How to improve the quality of type 2 diabetes mellitus management in routine clinical practice. experience of using a glycemic variability diary
- 作者: 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
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隶属关系:
- City Consultative and Diagnostic Center № 1
- City Outpatient Clinic № 19
- Central Medical and Sanitary Unit № 58 of the FMBA of Russia
- Shcherbinka City Hospital of the Moscow Healthcare Department
- City Outpatient Clinic № 114
- City Outpatient Clinic № 86
- City Outpatient Clinic № 2
- City Outpatient Clinic № 112
- City Outpatient Clinic № 23
- City Outpatient Clinic № 117
- City Outpatient Clinic № 44
- Center named after. L.G. Sokolov, FMBA of Russia
- Arkhangelsk Regional Clinical Hospital
- Vologda Regional Center of Endocrinology
- 期: 卷 30, 编号 12 (2023)
- 页面: 46-50
- 栏目: 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
如何引用文章
详细
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.
全文:
作者简介
Kh. Astamirova
City Consultative and Diagnostic Center № 1
Email: nicolay13@mail.ru
ORCID iD: 0000-0002-7828-0052
俄罗斯联邦, St. Petersburg
A. Gatina
City Outpatient Clinic № 19
Email: nicolay13@mail.ru
俄罗斯联邦, St. Petersburg
Ya. Gorbunova
Central Medical and Sanitary Unit № 58 of the FMBA of Russia
Email: nicolay13@mail.ru
俄罗斯联邦, Severodvinsk
Nikolay Demidov
Shcherbinka City Hospital of the Moscow Healthcare Department
编辑信件的主要联系方式.
Email: nicolay13@mail.ru
ORCID iD: 0000-0001-8289-0032
Cand. Sci. (Med.).
俄罗斯联邦, Shcherbinka, MoscowT. Ivanenko
City Outpatient Clinic № 114
Email: nicolay13@mail.ru
俄罗斯联邦, St. Petersburg
M. Kolesnikova
City Outpatient Clinic № 86
Email: nicolay13@mail.ru
俄罗斯联邦, St. Petersburg
O. Lapteva
City Outpatient Clinic № 2
Email: nicolay13@mail.ru
俄罗斯联邦, St. Petersburg
I. Morozova
City Outpatient Clinic № 112
Email: nicolay13@mail.ru
俄罗斯联邦, St. Petersburg
V. Parshina
City Outpatient Clinic № 23
Email: nicolay13@mail.ru
俄罗斯联邦, St. Petersburg
O. Presnyakova
City Outpatient Clinic № 117
Email: nicolay13@mail.ru
俄罗斯联邦, St. Petersburg
E. Smirnova
City Outpatient Clinic № 44
Email: nicolay13@mail.ru
ORCID iD: 0000-0003-2487-0038
俄罗斯联邦, St. Petersburg
N. Smirnova
Center named after. L.G. Sokolov, FMBA of Russia
Email: nicolay13@mail.ru
俄罗斯联邦, St. Petersburg
M. Startseva
Arkhangelsk Regional Clinical Hospital
Email: nicolay13@mail.ru
俄罗斯联邦, Arkhangelsk
Z. Khamrazhanov
Vologda Regional Center of Endocrinology
Email: nicolay13@mail.ru
俄罗斯联邦, Vologda
N. Kholmskaya
Vologda Regional Center of Endocrinology
Email: nicolay13@mail.ru
俄罗斯联邦, Vologda
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