Holland

We visited the practical assistent at the General Practitioner Center on tuesday January 2th. Her name is Ellen van Beek and she is a specialist in diabetic. We asked her to give us information and she said that she loved to talk to us.

First we would like to give you some numbers. We learned how many patients have diabetic in Mill’s General Practitioner Center. In total there are 3800 patients and 180 of them have diabetic. So that is 4,7%. You can specifice it in 10 patients who have type 1 and 166 patients who have type 2. Insuline is given to 43 diabetic patients. They all get a different amount of inuline, because it depends on the person. The brand of insuline is mostly lantus insuline.

After we got to know this, the interview started.

  1. Who decides if you have diabetes?

When somebody has complaints they come to the General Practitioner. If it is necessairy, you get a blood test and the diagnose is made based on the lab-results. So it is possible that the General Practitioner tells the patient that he/she has diabetic, but it is also possible that a practical assistent tells it.

  1. Do we have special doctors for diabetic patients and who is going to them?

Internists are specialised in diabetes Mellitus and practical assistents are also specialised in it, but they work in the General Practitioner Center. Patients with diabetic type 1 always go to the interist. Patients with type 2 are being treated by the General Practitioner but sometimes they are referenced to the internist. Type 2 also goes to the practical assistent sometimes.

  1. Do you get a recept from the General Practitioner for the pharmacy?

If a patient need to start use medicine, he/she gets a recept so he/she can go to the pharmacy to get it. Sometimes the supplier provides the glucose device.

  1. If the patient knows that he has diabetic, who gives him information about the topic?

If the diagnose is made, the patient has to go to the practical assistent who gives him/her information about it. Also a diabetic nurse can give information about it if he/she is in the hospital.

  1. Are workshops being given?

Ellen couldn’t give us a specific answer to that, because the General Practitioner Center, doesn’t have any influence on those things. But she said that there probably will be given workshops.

  1. For what do diabetic patients have to pay?

If patients have to inject insuline, they get it reimbursed by the insurer. If it isn’t necessairy to inject insuline, the patients have to pay for it. At first, the medicine are ducted of the excess. If the excuss is

  1. How are elder people being treated?

They are being treated the same as the other diabetic patients. If they aren’t capable of going to the General Practitioner Center, the General Practitioner will come to them.

  1. What do you mostly recommend to patients?

At first I try to motivate them to do sports and diet, because that is the most important thing. Even if sporting and the diet doesn’t help enough, I am trying to keep them motivated.

  1. What is the main cause for diabetes in Mill?

There isn’t a main cause, we see overweight people and skinny people.

  1. How often do you go back to the General Practitioner Center to get a new recipe?

Every three months, the patient has to come for a controle, once a year the patient goes to the General Practitioner Center, once to the practical assistent and twice to the assistent.

  1. If you have diabetes, you have complications with your feet and eyes. Do you examine the patients immediately or only when they complain about it?

The feet are being controlled every year. Mostly there are being redirected to the podiatrist or pedicure. The eyes are being controlled once every two years. If there are problems with the eyes, they are being controlled every year. After the controle, some of the patients will be redirected to the ophthalmologist.