you have wounds that do not heal, that are slow to heal,
that do not close, that are often seen as sores, that open
um from here, go making as their connections or go joining points, because
it is clear, the diabetic foot. Then, that diabetic foot is thrown
by feet that are coming, feet that accumulate not of liquid, that recover
us soon, eventually they can be necrotized not and then it ends by amputating
some finger, some part of the foot. Then because then he had the
diabetic foot, what it was and what it implied, that he has a
frequent infection, that he has a wound, that does not heal, that,
etcetera. OK. Perfect. Now you identified yourself with some of this.
Hold your fear and go to the doctor, see that you are checked
and check what is happening now I have the diagnosis. OK. They told
me we took care of, I have to have already said we didn'
t replace the doctors. Well, we' re closing up. He said
the fly, this gaby doesn' t replace the doctors, but I already
have the diagnosis and I feel bad. And then I, when I'
ve been with someone, it' s always how their sugar went up or
their sugar went down. Now let' s talk about complications and, indeed,
from dizziness headache, tiredness, no, but it can go even to
fainting a diabetic coma would already have to do with a scenario where it did
not regulate well enough and has either too much blood sugar or lack of blood
glucose, it does not have too much insulin, it did not adjust.
Then I have aber can manifest as chest pain, shortness of breath, fatigue,
palpitations, swelling in legs or feet, and high blood pressure. I
wouldn' t need maybe my diabetes would have a complication with a cardiovascular failure
or, maybe, a neuropathy failure. Symptoms may include numbness, burning tingling,
pain in human feet, and there could be digestive problems, enectile dysfunction,
maary and fainting. Not then we' re talking about along with a
neuropathy. I don' t hear, not then, but to see your
saying manual, one step the pigeon leaf for at least or not. It
' s not this pigeon, this leaf two neuropathian, let' s go
to the three retinopathy, retina goes. Let' s talk about the little
eyes. Not then in blurred vision, dark spots or these spots floating in
the visual field, I lose peripheral vision. Remember that glaucoma is said to
be used in diabetes. Ah well, I' m writing. Not then
put your hand to your help wick me so we can describe it. I
put my hands in front of my eyes and I can see them, but
I start to open them to carry them to my ears. Exactly, that
' s gonna be my peripheral vision. Okay if my peripheral vision gets to
the ears and I keep seeing it, okay. Maybe a little bit ahead,
I keep seeing her, okay, but if I still have them in
front of me and I' ve stopped seeing them, my peripheral vision is
shrinking. Or that' s gonna be important. Now let me just make
a clarification, but a clarification asks more than give a drop it than the
answer. And these are things that get complicated because I have diabetes. They
' re not for diagnosing diabetes. See if it could happen that a person
had a condition that was never diagnosed in time with diabetes and then had diabetes
and never knew it and never took care of it. Okay. Therefore,
we are already presenting complications and the complications confirm the clear diagnosis mentions us.
We were missing mentioned. We were listing the best complications with cardiovascular disease or
neuropathic complications or complications I lacked kidney complications. Or we can also have different
situations associated with nephropathy. It can manifest as swelling in the legs or feet,
increased need to urinate, fatigue loss of appetite and again we return to
nausea to vomiting. Itchy are in the skin and changes in heart rate.
If you notice. Some of them are associated and you say hey, I
don' t know if it' s a heart condition. Today is a
kidney situation. It' s not your turn to diagnose him. As much
as you read google, as much as we now have the super CHAJEPT.
It' s not gonna work you out. You have to go to a
doctor. Please, that, that, that' s very true. Okay,
now what happens, because I understand that there are different types of diabetes.
That' s usually the way we have type one diabetes and type two
diabetes. I' m gonna go, so I told them about other classifications.
Right now, I' m going with these two. Nothing more.
Type one is going to involve insulin treatment. OK. This is about the
insulin injection. It is a normal of you toomas to refrigerate those who already
use it take care that if you follow the directions of your medication. And
this is a very small needle. You' re told it' s a
subcutaneous injection. You have others that are intromuscular, the IV. This is
your skin and there will be someone who ends up injecting themselves or who has
the support of someone else. But why, because my body has been destroying,
is an autoimmune destruction of insulin- producing cells. Not then, if
I don' t have insulin naturally, I need the insulin in through that
little injection. Or that doesn' t mean. Look carefully, because it
' s one of the most frequent cases we have to be there to attend.
It' s just that they say, as I' ve already put
it, the injection, come on, the coke, come on, the
sweet bun, it' s not like you have a whole regimen and that
regimen goes hand in hand with providing you with the necessary insulin. But it
' s not like I give you permission to have that kind of sin.
Yes, of course, because then we are no longer regulating, it is
no longer within the normal. In the case of type two diabetes, the
body does not produce enough insulin, but I did not need to project it.
You can decrease the risk factor, because if I don' t have
obesity, if I have physical activity, if I eat well and balanced,
etcetera. I mean, if you look at the necessary care, you don
' t have to alter your whole life. I know that, for example,
many years ago I was talking to you over thirty years ago, my
grandmother was diagnosed with diabetes and it sounded like the end of life. It
' s not that I have diabetes and now that I' m going to
do it doesn' t calm down, it doesn' t affect your life
any more, but stick to certain care. No doubt about it. Gaby,
there are people who don' t care about diabetes, because they suddenly
think it' s a disease. He' s big gentlemen, not at
least half his life ahead of him. What about that, because see if
it' s a whole topic at what age diabetes might appear. No.
But look and talk about type one, type two of pregnant women' s
gestational. And there' s no age. If there is a precondition,
that is, genetically. I can have older, uh be more prone to
developing diabetes, because in my family there are diabetic people. But maybe type
one diabetes also appears among young people 20 years of age before the age of
thirty and I can go and be diagnosed with type one diabetes, the one
that needs insulin is what they call juvenile days. If it could be you,
there is the type two, which sometimes is already for a metaboullism by
age no e and then maybe above the fifties, not an average adult,
the type two could begin to develop, which does not require your injected line,
not necessarily one. Not always. But you knew that there is childhood
diabetes, that there are children. I have students in my classes who were
diagnosed with childhood diabetes, and it' s quite an um case now they
' re also coming in. It doesn' t matter you' re a
kid. You' re probably under ten years old and you' ve been
diagnosed with diabetes is one or two. I mean, we go back to
the questions of the same thing you' re not having today, uh,
really looking forward to going to be a pee- pee is really looking forward
to eating is losing weight, which are the signs and symptoms we' re
looking for. That I have a person. You were asking me a little
while ago in one of the commercials, well, and when I give him
the coke, when I give him the candy. No e, I don
' t give it to him in principle. They remind you that we usually
say we don' t give medications unless it' s prescribed. But in
the case of diabetes, unless I have the information about how much glucose you
have at that time there, then you may feel bad, you may have
vanished. Imagine he' s fainting and then I know there' s a
precondition. This one is going to be important egh because if I don'
t know, I have no history of having diabetes. I can be looking
like blind people he' s got. So there' s these pesate slogans,
measure you, move, don' t check. And if we want
to know if we have a prediabetic condition or not, in my children they
will not have special diets. They are usually encouraged to exercise, to be
observed, and to have well- kept diets. Perhaps the most difficult thing
is to endure the desire to eat a sweet when the sweets arrive, because,
come on is the age of the holidays not piñatas, And well,
there will also be sweets for diabetics. We are not drastically changing life,
but if we have to look for special care, especially to avoid an urgency,
a complication that I insist if we had these, this information already prior
to lack of knowledge, we talk about complications, pain, swelling, wounds
that heal us. Maybe I don' t have to move to a medical
center right away, okay? That' s an important issue, because that
' s what I understand, which is considered the most serious thing that diabetic
coma is. M we also have diabetic setuacidosis, which is again what is
called diabetic stoacidosis. Both cases are serious cases that can be fatal. No,
I mean, a person who gives him a diabetic setuacidosis starts smelling like
apples, like sweets. That' s how you sweat the person or the
person and you say how rich it smells like manzanitas, not water. It
' s no longer fermenting the person at that moment and I have to move.
No em are extremely glucose levels as well, they are extremely high and
risk begins to break down fat in such a way that it produces this smell.
Not ok e in the case of hyperglucose hypoglucose coma, not e can
also be due to high blood glucose levels And if I were to be used
in an ambulance, I would normally channel not with a used gloc solution.
On the contrary, e, but we need the doctor to know his or
her history, to know if he or she is taking medication and already em
has been given, if he or she is not reacting, what is going
on behind him or her. No, but it comes out of my knowledge
as a first responder, of me, as a mom or as a couple
or as a grandchild, that I know that my patient, my relative,
has diabetes. If I perceive these two things, it loses consciousness or I
start smelling like apples. I have to go to the medical center immediately.
OK, it' s urgent, so that' s Cab what we'
re missing. I say the disease itself. It is not good to start,
but summary of the most, it matters again knowing that your presence here
has to do with not replacing the doctor, if not with first aid.
I won' t see the first one I have. I already know I
have diabetes. I don' t know I have diabetes. More or less.
I said put a finger down. If I have this, I'
m already here. OK, yeah, I already died of fear. I
already went to the doctor and they told me, Mr Ma' am,
take care of yourself. Low blood sugar, low blood glucose. It'
s called hypoglycemia. There you go, your little candy, that' s
where you' d go to your little coke, your game of some orange
game. There are glucose tablets, but I can' t give it because
it means numbers. Don' t leave your numbers. You have to lose
your fear of the tiny little finger, that drop of blood. He'
s going to give me numbers, and then I' m going to know
if I' m above, below normal, why remember the normal glucose.
It will have to be fasted between seventy and one hundred after it will be
at least one hundred and forty, not less than one hundred and forty.
On my indicator above that I might suspect diabetes. Hey, but then see
if I already felt bad, but I' m over a hundred and forty.
Ah so we' re talking about a high blood sugar level and then
it' s no longer hiccups, it' s hyper- glusus great and
now we drink water try. Imagine you' re going to dilute the excess
blood sugar. So there' s no candy, there' s no juice,
there' s simple water. No. I was telling you maybe in
the ambulance it was my turn to do a channeling and what I want is
to have liquids here, but not sweet liquids and that I was eating something
you suspended what you were eating right then, even dul no more sweet carbohydrates
in general um e and seek medical attention. Hey, I got the diabetic
setuacidosis thing that I already smelled. Don' t be a manzanita. Well,
go back to drinking fluid and let' s go to the doctor,
not that I have foot injuries. Perhaps this is not like an emergency as
such, because em to see is not that you stick and suddenly the injury
appears as in the wounds that we have talked about at other times, but
that here, in the feet can be done to blisters or sores or something.
And I, Mom, I wife, I daughter, I granddaughter,
I' m not maybe checking him that day I wanted to give him a
potato on his feet. No, and to my dear person who has diabetes
and I detect sores, I detect these lesions on the front feet, we
clean and disinfect. We will apply as if it were a normal wound,
a sterile bandage, but I also need to seek medical attention, not especially
if it is not healthy, because this is already going to be an indicator
and there may be signs of infection, redness, swelling, secretion do not
risk losing. Each of your little fingers is Mari is valuable, no,
each of your parts is valuable and sometimes you can grow and lose your full
foot. There is no doubt that a whole subject, this whole subject,
and the insistence, please, that this does not replace medical care, are
certainly not at risk. This is only first aid and we cannot lose sight
of it within the context of which we speak, because we would commit an
e, because it goes beyond imprudence, a lack of ethics. It is
not very important for you to be perfectly clear. This is only for what
we do in case the person decompensates in some way or you decompensate not,
but it is not a substitute for your medical follow- up. How would
God command? They' d say the phrases around. Go with what I
can tell you in a manual whatever it is to generality. But your individuality
is sacred and every case, every situation you have modifies that individuality and you
can no longer stick to what it says. The rule doesn' t change.
We' ll have to make adjustments. No doubt about it. Gaby,
as always, thank you very much, we repeat your Whatsapp data to
ask you for whatever you have doubts. Fifty- five, fifty- one,
zero, four, fifty- nine, eighty- five social networks.
On social media we are on Facebook and Instagram. As a first aid spark.
I can also send e- mail to Gaby Ponte Chispa, anyway,
along with Gaby Ponte Chispa arroba gmail com and because on the website we are
uploading courses, we are updating events, everything you need in Ponte Chispa com
perfectly. Gaby, great grace, Graces as always for dedicating this complete program
and we see each other on Thursday thanks to Ti Chayo a hug also very
big to IT, to all those who listen to us at home good profit.
We hear each other here tomorrow at 1: 00 p m, in
more than Chayo with you I am Chayo Busetch who have very good profit.
Or get them right where they' re headed. Audio Centre