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Living with type 1 Diabetes in Spain

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This thread is now closed. Please contact Anna DUK, Ieva DUK or everydayupsanddowns if you would like it re-opened.
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Type 1
Hi there, I am moving to Spain in September for a job and wondered if anyone has done the same and might be able to share any information on getting diabetic healthcare support? Any feedback would be so appreciated! Thank you 🙂
 
Him welcome to the forum 🙂 I think our member @Bloden should be able to help you Alexa, hopefully she will be along soon 🙂
 
Hi there, Alexa.🙂 What questions do you have in particular?

In Spain, you have to be working and paying your contributions in order to access their NHS. I was in Asturias, in the north - where are you going to be living?

A few big differences from the UK system:

1. Strips, lancets, needles, ketone strips, etc. weren’t on a prescription - at my last surgery I had to make an appt with the nurse to get this kit. At my surgery before that, the system was slightly different so don’t expect them all to be the same!

2. My insulin was on an ‘electronic prescription’ which is basically a piece of A4 paper with all your meds listed on it (don’t lose it!🙄) - the pharmacist scans it and gives you what you want from the list. It means you don’t have to go and get repeat prescriptions until the bit of paper expires (it’s about 8 months’ worth of meds). But again, don’t expect every area of Spain to be the same!

3. My endo and DSN were at my local hospital. Ten days before an endo appt, I had to make an appt to get the necessary blood tests done at my surgery (the vampires only worked from 8 to 8.30am, Mon to Thurs); the blood was then sent to the hospital and analysed there. Then the results’d magically pop up on my endo’s computer screen.

A friend who’s a doctor here in the UK surprised me by saying that the Spanish NHS has a bad reputation - rubbish! - I only have good things to say about the Spanish system. 😛
 
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@Bloden thank you so much for this information! (And sorry for my slow reply). This is incredibly helpful. I am going to be living in Madrid. Can you tell me how you found your consultant/specialist? Did you just go into your local hospital and say you were diabetic and needed to see a specialist on a regular basis? Or did you register with your local GP and they then connected you? That is also very interesting about your prescriptions. Do you have to pay for your prescriptions (insulin and all other stuff) or is this covered under the healthcare system? Thank you again for you help!
 
When I moved to Spain I wasn’t diabetic. I was dx after I’d been living there for a year, so I was already registered at my local health centre. My GP diagnosed me and sent me straight to A&E. While I was in hozzie I was assigned a DSN and an endo. They looked after me for 10 years, until I moved back to the UK. As for prescriptions, they’re free in Asturias (don’t know about Madrid) but I had to pay a handling fee of approx €3 per box of insulin pens. Evthing else was free.

I lived and worked in Madrid (province - the city was half an hour away on the local train) in the 90s. I was still young enuff then to be able to party like a Spaniard!😛 Will you be teaching English or have you got a proper job, LOL?🙂
 
Hi there, Alexa.🙂 What questions do you have in particular?

In Spain, you have to be working and paying your contributions in order to access their NHS. I was in Asturias, in the north - where are you going to be living?

A few big differences from the UK system:

1. Strips, lancets, needles, ketone strips, etc. weren’t on a prescription - at my last surgery I had to make an appt with the nurse to get this kit. At my surgery before that, the system was slightly different so don’t expect them all to be the same!

2. My insulin was on an ‘electronic prescription’ which is basically a piece of A4 paper with all your meds listed on it (don’t lose it!🙄) - the pharmacist scans it and gives you what you want from the list. It means you don’t have to go and get repeat prescriptions until the bit of paper expires (it’s about 8 months’ worth of meds). But again, don’t expect every area of Spain to be the same!

3. My endo and DSN were at my local hospital. Ten days before an endo appt, I had to make an appt to get the necessary blood tests done at my surgery (the vampires only worked from 8 to 8.30am, Mon to Thurs); the blood was then sent to the hospital and analysed there. Then the results’d magically pop up on my endo’s computer screen.

A friend who’s a doctor here in the UK surprised me by saying that the Spanish NHS has a bad reputation - rubbish! - I only have good things to say about the Spanish system. 😛

Sorry I realise you posted this some time ago, but do you have any knowledge/information about moving to Spain and access to insulin pump supplies - infusion sets, cartridges, cannulas etc. please
Using Accuchek Combo, Dexcom 6 CGM, looping with smartphone.
 
Alexa, good morning.

I live in the Junta de Andalucia and therefore it is highly likely that what happens here will not be relevant to living in Madrid.

My doctor each year programmes the chip on the health card to supply me with 12 months of my regular medications. I just take this to the pharmacy and am dispensed the medications provided that the computer shows that I have less than 8 days supply left.

This does not apply to insulin as the dosages vary according to your need.

It does however apply to test strips. I recently asked my doctor to re-programme the chip to using 5 a day instead of 3, which he willingly did.

I am a pensioner and have to pay roughly 10% of the cost. This is not the case with regard to test strips. I pay €1.50 for a tub of 50 strips. The actual cost of a tub is €84.00.

As Bloden said the health service in Spain is excellent. There is a major difference however if you are hospitalised, your friends/family are expected to look after your non-medical requirements, washing, feeding, toilet visits, undressing, dressing etc. This is why each hospital bed has a chair next to it which folds down into a bed so that relatives etc can stay the night to give you the care you need.
 
Sorry I realise you posted this some time ago, but do you have any knowledge/information about moving to Spain and access to insulin pump supplies - infusion sets, cartridges, cannulas etc. please
Using Accuchek Combo, Dexcom 6 CGM, looping with smartphone.
Hi @gordon5. 🙂 Sorry, I don't have the answer to your questions about pumps. I'm on MDI.

As for what @Michael12420 says about care while you're in hospital - in Asturias the staff don't expect your family to feed you, dress you, etc. hahaha... Andalucia's like another country! 😱😛
 
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