WEBVTT 1 00:00:00.160 --> 00:00:06.440 The opinions expressed by Chayo Busquets are supported by his extensive experience as a family 2 00:00:06.879 --> 00:00:12.160 therapist and in the previous analysis of the cases presented here welcome, that is, 3 00:00:12.439 --> 00:00:20.600 Chayo Contigo in Joya. We begin, indeed, very good everyone here 4 00:00:20.679 --> 00:00:27.199 to Chayo Contigo. I hope those who had a vacation last week have passed, 5 00:00:27.359 --> 00:00:31.760 well, well, they have. The best possible thing is that they 6 00:00:31.760 --> 00:00:36.600 ' ve rested, had a lot of fun. And good for those who 7 00:00:36.640 --> 00:00:41.640 are still on vacation, for they are welcome here to Chayo Contigo, of 8 00:00:41.640 --> 00:00:44.200 course, who have already returned to work. Well, I hope that by 9 00:00:44.439 --> 00:00:48.520 these hours they will say and I even forget that I was on vacation, 10 00:00:49.200 --> 00:00:53.520 because what a terrible job it costs, raised it in the morning to catch 11 00:00:53.640 --> 00:00:57.240 up again, but I hope that by these hours they have really caught it 12 00:00:57.920 --> 00:01:02.520 and that they are with very good attitude. Today, as you know, 13 00:01:03.359 --> 00:01:11.439 we have our complete program with Gaby Martínez Amaconne, who is our Gaby of 14 00:01:11.480 --> 00:01:15.920 first aid and who, as we told you last Thursday, because today he 15 00:01:17.640 --> 00:01:23.959 was playing again this program that we have every two months to review a topic 16 00:01:23.959 --> 00:01:27.319 in depth. So Gaby welcomes you. Thank you very much, bye greetings 17 00:01:27.400 --> 00:01:30.159 to you and to all those who hear us there on their radios, in 18 00:01:30.159 --> 00:01:33.840 the car, in the kitchen, in the house, where they walk, 19 00:01:34.319 --> 00:01:38.480 where they walk? I' m formally introducing you to Gaby. She is 20 00:01:38.560 --> 00:01:45.439 a psychologist for the National Autonomous University of Mexico, Medical Emergency Technician for the 21 00:01:45.480 --> 00:01:53.799 squadron. Sos is a life support instructor for pre- hospital trauma, vertical 22 00:01:53.799 --> 00:01:57.319 rescue, risk management, civil protection plans and has specialized in first aid courses 23 00:01:57.319 --> 00:02:02.959 at home. She has covered service on board ambulances and rescue services on rough 24 00:02:04.079 --> 00:02:09.319 terrain, in the middle and high mountains and in underground rivers, and has 25 00:02:09.360 --> 00:02:15.120 been providing training for more than twenty years. So, before we leave the 26 00:02:15.120 --> 00:02:20.360 program, as we usually go, Gaby, how they get in touch with 27 00:02:20.439 --> 00:02:24.520 you for your courses. Thank you very much, for at first you can 28 00:02:24.599 --> 00:02:29.280 send a wats with all the confidence of the world to fifty- five, 29 00:02:29.759 --> 00:02:32.639 fifty- one, four, fifty- nine, eighty- five, or 30 00:02:32.759 --> 00:02:37.120 you can write me to the post office, Gaby, spark Gmail. You 31 00:02:37.719 --> 00:02:43.479 can also be on the lookout for our information updates on social networks Instagram and 32 00:02:43.520 --> 00:02:49.400 Facebook find us as sparks, first exiles. That' s how I like 33 00:02:49.479 --> 00:02:54.639 it immensely and today we are going to talk about a topic that, unfortunately, 34 00:02:57.120 --> 00:03:01.919 in this country has become increasingly important, very important, totally more relevant. 35 00:03:04.759 --> 00:03:09.639 Why don' t we start a little bit, why is diabetes? 36 00:03:10.199 --> 00:03:13.479 I think it' s all right Look. The diabetes coming in. It 37 00:03:13.560 --> 00:03:19.639 ' s a metabolic disease where our body requires sugar, it requires energy, 38 00:03:19.719 --> 00:03:22.080 and it' s going to require it that way. But I mean, 39 00:03:22.479 --> 00:03:24.879 if I' m going to draw you a whole picture of this wonderful body 40 00:03:24.919 --> 00:03:30.960 that each of us has sometimes as much as we consume that rich energy, 41 00:03:31.159 --> 00:03:36.919 of carbohydrates, of sugar, etcetera, etc. It cannot be processed because 42 00:03:37.120 --> 00:03:42.319 we have not regulated insulin well, which is another ingredient necessary for it to 43 00:03:42.400 --> 00:03:47.560 function normally. I wouldn' t come in as a first aid issue, 44 00:03:47.919 --> 00:03:52.879 but if something decompensates there, if I' m going in, okay, 45 00:03:53.280 --> 00:03:55.439 then it' s normal. If you know you have suspicions, you have 46 00:03:55.439 --> 00:04:00.680 diabetes, then that' s straight with the doctor. Uh- huh If 47 00:04:00.759 --> 00:04:01.199 it' s any of this here, it' s out of control. 48 00:04:01.360 --> 00:04:04.840 That' s what today' s show is for, that' s perfect. 49 00:04:05.319 --> 00:04:14.560 That part turns. It is very important to clarify it, because one 50 00:04:14.719 --> 00:04:19.639 thing that had always been very clear is that first aid does not replace medical 51 00:04:19.639 --> 00:04:26.560 care. They help in what and look is super common, which is the 52 00:04:26.600 --> 00:04:30.560 best thing, you say child is that you gave him a diabetic coma huat 53 00:04:30.600 --> 00:04:31.959 no and then you say what diabetes was. No, but I' m 54 00:04:31.959 --> 00:04:35.480 not going to start studying what diabetes is or what the levels were before. 55 00:04:36.120 --> 00:04:39.879 I mean, yes, I have to know how to identify. Today we 56 00:04:39.879 --> 00:04:43.600 ' re going to make this picture, we' re going to unfold what 57 00:04:43.600 --> 00:04:46.439 diabetes is, what can be complicated and what we' re going to attend 58 00:04:46.439 --> 00:04:50.040 to, without a doubt. So stay, because it' s very important 59 00:04:50.600 --> 00:04:56.600 and if, in addition to everything, you have it or have it your 60 00:04:56.600 --> 00:05:02.839 children, who can now be for vacation days with you at home, can 61 00:05:03.120 --> 00:05:08.360 listen to the program to know what to do if you have to help you 62 00:05:09.040 --> 00:05:13.439 or identify the today and what happens, if it happens to them at school 63 00:05:13.600 --> 00:05:17.600 on that side and they can tell the friends to the teacher. This is 64 00:05:17.680 --> 00:05:21.439 what you do. If such a thing happens to me, so let us 65 00:05:21.519 --> 00:05:27.720 take advantage that we have them with us today to listen to us. So 66 00:05:27.720 --> 00:05:32.800 having already made the clarification Gaby, what is diabetes, what happens finally in 67 00:05:32.839 --> 00:05:39.839 the body, where we go, when we have to attend to something because 68 00:05:43.160 --> 00:05:47.800 it' s out of control what I already know OK to see let' 69 00:05:48.000 --> 00:05:51.360 s think about it' s not like I feel good, I feel bad 70 00:05:51.399 --> 00:05:55.519 and then maybe I have diabetes. There' s no numbers in between OK, 71 00:05:56.519 --> 00:06:00.199 so it' s important. Some time ago we were talking about what 72 00:06:00.279 --> 00:06:04.360 the vital signs were and someone was telling me listen the oximeter also measures a 73 00:06:05.480 --> 00:06:11.000 vital sign no, because it really doesn' t mean, it doesn' 74 00:06:11.000 --> 00:06:13.519 t enter the parameter. And I was also asked about the glucometer. What 75 00:06:13.560 --> 00:06:15.560 the glucometer measures is going to be the blood glucose level, but it' 76 00:06:16.079 --> 00:06:19.079 s not a vital sign. They' re going to be indicators. Okay, 77 00:06:19.480 --> 00:06:27.279 so it' s normal for a person, when he wakes up fast 78 00:06:27.279 --> 00:06:30.639 without having breakfast, to call himself, to take a little bit of blood 79 00:06:30.759 --> 00:06:34.040 out of his finger, to put it on his meter. And it' 80 00:06:34.079 --> 00:06:41.399 s usually between seventy and ninety- nine hundred points rounding him doing. If 81 00:06:41.480 --> 00:06:46.519 it' s within that margin it' s normal 100 fasts, it' 82 00:06:46.560 --> 00:06:49.040 s between one hundred and one hundred and twenty- five, we could be 83 00:06:49.040 --> 00:06:55.000 talking about pre- diabetes. Now he hears that this measure is consistent for 84 00:06:55.079 --> 00:06:57.319 a whole week, a whole month. I' ve been taking it and 85 00:06:57.639 --> 00:07:02.399 throwing this at me. So we' re already talking about maybe they' 86 00:07:02.800 --> 00:07:06.480 re bigger issues. It can also be taken once the food is consumed. 87 00:07:06.560 --> 00:07:12.519 There are also normal parameters. Perhaps the most common thing is to do the 88 00:07:12.639 --> 00:07:16.079 measurement in fasting, you hear that I already went to the doctor, and 89 00:07:16.120 --> 00:07:23.319 the doctor sent me to do no number of studies and from these studies they 90 00:07:23.319 --> 00:07:26.399 told me that I am diabetic. We can tell. There may be type 91 00:07:26.480 --> 00:07:30.639 one diabetes and type two diabetes. Then, in one I will depend on 92 00:07:30.959 --> 00:07:34.920 insulin injection and in another not only to take care and be monitoring what it 93 00:07:35.279 --> 00:07:39.560 is that I consume, what it is that I am taking recurrently, not 94 00:07:39.639 --> 00:07:44.879 to abuse the best of blue or sweet foods, etc. Etc. But 95 00:07:45.120 --> 00:07:47.160 I say they' re not the only, the only types of diabetes that 96 00:07:47.160 --> 00:07:51.879 exist. For example, we were already talking about pregnant women. There is 97 00:07:53.000 --> 00:07:57.959 also gestational diabetes and it is normal. It can even appear to you during 98 00:07:58.120 --> 00:08:03.279 pregnancy and disappear. There may be monogenic diabetes, which has to do with 99 00:08:03.399 --> 00:08:07.839 a genetic issue. Or there may be a secondary diabetes that implies that it 100 00:08:07.879 --> 00:08:11.360 is not diabetes as a single disease, but is derived from another situation. 101 00:08:13.680 --> 00:08:16.720 So, what do you do well, first he' ll have the other 102 00:08:16.800 --> 00:08:20.519 situation and eventually he' ll have to disappear the secondary diabete. Then, 103 00:08:20.120 --> 00:08:24.439 yes, there may be several situations. The number is going to give me 104 00:08:24.480 --> 00:08:30.040 an indicator of imagine a your light green, yellow, red, green, 105 00:08:30.279 --> 00:08:35.799 everything is fine in order, but yellow, whatout or careful we have to 106 00:08:35.960 --> 00:08:39.399 monitor ourselves and red no longer there is another, we no longer have to 107 00:08:39.399 --> 00:08:41.799 be constantly taking care of ourselves. Okay, yeah, on that topic. 108 00:08:43.240 --> 00:08:52.480 Now how is it with this that you just explained. I would understand that 109 00:08:52.679 --> 00:09:01.519 if a person is not yet diagnosed with diabetes, but without a foot to 110 00:09:01.879 --> 00:09:11.600 feel bad. Ok what discomforts would have to make a person go to a 111 00:09:11.639 --> 00:09:16.759 medical checkup, because, well, normally the one with the sugar meter is 112 00:09:16.840 --> 00:09:20.039 because he or she is already diabetic and then he or she has the sugar 113 00:09:20.120 --> 00:09:22.279 meter to see what' s going on when he or she feels bad. 114 00:09:22.360 --> 00:09:26.240 Sure, but because I' m not diabetic I don' t have, 115 00:09:26.519 --> 00:09:28.960 I' ve never bought the sugar meter nor am I doing it every day 116 00:09:30.000 --> 00:09:33.080 to see if something is happening. Then let' s start a little bit 117 00:09:33.159 --> 00:09:39.039 by telling people what kind of symptoms are happening with a certain frequency would have 118 00:09:39.080 --> 00:09:41.799 to make you suspect that you need to go see what' s going on 119 00:09:41.799 --> 00:09:46.399 with that. But I' m walking through life. I apparently feel normal, 120 00:09:46.840 --> 00:09:50.639 but I' m starting to see little details you have to point out 121 00:09:50.639 --> 00:09:56.279 to me. See the doctor for the first increase in SED and the ideas 122 00:09:56.360 --> 00:10:01.440 of being a bayo pipis pip Then, this increases diabetes, it can cause 123 00:10:01.480 --> 00:10:05.240 an increase in SED and, as a result, you take water and alle 124 00:10:05.240 --> 00:10:09.200 go bath to be a peepi, especially at night, an increase in hunger. 125 00:10:09.519 --> 00:10:16.960 We can also not experience hunger due to lack of insulin to transport glucose. 126 00:10:16.559 --> 00:10:20.399 So it' s important that if I' m already starting to add 127 00:10:20.399 --> 00:10:24.720 up, that' s maybe, you say well one x I pop it 128 00:10:24.759 --> 00:10:26.639 two symptoms, I pop it, but go see how many popcorn. No. 129 00:10:26.639 --> 00:10:31.600 Just as you lower a finger if you are very hungry, you have 130 00:10:31.679 --> 00:10:37.080 a lot of headquarters, you go to the bathroom often lower another finger if 131 00:10:37.159 --> 00:10:41.559 you have constant fatigue, if you feel constant, like chronic and you say 132 00:10:41.639 --> 00:10:48.159 even more that I sleep and sleep and sleep no more than I don' 133 00:10:48.159 --> 00:10:50.080 t repair what happens unexplained weight loss. He could be associated, not necessarily, 134 00:10:50.879 --> 00:10:56.440 but under a finger. If you also add blurred vision, it could 135 00:10:56.519 --> 00:11:03.360 be and frequent infections not people with diabetes can be susceptible and infections, especially 136 00:11:03.360 --> 00:11:11.919 tracturinary or urinary infections, such as skin infections, gum infections. And this, 137 00:11:11.440 --> 00:11:15.200 in turn, is going to go hand in hand with a finger down. 138 00:11:16.000 --> 00:11:20.159 If you have wounds that do not heal, that are slow to heal, 139 00:11:20.440 --> 00:11:24.000 that do not close, that are often seen as sores, that open 140 00:11:24.039 --> 00:11:30.200 um from here, go making as their connections or go joining points, because 141 00:11:30.360 --> 00:11:35.200 it is clear, the diabetic foot. Then, that diabetic foot is thrown 142 00:11:35.399 --> 00:11:39.120 by feet that are coming, feet that accumulate not of liquid, that recover 143 00:11:39.279 --> 00:11:45.919 us soon, eventually they can be necrotized not and then it ends by amputating 144 00:11:46.039 --> 00:11:50.159 some finger, some part of the foot. Then because then he had the 145 00:11:50.200 --> 00:11:52.879 diabetic foot, what it was and what it implied, that he has a 146 00:11:52.960 --> 00:11:56.120 frequent infection, that he has a wound, that does not heal, that, 147 00:11:56.120 --> 00:12:00.399 etcetera. OK. Perfect. Now you identified yourself with some of this. 148 00:12:00.480 --> 00:12:05.480 Hold your fear and go to the doctor, see that you are checked 149 00:12:05.559 --> 00:12:13.759 and check what is happening now I have the diagnosis. OK. They told 150 00:12:13.799 --> 00:12:18.240 me we took care of, I have to have already said we didn' 151 00:12:18.240 --> 00:12:20.960 t replace the doctors. Well, we' re closing up. He said 152 00:12:20.039 --> 00:12:26.759 the fly, this gaby doesn' t replace the doctors, but I already 153 00:12:28.320 --> 00:12:31.600 have the diagnosis and I feel bad. And then I, when I' 154 00:12:31.639 --> 00:12:35.320 ve been with someone, it' s always how their sugar went up or 155 00:12:35.360 --> 00:12:41.200 their sugar went down. Now let' s talk about complications and, indeed, 156 00:12:41.799 --> 00:12:46.240 from dizziness headache, tiredness, no, but it can go even to 157 00:12:46.240 --> 00:12:50.799 fainting a diabetic coma would already have to do with a scenario where it did 158 00:12:50.919 --> 00:12:58.480 not regulate well enough and has either too much blood sugar or lack of blood 159 00:12:58.000 --> 00:13:01.240 glucose, it does not have too much insulin, it did not adjust. 160 00:13:03.279 --> 00:13:07.720 Then I have aber can manifest as chest pain, shortness of breath, fatigue, 161 00:13:07.279 --> 00:13:11.840 palpitations, swelling in legs or feet, and high blood pressure. I 162 00:13:13.159 --> 00:13:18.960 wouldn' t need maybe my diabetes would have a complication with a cardiovascular failure 163 00:13:20.039 --> 00:13:24.759 or, maybe, a neuropathy failure. Symptoms may include numbness, burning tingling, 164 00:13:24.759 --> 00:13:31.279 pain in human feet, and there could be digestive problems, enectile dysfunction, 165 00:13:33.960 --> 00:13:39.720 maary and fainting. Not then we' re talking about along with a 166 00:13:39.720 --> 00:13:43.799 neuropathy. I don' t hear, not then, but to see your 167 00:13:43.879 --> 00:13:46.000 saying manual, one step the pigeon leaf for at least or not. It 168 00:13:46.080 --> 00:13:48.639 ' s not this pigeon, this leaf two neuropathian, let' s go 169 00:13:48.840 --> 00:13:52.399 to the three retinopathy, retina goes. Let' s talk about the little 170 00:13:52.399 --> 00:13:58.240 eyes. Not then in blurred vision, dark spots or these spots floating in 171 00:13:58.279 --> 00:14:03.720 the visual field, I lose peripheral vision. Remember that glaucoma is said to 172 00:14:03.759 --> 00:14:07.399 be used in diabetes. Ah well, I' m writing. Not then 173 00:14:07.759 --> 00:14:11.360 put your hand to your help wick me so we can describe it. I 174 00:14:11.440 --> 00:14:16.159 put my hands in front of my eyes and I can see them, but 175 00:14:16.159 --> 00:14:20.200 I start to open them to carry them to my ears. Exactly, that 176 00:14:20.279 --> 00:14:24.279 ' s gonna be my peripheral vision. Okay if my peripheral vision gets to 177 00:14:24.279 --> 00:14:26.759 the ears and I keep seeing it, okay. Maybe a little bit ahead, 178 00:14:26.840 --> 00:14:31.799 I keep seeing her, okay, but if I still have them in 179 00:14:31.879 --> 00:14:35.080 front of me and I' ve stopped seeing them, my peripheral vision is 180 00:14:35.080 --> 00:14:41.279 shrinking. Or that' s gonna be important. Now let me just make 181 00:14:41.440 --> 00:14:48.799 a clarification, but a clarification asks more than give a drop it than the 182 00:14:48.840 --> 00:14:58.240 answer. And these are things that get complicated because I have diabetes. They 183 00:14:58.320 --> 00:15:03.720 ' re not for diagnosing diabetes. See if it could happen that a person 184 00:15:05.480 --> 00:15:11.080 had a condition that was never diagnosed in time with diabetes and then had diabetes 185 00:15:11.120 --> 00:15:15.519 and never knew it and never took care of it. Okay. Therefore, 186 00:15:15.919 --> 00:15:22.080 we are already presenting complications and the complications confirm the clear diagnosis mentions us. 187 00:15:22.200 --> 00:15:28.879 We were missing mentioned. We were listing the best complications with cardiovascular disease or 188 00:15:28.159 --> 00:15:37.240 neuropathic complications or complications I lacked kidney complications. Or we can also have different 189 00:15:39.159 --> 00:15:43.919 situations associated with nephropathy. It can manifest as swelling in the legs or feet, 190 00:15:43.320 --> 00:15:48.639 increased need to urinate, fatigue loss of appetite and again we return to 191 00:15:48.679 --> 00:15:54.279 nausea to vomiting. Itchy are in the skin and changes in heart rate. 192 00:15:54.799 --> 00:15:58.799 If you notice. Some of them are associated and you say hey, I 193 00:15:58.840 --> 00:16:00.679 don' t know if it' s a heart condition. Today is a 194 00:16:02.039 --> 00:16:06.679 kidney situation. It' s not your turn to diagnose him. As much 195 00:16:06.679 --> 00:16:08.759 as you read google, as much as we now have the super CHAJEPT. 196 00:16:10.440 --> 00:16:11.600 It' s not gonna work you out. You have to go to a 197 00:16:11.600 --> 00:16:17.360 doctor. Please, that, that, that' s very true. Okay, 198 00:16:17.879 --> 00:16:23.120 now what happens, because I understand that there are different types of diabetes. 199 00:16:23.480 --> 00:16:30.279 That' s usually the way we have type one diabetes and type two 200 00:16:30.279 --> 00:16:33.039 diabetes. I' m gonna go, so I told them about other classifications. 201 00:16:33.120 --> 00:16:33.639 Right now, I' m going with these two. Nothing more. 202 00:16:34.240 --> 00:16:41.960 Type one is going to involve insulin treatment. OK. This is about the 203 00:16:42.000 --> 00:16:47.799 insulin injection. It is a normal of you toomas to refrigerate those who already 204 00:16:48.200 --> 00:16:52.919 use it take care that if you follow the directions of your medication. And 205 00:16:52.000 --> 00:16:56.759 this is a very small needle. You' re told it' s a 206 00:16:56.759 --> 00:17:00.200 subcutaneous injection. You have others that are intromuscular, the IV. This is 207 00:17:00.279 --> 00:17:04.279 your skin and there will be someone who ends up injecting themselves or who has 208 00:17:04.319 --> 00:17:07.799 the support of someone else. But why, because my body has been destroying, 209 00:17:08.480 --> 00:17:15.079 is an autoimmune destruction of insulin- producing cells. Not then, if 210 00:17:15.160 --> 00:17:19.839 I don' t have insulin naturally, I need the insulin in through that 211 00:17:19.839 --> 00:17:25.960 little injection. Or that doesn' t mean. Look carefully, because it 212 00:17:26.000 --> 00:17:29.400 ' s one of the most frequent cases we have to be there to attend. 213 00:17:30.039 --> 00:17:32.519 It' s just that they say, as I' ve already put 214 00:17:32.599 --> 00:17:36.960 it, the injection, come on, the coke, come on, the 215 00:17:37.119 --> 00:17:42.079 sweet bun, it' s not like you have a whole regimen and that 216 00:17:42.079 --> 00:17:44.079 regimen goes hand in hand with providing you with the necessary insulin. But it 217 00:17:44.119 --> 00:17:48.079 ' s not like I give you permission to have that kind of sin. 218 00:17:48.359 --> 00:17:51.640 Yes, of course, because then we are no longer regulating, it is 219 00:17:51.680 --> 00:17:55.039 no longer within the normal. In the case of type two diabetes, the 220 00:17:55.400 --> 00:17:59.799 body does not produce enough insulin, but I did not need to project it. 221 00:18:00.920 --> 00:18:06.839 You can decrease the risk factor, because if I don' t have 222 00:18:07.279 --> 00:18:11.519 obesity, if I have physical activity, if I eat well and balanced, 223 00:18:11.519 --> 00:18:14.960 etcetera. I mean, if you look at the necessary care, you don 224 00:18:15.319 --> 00:18:18.680 ' t have to alter your whole life. I know that, for example, 225 00:18:18.799 --> 00:18:22.440 many years ago I was talking to you over thirty years ago, my 226 00:18:22.559 --> 00:18:26.559 grandmother was diagnosed with diabetes and it sounded like the end of life. It 227 00:18:26.960 --> 00:18:30.839 ' s not that I have diabetes and now that I' m going to 228 00:18:30.960 --> 00:18:33.119 do it doesn' t calm down, it doesn' t affect your life 229 00:18:33.119 --> 00:18:36.000 any more, but stick to certain care. No doubt about it. Gaby, 230 00:18:37.839 --> 00:18:42.000 there are people who don' t care about diabetes, because they suddenly 231 00:18:42.200 --> 00:18:48.039 think it' s a disease. He' s big gentlemen, not at 232 00:18:48.119 --> 00:18:53.039 least half his life ahead of him. What about that, because see if 233 00:18:53.079 --> 00:18:56.640 it' s a whole topic at what age diabetes might appear. No. 234 00:18:57.759 --> 00:19:02.839 But look and talk about type one, type two of pregnant women' s 235 00:19:02.960 --> 00:19:08.480 gestational. And there' s no age. If there is a precondition, 236 00:19:08.640 --> 00:19:12.279 that is, genetically. I can have older, uh be more prone to 237 00:19:12.400 --> 00:19:18.880 developing diabetes, because in my family there are diabetic people. But maybe type 238 00:19:18.960 --> 00:19:22.400 one diabetes also appears among young people 20 years of age before the age of 239 00:19:22.519 --> 00:19:26.880 thirty and I can go and be diagnosed with type one diabetes, the one 240 00:19:26.960 --> 00:19:33.680 that needs insulin is what they call juvenile days. If it could be you, 241 00:19:34.200 --> 00:19:37.680 there is the type two, which sometimes is already for a metaboullism by 242 00:19:37.839 --> 00:19:44.160 age no e and then maybe above the fifties, not an average adult, 243 00:19:44.640 --> 00:19:48.839 the type two could begin to develop, which does not require your injected line, 244 00:19:49.599 --> 00:19:56.039 not necessarily one. Not always. But you knew that there is childhood 245 00:19:56.039 --> 00:20:00.240 diabetes, that there are children. I have students in my classes who were 246 00:20:00.279 --> 00:20:07.400 diagnosed with childhood diabetes, and it' s quite an um case now they 247 00:20:07.400 --> 00:20:07.519 ' re also coming in. It doesn' t matter you' re a 248 00:20:07.519 --> 00:20:11.000 kid. You' re probably under ten years old and you' ve been 249 00:20:11.119 --> 00:20:14.240 diagnosed with diabetes is one or two. I mean, we go back to 250 00:20:14.480 --> 00:20:17.839 the questions of the same thing you' re not having today, uh, 251 00:20:18.000 --> 00:20:21.519 really looking forward to going to be a pee- pee is really looking forward 252 00:20:21.559 --> 00:20:22.720 to eating is losing weight, which are the signs and symptoms we' re 253 00:20:22.720 --> 00:20:26.440 looking for. That I have a person. You were asking me a little 254 00:20:26.519 --> 00:20:30.319 while ago in one of the commercials, well, and when I give him 255 00:20:30.319 --> 00:20:33.519 the coke, when I give him the candy. No e, I don 256 00:20:33.720 --> 00:20:37.440 ' t give it to him in principle. They remind you that we usually 257 00:20:37.759 --> 00:20:41.440 say we don' t give medications unless it' s prescribed. But in 258 00:20:41.519 --> 00:20:45.400 the case of diabetes, unless I have the information about how much glucose you 259 00:20:45.559 --> 00:20:49.480 have at that time there, then you may feel bad, you may have 260 00:20:49.519 --> 00:20:55.559 vanished. Imagine he' s fainting and then I know there' s a 261 00:20:55.720 --> 00:20:59.839 precondition. This one is going to be important egh because if I don' 262 00:20:59.839 --> 00:21:03.920 t know, I have no history of having diabetes. I can be looking 263 00:21:04.279 --> 00:21:11.400 like blind people he' s got. So there' s these pesate slogans, 264 00:21:11.839 --> 00:21:14.759 measure you, move, don' t check. And if we want 265 00:21:14.839 --> 00:21:22.039 to know if we have a prediabetic condition or not, in my children they 266 00:21:22.039 --> 00:21:26.160 will not have special diets. They are usually encouraged to exercise, to be 267 00:21:26.200 --> 00:21:30.880 observed, and to have well- kept diets. Perhaps the most difficult thing 268 00:21:30.960 --> 00:21:34.119 is to endure the desire to eat a sweet when the sweets arrive, because, 269 00:21:34.240 --> 00:21:38.279 come on is the age of the holidays not piñatas, And well, 270 00:21:38.559 --> 00:21:45.839 there will also be sweets for diabetics. We are not drastically changing life, 271 00:21:45.640 --> 00:21:51.039 but if we have to look for special care, especially to avoid an urgency, 272 00:21:51.519 --> 00:21:59.079 a complication that I insist if we had these, this information already prior 273 00:21:59.160 --> 00:22:03.119 to lack of knowledge, we talk about complications, pain, swelling, wounds 274 00:22:03.160 --> 00:22:07.359 that heal us. Maybe I don' t have to move to a medical 275 00:22:07.440 --> 00:22:12.200 center right away, okay? That' s an important issue, because that 276 00:22:12.279 --> 00:22:17.559 ' s what I understand, which is considered the most serious thing that diabetic 277 00:22:17.680 --> 00:22:22.359 coma is. M we also have diabetic setuacidosis, which is again what is 278 00:22:22.400 --> 00:22:29.319 called diabetic stoacidosis. Both cases are serious cases that can be fatal. No, 279 00:22:29.559 --> 00:22:33.000 I mean, a person who gives him a diabetic setuacidosis starts smelling like 280 00:22:33.039 --> 00:22:37.119 apples, like sweets. That' s how you sweat the person or the 281 00:22:37.160 --> 00:22:40.119 person and you say how rich it smells like manzanitas, not water. It 282 00:22:40.400 --> 00:22:42.359 ' s no longer fermenting the person at that moment and I have to move. 283 00:22:44.119 --> 00:22:49.799 No em are extremely glucose levels as well, they are extremely high and 284 00:22:49.960 --> 00:22:55.599 risk begins to break down fat in such a way that it produces this smell. 285 00:22:55.960 --> 00:23:02.960 Not ok e in the case of hyperglucose hypoglucose coma, not e can 286 00:23:03.319 --> 00:23:10.039 also be due to high blood glucose levels And if I were to be used 287 00:23:10.079 --> 00:23:12.960 in an ambulance, I would normally channel not with a used gloc solution. 288 00:23:14.039 --> 00:23:19.440 On the contrary, e, but we need the doctor to know his or 289 00:23:19.559 --> 00:23:25.519 her history, to know if he or she is taking medication and already em 290 00:23:25.519 --> 00:23:26.880 has been given, if he or she is not reacting, what is going 291 00:23:26.880 --> 00:23:30.240 on behind him or her. No, but it comes out of my knowledge 292 00:23:30.359 --> 00:23:36.119 as a first responder, of me, as a mom or as a couple 293 00:23:36.119 --> 00:23:38.039 or as a grandchild, that I know that my patient, my relative, 294 00:23:38.039 --> 00:23:41.400 has diabetes. If I perceive these two things, it loses consciousness or I 295 00:23:41.400 --> 00:23:45.759 start smelling like apples. I have to go to the medical center immediately. 296 00:23:45.359 --> 00:23:49.759 OK, it' s urgent, so that' s Cab what we' 297 00:23:49.759 --> 00:23:53.640 re missing. I say the disease itself. It is not good to start, 298 00:23:55.960 --> 00:24:00.559 but summary of the most, it matters again knowing that your presence here 299 00:24:00.599 --> 00:24:06.599 has to do with not replacing the doctor, if not with first aid. 300 00:24:07.079 --> 00:24:10.680 I won' t see the first one I have. I already know I 301 00:24:10.759 --> 00:24:11.920 have diabetes. I don' t know I have diabetes. More or less. 302 00:24:12.319 --> 00:24:15.160 I said put a finger down. If I have this, I' 303 00:24:15.160 --> 00:24:15.880 m already here. OK, yeah, I already died of fear. I 304 00:24:15.880 --> 00:24:22.000 already went to the doctor and they told me, Mr Ma' am, 305 00:24:22.000 --> 00:24:26.720 take care of yourself. Low blood sugar, low blood glucose. It' 306 00:24:26.759 --> 00:24:30.640 s called hypoglycemia. There you go, your little candy, that' s 307 00:24:30.720 --> 00:24:33.759 where you' d go to your little coke, your game of some orange 308 00:24:33.759 --> 00:24:38.039 game. There are glucose tablets, but I can' t give it because 309 00:24:38.200 --> 00:24:44.240 it means numbers. Don' t leave your numbers. You have to lose 310 00:24:44.319 --> 00:24:47.440 your fear of the tiny little finger, that drop of blood. He' 311 00:24:47.519 --> 00:24:51.160 s going to give me numbers, and then I' m going to know 312 00:24:51.319 --> 00:24:55.240 if I' m above, below normal, why remember the normal glucose. 313 00:24:56.359 --> 00:25:03.400 It will have to be fasted between seventy and one hundred after it will be 314 00:25:03.440 --> 00:25:06.279 at least one hundred and forty, not less than one hundred and forty. 315 00:25:06.599 --> 00:25:12.480 On my indicator above that I might suspect diabetes. Hey, but then see 316 00:25:12.559 --> 00:25:17.519 if I already felt bad, but I' m over a hundred and forty. 317 00:25:17.640 --> 00:25:19.839 Ah so we' re talking about a high blood sugar level and then 318 00:25:19.880 --> 00:25:26.279 it' s no longer hiccups, it' s hyper- glusus great and 319 00:25:26.279 --> 00:25:30.039 now we drink water try. Imagine you' re going to dilute the excess 320 00:25:30.079 --> 00:25:33.000 blood sugar. So there' s no candy, there' s no juice, 321 00:25:33.079 --> 00:25:34.880 there' s simple water. No. I was telling you maybe in 322 00:25:34.920 --> 00:25:38.599 the ambulance it was my turn to do a channeling and what I want is 323 00:25:38.640 --> 00:25:45.720 to have liquids here, but not sweet liquids and that I was eating something 324 00:25:45.839 --> 00:25:49.759 you suspended what you were eating right then, even dul no more sweet carbohydrates 325 00:25:49.920 --> 00:25:56.519 in general um e and seek medical attention. Hey, I got the diabetic 326 00:25:57.039 --> 00:26:03.480 setuacidosis thing that I already smelled. Don' t be a manzanita. Well, 327 00:26:03.000 --> 00:26:07.119 go back to drinking fluid and let' s go to the doctor, 328 00:26:07.279 --> 00:26:10.960 not that I have foot injuries. Perhaps this is not like an emergency as 329 00:26:11.079 --> 00:26:15.119 such, because em to see is not that you stick and suddenly the injury 330 00:26:15.160 --> 00:26:18.640 appears as in the wounds that we have talked about at other times, but 331 00:26:19.480 --> 00:26:25.160 that here, in the feet can be done to blisters or sores or something. 332 00:26:25.920 --> 00:26:29.200 And I, Mom, I wife, I daughter, I granddaughter, 333 00:26:29.440 --> 00:26:33.160 I' m not maybe checking him that day I wanted to give him a 334 00:26:33.240 --> 00:26:37.680 potato on his feet. No, and to my dear person who has diabetes 335 00:26:37.880 --> 00:26:42.279 and I detect sores, I detect these lesions on the front feet, we 336 00:26:42.279 --> 00:26:45.279 clean and disinfect. We will apply as if it were a normal wound, 337 00:26:45.519 --> 00:26:51.240 a sterile bandage, but I also need to seek medical attention, not especially 338 00:26:51.400 --> 00:26:55.559 if it is not healthy, because this is already going to be an indicator 339 00:26:55.599 --> 00:27:00.599 and there may be signs of infection, redness, swelling, secretion do not 340 00:27:00.599 --> 00:27:03.000 risk losing. Each of your little fingers is Mari is valuable, no, 341 00:27:03.160 --> 00:27:06.640 each of your parts is valuable and sometimes you can grow and lose your full 342 00:27:06.640 --> 00:27:11.799 foot. There is no doubt that a whole subject, this whole subject, 343 00:27:11.039 --> 00:27:15.480 and the insistence, please, that this does not replace medical care, are 344 00:27:15.640 --> 00:27:23.680 certainly not at risk. This is only first aid and we cannot lose sight 345 00:27:23.720 --> 00:27:30.000 of it within the context of which we speak, because we would commit an 346 00:27:30.039 --> 00:27:33.079 e, because it goes beyond imprudence, a lack of ethics. It is 347 00:27:33.920 --> 00:27:41.440 not very important for you to be perfectly clear. This is only for what 348 00:27:41.519 --> 00:27:45.839 we do in case the person decompensates in some way or you decompensate not, 349 00:27:47.000 --> 00:27:52.519 but it is not a substitute for your medical follow- up. How would 350 00:27:52.599 --> 00:27:56.960 God command? They' d say the phrases around. Go with what I 351 00:27:56.440 --> 00:28:03.200 can tell you in a manual whatever it is to generality. But your individuality 352 00:28:03.279 --> 00:28:07.880 is sacred and every case, every situation you have modifies that individuality and you 353 00:28:08.000 --> 00:28:11.160 can no longer stick to what it says. The rule doesn' t change. 354 00:28:11.319 --> 00:28:15.799 We' ll have to make adjustments. No doubt about it. Gaby, 355 00:28:15.839 --> 00:28:22.680 as always, thank you very much, we repeat your Whatsapp data to 356 00:28:22.720 --> 00:28:26.000 ask you for whatever you have doubts. Fifty- five, fifty- one, 357 00:28:26.880 --> 00:28:33.480 zero, four, fifty- nine, eighty- five social networks. 358 00:28:33.720 --> 00:28:38.599 On social media we are on Facebook and Instagram. As a first aid spark. 359 00:28:40.200 --> 00:28:44.680 I can also send e- mail to Gaby Ponte Chispa, anyway, 360 00:28:44.759 --> 00:28:49.680 along with Gaby Ponte Chispa arroba gmail com and because on the website we are 361 00:28:49.759 --> 00:28:56.680 uploading courses, we are updating events, everything you need in Ponte Chispa com 362 00:28:56.759 --> 00:29:03.160 perfectly. Gaby, great grace, Graces as always for dedicating this complete program 363 00:29:03.279 --> 00:29:06.559 and we see each other on Thursday thanks to Ti Chayo a hug also very 364 00:29:06.640 --> 00:29:07.960 big to IT, to all those who listen to us at home good profit. 365 00:29:08.079 --> 00:29:11.640 We hear each other here tomorrow at 1: 00 p m, in 366 00:29:11.720 --> 00:29:15.039 more than Chayo with you I am Chayo Busetch who have very good profit. 367 00:29:15.160 --> 00:29:22.519 Or get them right where they' re headed. Audio Centre