Implementation of Diabetes Mellitus Program in the Tyumen region

Aim. To assess results of realization of the regional Diabetes Mellitus Program in the Tyumen region. Materials and methods. Materials of the regional Diabetes Mellitus Registry for 1999-2007 were analysed. Results. DM1 and DM2 morbidity increased from 6.6 to 8.16 and from 97.3 to 216.96 per100,0...

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Autores principales:	Lyudmila Alexandrovna Suplotova, L N Belchikova, N S Brynza
Formato:	article
Lenguaje:	EN RU
Publicado:	Endocrinology Research Centre 2009
Materias:	diabetes mellitus regional registry morbidity disability complications mortality Nutritional diseases. Deficiency diseases RC620-627
Acceso en línea:	https://doaj.org/article/bb910a1413bd4c57879ef0c8c29bdc77
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spelling	oai:doaj.org-article:bb910a1413bd4c57879ef0c8c29bdc772021-11-14T09:00:13ZImplementation of Diabetes Mellitus Program in the Tyumen region2072-03512072-037810.14341/2072-0351-5418https://doaj.org/article/bb910a1413bd4c57879ef0c8c29bdc772009-03-01T00:00:00Zhttps://www.dia-endojournals.ru/jour/article/view/5418https://doaj.org/toc/2072-0351https://doaj.org/toc/2072-0378Aim. To assess results of realization of the regional Diabetes Mellitus Program in the Tyumen region. Materials and methods. Materials of the regional Diabetes Mellitus Registry for 1999-2007 were analysed. Results. DM1 and DM2 morbidity increased from 6.6 to 8.16 and from 97.3 to 216.96 per100,000 population respectively. Primary disability rate among DM1 and DM2 patientsdecreased by a factor of 2. The fraction of patients with severe diabetic complications also decreased (1.3 times for blindness, 1.8 times for amputations). The frequency of diabeticcoma decreased by a factor of 2. Thirty five Diabetes School were organized. Mean life expectancy of DM1 and DM2 subjects increased from 49.55?5.43 to 50.11?2.96 years(p = 0.0001) and from 68.00?1.79 to 71.52?0.39 years (r = 0.0001) respectively. Mortality rate in DM1 and DM2 patients dropped by a factor of 5 and 3. All DM patients use onlymodern insulin formulations, with analogs accounting for 39.5% and human recombinant insulins for the rest of the total. Therapeutic use of secretagogues for the managementof DM2 decreased from 84.8 to 49.1% (p = 0.0001) and that of metformin increased form 6.8 to 28% (p = 0.0001); the need in insulin therapy also increased. Conclusion. Elaboration and implementation of the program contributed to the decreased occurrence of diabetic coma, blindness, and amputations in DM1 and DM2 patients,their longer life expectancy, and improved availability of high-quality oral hypoglycemic agents.Lyudmila Alexandrovna SuplotovaL N BelchikovaN S BrynzaEndocrinology Research Centrearticlediabetes mellitusregional registrymorbiditydisabilitycomplicationsmortalityNutritional diseases. Deficiency diseasesRC620-627ENRUСахарный диабет, Vol 12, Iss 1, Pp 33-35 (2009)
institution	DOAJ
collection	DOAJ
language	EN RU
topic	diabetes mellitus regional registry morbidity disability complications mortality Nutritional diseases. Deficiency diseases RC620-627
spellingShingle	diabetes mellitus regional registry morbidity disability complications mortality Nutritional diseases. Deficiency diseases RC620-627 Lyudmila Alexandrovna Suplotova L N Belchikova N S Brynza Implementation of Diabetes Mellitus Program in the Tyumen region
description	Aim. To assess results of realization of the regional Diabetes Mellitus Program in the Tyumen region. Materials and methods. Materials of the regional Diabetes Mellitus Registry for 1999-2007 were analysed. Results. DM1 and DM2 morbidity increased from 6.6 to 8.16 and from 97.3 to 216.96 per100,000 population respectively. Primary disability rate among DM1 and DM2 patientsdecreased by a factor of 2. The fraction of patients with severe diabetic complications also decreased (1.3 times for blindness, 1.8 times for amputations). The frequency of diabeticcoma decreased by a factor of 2. Thirty five Diabetes School were organized. Mean life expectancy of DM1 and DM2 subjects increased from 49.55?5.43 to 50.11?2.96 years(p = 0.0001) and from 68.00?1.79 to 71.52?0.39 years (r = 0.0001) respectively. Mortality rate in DM1 and DM2 patients dropped by a factor of 5 and 3. All DM patients use onlymodern insulin formulations, with analogs accounting for 39.5% and human recombinant insulins for the rest of the total. Therapeutic use of secretagogues for the managementof DM2 decreased from 84.8 to 49.1% (p = 0.0001) and that of metformin increased form 6.8 to 28% (p = 0.0001); the need in insulin therapy also increased. Conclusion. Elaboration and implementation of the program contributed to the decreased occurrence of diabetic coma, blindness, and amputations in DM1 and DM2 patients,their longer life expectancy, and improved availability of high-quality oral hypoglycemic agents.
format	article
author	Lyudmila Alexandrovna Suplotova L N Belchikova N S Brynza
author_facet	Lyudmila Alexandrovna Suplotova L N Belchikova N S Brynza
author_sort	Lyudmila Alexandrovna Suplotova
title	Implementation of Diabetes Mellitus Program in the Tyumen region
title_short	Implementation of Diabetes Mellitus Program in the Tyumen region
title_full	Implementation of Diabetes Mellitus Program in the Tyumen region
title_fullStr	Implementation of Diabetes Mellitus Program in the Tyumen region
title_full_unstemmed	Implementation of Diabetes Mellitus Program in the Tyumen region
title_sort	implementation of diabetes mellitus program in the tyumen region
publisher	Endocrinology Research Centre
publishDate	2009
url	https://doaj.org/article/bb910a1413bd4c57879ef0c8c29bdc77
work_keys_str_mv	AT lyudmilaalexandrovnasuplotova implementationofdiabetesmellitusprograminthetyumenregion AT lnbelchikova implementationofdiabetesmellitusprograminthetyumenregion AT nsbrynza implementationofdiabetesmellitusprograminthetyumenregion
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Implementation of Diabetes Mellitus Program in the Tyumen region

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