How to improve the quality of type 2 diabetes mellitus management in routine clinical practice. experience of using a glycemic variability diary

Kh. S. Astamirova; Астамирова Х. С.; A. I. Gatina; Гатина А. И.; Ya. S. Gorbunova; Горбунова Я. С.; Nikolay A. Demidov; Демидов Николай Александрович; T. S. Ivanenko; Иваненко Т. С.; M. I. Kolesnikova; Колесникова М. И.; O. A. Lapteva; Лаптева О. А.; I. V. Morozova; Морозова И. В.; V. A. Parshina; Паршина В. А.; O. Yu. Presnyakova; Преснякова О. Ю.; E. Yu. Smirnova; Смирнова Е. Ю.; N. P. Smirnova; Смирнова Н. П.; M. A. Startseva; Старцева М. А.; Z. A. Khamrazhanov; Хамражанов З. А.; N. I. Kholmskaya; Холмская Н. И.

doi:10.18565/pharmateca.2023.12.46-50

How to improve the quality of type 2 diabetes mellitus management in routine clinical practice. experience of using a glycemic variability diary

Authors: Astamirova K.S.¹, Gatina A.I.², Gorbunova Y.S.³, Demidov N.A.⁴, Ivanenko T.S.⁵, Kolesnikova M.I.⁶, Lapteva O.A.⁷, Morozova I.V.⁸, Parshina V.A.⁹, Presnyakova O.Y.¹⁰, Smirnova E.Y.¹¹, Smirnova N.P.¹², Startseva M.A.¹³, Khamrazhanov Z.A.¹⁴, Kholmskaya N.I.¹⁴
Affiliations:
1. City Consultative and Diagnostic Center № 1
2. City Outpatient Clinic № 19
3. Central Medical and Sanitary Unit № 58 of the FMBA of Russia
4. Shcherbinka City Hospital of the Moscow Healthcare Department
5. City Outpatient Clinic № 114
6. City Outpatient Clinic № 86
7. City Outpatient Clinic № 2
8. City Outpatient Clinic № 112
9. City Outpatient Clinic № 23
10. City Outpatient Clinic № 117
11. City Outpatient Clinic № 44
12. Center named after. L.G. Sokolov, FMBA of Russia
13. Arkhangelsk Regional Clinical Hospital
14. Vologda Regional Center of Endocrinology
Issue: Vol 30, No 12 (2023)
Pages: 46-50
Section: Clinical experience
URL: https://journals.eco-vector.com/2073-4034/article/view/626032
DOI: https://doi.org/10.18565/pharmateca.2023.12.46-50
ID: 626032

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Abstract

Background. In the realities of routine practice; endocrinologists work in multitasking mode. Their efforts are aimed at providing an individualized approach to the management of type 2 diabetes mellitus (DM2) for each patient. The emergence of new tools to ensure quality glycemic control; such as a glycemic variability diary (GVD); can open up a number of new opportunities for doctors and patients and improve the DM2 prognosis.

Analysis of experience in using GVD. The analyzed experience of using GVD in 31 patients with decompensated DM2 in real clinical practice of endocrinologists in the Northwestern Federal District is presented. Using GVD; the estimated time spent by patients in different glycemic ranges and the effectiveness of therapy changes in terms of efficacy and safety in relation to hypoglycemic conditions were assessed. In addition; glycemic variability (GV) was assessed as an independent risk factor for the development of severe hypoglycemic conditions and diabetic microand macroangiopathies [1].

Conclusion. GVD has demonstrated itself as an effective tool that helps improve glycemic control in DM2 patients and makes it possible to qualitatively evaluate the results of the therapy used. In our case; GVD made it possible to visualize the positive dynamics of changes in carbohydrate metabolism after the inclusion of degludec in the ultra-long-acting insulin therapy regimen.

Keywords

type 2 diabetes mellitus, time in the target range, glycemic variability, hypoglycemia, glycemic variability diary, degludec

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Cand. Sci. (Med.).

Russian Federation, Shcherbinka, Moscow

References

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