This year the world diabetes day subject is “Disadvantaged-Access to care for all-- overcomes the disadvantage factor, enables all diabetics to obtain the high quality diabetes service”.

　　International diabetes alliance (IDF) proposed that a such slogan, this is because many diabetics cannot obtain the high quality diabetes service. In some areas and some crowds, the diabetic foundation's medical service cannot obtain the guarantee continually, specially in developing country and poor area, including our country's certain areas. But, whether in the developed area, to serve relatively developed like Beijing, Shanghai, Tianjin such big city particularly in diabetes faculty, all or the most diabetics have been able to obtain the high quality diabetes faculty to serve? The fact is not true.

　　Saccharifies the hemoglobin (HbA1c) is an item reflected that the nearly 2-3 month blood sugar average level the target, advocated at present 6.5% takes the treatment standards by HbA1c<. But in 2003 to North China, East China, the West China and Northeast five area altogether 30 had the faculty diabetes center hospital investigation to demonstrate that 2700 are investigated patient's HbA1c examination value is equally 7.5 + 1.6%, only some 11.5% patient blood sugar control satisfaction (HbA1c< 6.5%), but the overwhelming majority (88.5%) patient blood sugar control has not been able to attain a designated standard (HbA1c> 6.5%), and the HbA1c >7.5% patients accounted for 38.6%. This explained fully that our country diabetes treat the blood sugar control unsatisfied are the common phenomenon.

　　Overcomes the disadvantage factor, enables all diabetics to enjoy to the high quality diabetes medical service goal is guaranteed that these patients treat the standards. In order to serve this purpose, the medical personnel need to put in the difficult work, but takes accepts the medical service a side diabetic, also has same is even a more important responsibility. It is a pity our many patients have not realized this point. The following I many year and diabetes fellow patient am together on myself intersect the process which the dear friend governs, discussed the fellow patient needs to overcome question

　　First, will not see a doctor. Many fellow patient not far hundred mile great distances, rush to Beijing Shanghai such big city to see a doctor, hoped that could find diabetes expert to receive a medical examination. After the long time's waiting, saw the expert finally, but because the preparation is not full, in the limited time, cannot expresses fully own condition and the idea. Then, takes the patient, how many aspects needs to let the expert from that understand itself? I believed that when first outpatient service seeing a doctor when recounts the medical history, must be explicit at least: 1st, did diabetes course, how long namely contract diabetes? 2nd, whether or not diabetes complication, like eyeground sickness, albuminuria and so on, if never accepts this aspect to inspect, should also tell doctor, with the aim of accepting the inspection quickly as far as possible. 3rd, whether or not hypertension, the blood fats unusual and so on situation which or disease follows. 4th, present treatment, like whether to have controlled the diet and the daily movement situation, takes any medicine and so on. Recently moreover, should take to bring with the lab test report which inspected or the blood sugar result which test oneself in the home.

　　Second, does not take seriously to inspect. Many patients treat again, the light inspection, some patients do not even accept the inspection, feared that draws blood, fears spends, this is incorrect. Because, does not have the check result, the treatment is very blind, achieves the effect with difficulty. Recently my colleague has done a research, investigated more than 2400 example diabetic, discovered that the inspection saccharification hemoglobin frequency high patient, the blood sugar controls well. I have undertaken an international cooperation research, to let patient's saccharification hemoglobin achieve the ideal target (<= 6.5%), we while strengthen the pharmacological treatment, strengthened the blood sugar monitor, discovered that the blood sugar monitors the good patient, the blood sugar controls ideally. We also discovered that the blood sugar monitors the good patient to spend freely on the blood sugar indicator paper, but applies drugs on is actually more reasonable also economizes. Some patients, usually do not inspect, once inspected the blood sugar to be very high, even presented the serious complication, and even needed the hospital treatment, the result has spent more money. More importantly, spent could not have achieved the good treatment result.

　　Third, excessively many relies on the medical personnel and the family member. This displays in some patients did not understand to own condition that is not explicit to the treatment goal, like blood sugar control in any level for good, the blood pressure should reduce to any level, exceptionally waits whether or not the blood fats, did not understand. And what is more, is taking any medicine including not to know. As soon as asked that three did not know, needs the family member to accompany is seeing a doctor, helps to reply doctor's inquiry, this is very pitiful. Because of speaking of the overwhelming majority patient, diabetes are one kind of lifelong disease, needs lifelong to pay attention to the diet, the movement and/or the medication, some need to inject the insulin, if excessively many relies on other people, will lose own subjective initiative, cannot participate in each kind of social activity independently and be engaged in the normal work and the life, moreover, also will sometimes present the danger, like will have the hypoglycemia, the blood pressure fluctuation and so on. The patient should through with medical personnel's contact and the usual study and the observation, understood that own condition, understand diabetes, can coexist harmoniously finally with diabetes, becomes “the health” the patient, causes diabetes not to affect own quality of life and the life. Even because some patients have created disaster diabetes, has insisted the health life style, but has not contracted diabetes' contemporaries some to live well is long than, this is completely possible.