Basic principles of management of patients with diabetes mellitus type 2 in outpatient practice. Part 1. Diagnostics

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Abstract

Worldwide, there is a high rate of growth in the incidence of diabetes mellitus. In the Russian Federation, the prevalence of diabetes is also high. According to some data, the number of patients with this disease in the Russian Federation can reach at least 9 million people (about 6% of the population).

The most dangerous consequences of the global epidemic of diabetes mellitus are the development of its systemic vascular complications-nephropathy, retinopathy, lesions of the main vessels of the heart, brain, and arteries of the lower extremities.

To prevent the development of complications of diabetes mellitus, its timely diagnosis is extremely important. Primary care physicians play a key role in early detection of diabetes.

In this lecture, the risk factors for the development of diabetes mellitus, prevention of this disease, diagnostic approaches that allow timely detection of diabetes mellitus and start its treatment are considered. Diagnostic criteria for various disorders of the glycemic profile are presented. The role of glycated hemoglobin as a diagnostic criterion for diabetes mellitus is noted.

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About the authors

Ludmila N. Degtyareva

North-Western State Medical University named after I.I. Mechnikov

Author for correspondence.
Email: ludmila.degtyareva@szgmu.ru
ORCID iD: 0000-0001-8375-3363
SPIN-code: 5942-8540
ResearcherId: O-4144-2014

MD, PhD, Associate Professor

Russian Federation, 41, Kirochnaya street, Saint-Petersburg, 191015

References

  1. Standards of specialized diabetes care. Ed. by I.I. Dedov, M.V. Shestakova, A.Yu. Mayorov. Diabetes Mellitus. 2019;22(1S1):1–144. (In Russ.). doi: 10.14341/DM221S1
  2. Klinicheskie rekomendatsii. Sakharnyi diabet 2 tipa u vzroslykh [Internet]. Available from: https://rae-org.ru/system/files/documents/pdf/saharnyy_diabet_2_tipa_u_vzroslyh.pdf. Accessed 24.03.2021. (In Russ.)
  3. Ehndokrinologiya. Natsional’noe rukovodstvo. Kratkoe izdanie. Ed. by I.I. Dedov, G.A. Mel’nichenko. 2nd ed. Moscow: GEOTAR-Media; 2020. (In Russ.)

Copyright (c) 2021 Degtyareva L.N.

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