Aspects of examination of patients with diabetes mellitus type 1 and 2 in the office of sociomedical assessment

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Abstract

When examining citizens in federal state medical and social examination institutions when recognizing a person as disabled, it is necessary to apply the criteria for determining disability set out in Order of the Ministry of Labor of Russia dated August 27, 2019 No. 585н. The conditions for recognizing a citizen as a disabled person are persistent violations of body functions, which lead to a limitation in various categories of life, the need for social support. A quantitative assessment of the severity of persistent dysfunctions of the human body is determined in percent. Certain clauses of the Order regulate the examination of citizens with diabetes. The article sets out the generally accepted criteria for assessing the severity of diabetes and its complications, the main research methods to determine the dysfunction of the target organs for a timely and reasonable referral for examination at the bureau of medical and social examination.

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About the authors

Sergey V. Stolov

Saint-Petersburg Postgraduate Institute of Medical expert; I.I. Mechnikov North-Western State Medical University

Author for correspondence.
Email: sv100lov@gmail.com
SPIN-code: 5492-2429
Scopus Author ID: 25177

candidate of medical sciences, Associate Professor of the Department of Therapy, Medical and Social Expertise and Rehabilitation №1 “Saint-Petersburg Postgraduate Institute of Medical Еxperts”

Russian Federation, Saint-Petersburg

Elena M. Ugleva

Saint-Petersburg Postgraduate Institute of Medical expert

Email: uglevaem@mail.ru
ORCID iD: 0000-0002-1130-5913
SPIN-code: 8589-8371
Scopus Author ID: 220013

MD, PhD

Russian Federation, Saint-Petersburg

Tatiana Yu. Yamshchikova

Saint-Petersburg Postgraduate Institute of Medical expert

Email: tania@tirn.spb.ru
SPIN-code: 4985-2190
Scopus Author ID: 704069

MD, PhD

Russian Federation, Saint-Petersburg

Olga V. Makarova

Saint-Petersburg Postgraduate Institute of Medical expert

Email: olgamak2012@mail.ru
SPIN-code: 3301-1322
Scopus Author ID: 706047

MD, PhD

Russian Federation, Saint-Petersburg

References

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  2. Dedov I.I., Shestakova M.V., Vikulova O.K. Epidemiology of diabetes mellitus in Russian Federation: clinical and statistical report according to the federal diabetes registry. Sakharnyy diabet. 2017; 20(1):13-41. (in Russian) doi: 10.14341/DM8664.
  3. Dedov I.I., Shestakova M.V., Vikulova O.K., Zheleznyakova A.V., Isakov M.A. Diabetes mellitus in Russian Federation: prevalence, morbidity, mortality, parameters of glycaemic control and structure of glucose lowering therapy according to the Federal Diabetes Register, status 2017. Sakharnyy diabet. 2018;21(3):144-59. (in Russian) doi: 10.14341/DM9686.
  4. Dedov I.I., Shestakova M.V., eds. Type 1 diabetes: realities and prospects. [Sakharnyy diabet tipa 1: realii i perspektivy]. Moscow: Meditsinskoe informatsionnoe agentstvo; 2016. 504 p. (in Russian)
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  8. Kalashnikov V.Yu., Vikulova O.K., Zheleznyakova A.V., Isakov M.A., Bondarenko I.Z., Shestakova M.V., Dedov I.I. Epidemiology of cardiovascular diseases among patients with diabetes mellitus according to the federal diabetes register of the Russian Federation (2013–2016). Sakharnyy diabet. 2019;22(2):105-14. (in Russian) doi: 10.14341/DM10167.
  9. Puzin S.N., Shurgaya M.A., Karaeva A.F., Mammaraeva A.M., Dmitrieva N.V. Epidemiological aspects of primary disabilitiy caused by the diseases of the endocrine system in the Russian Federation. Vestnik vserossiyskogo obshchestva spetsialistov po mediko-sotsial’noy ekspertize, reabilitatsii i reabilitatsionnoy industrii. 2018;(4):17-23. (in Russian)
  10. Dedov I.I., Shestakova M.V., Mayorov A.Yu., eds. Algorithms for specialized medical care for patients with diabetes. [Algoritmy spetsializirovannoy meditsinskoy pomoshchi bol’nym sakharnym diabetom]. Moscow; 2019. (in Russian)
  11. Dedov I.I., Shestakova M.V., Peterkova V.A., Vikulova O.K., Zheleznyakova A.V., Isakov M.A. et al. Diabetes mellitus in children and adolescents according to the Federal diabetes registry in the Russian Federation: dynamics of major epidemiological characteristics for 2013–2016. Sakharnyy diabet. 2017;20(6):392-402. (in Russian) doi: 10.14341/DM9460.

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