ISSN 2415-3060 (print), ISSN 2522-4972 (online)
  • 49 of 50
JMBS 2016, 1(2): 215–217

Features of Diagnosis of Diabetes in Practice of Medico-Social Examination

Chemirisov V. V.1, Zadesenets P.P.2, Casanova A.N.2, Solovyov O. Ya.3, Moroz O. L.4

A diabetes mellitus (DM) is widespread endocrine pathology on which, in the world more than 300 million and morbidity persons are ill continues them to increase. A disease is characterized by chronic motion and violation of all types of metabolism : carbohydrate, fatty, albuminous, mineral and aquatic-salt. Distinguish a diabetes mellitus 1 to the type absolute insulin insufficiency lies in basis of which. Amount of patients of it as diabetes – 10-15% from the incurrence of patients with diabetes. A bulk is folded by patients with a diabetes mellitus 2 to the type DM ran across accompanied by various complications what reduce the vital functions of patients diabetic foot, and others like that) considerably, whether can even result in death of patient through the comatose states. DM is on leading reasons of disability as a result of endocrinology diseases. In the last time the methods of determination spread for patients on DM glycated haemoglobin, (HbA1C) - in future GH. It is a biochemical index of blood which represents AV content of sugar in blood for protracted period (to three months), Regardless of methods which was used, it was set that normal (what were got in the group of healthy persons) the indexes of concentration of GH are considered from 4% to 5,9% .Research purpose - to learn connection between the indexes of GH and degree of weight of DM and his complications, efficiency of the conducted treatment, prognostication of further flow of this disease. A research object was a level of GH for patients on DM and his connection with complications of illness. Medical documentation of patients was selected on DM of both types which the level of GH was determined. Statistical indexes were determined, in particular, cross-correlation connection between content of GH and complications of DM was determined on the criterion by Pirsons. The coefficient of correlation hesitated from + 1 (complete direct correlation) to – 1 (complete reverse correlation). All medical documentation is studied 50 patients on DM (18-DM 1 and 32-DM 2), From the incurrence of patients there was 8 man on DM of invalids of ІІ of group. (6 from DM 1 to the type, and 2 from DM 2 to the type); invalids 3 groups of 12 man (for 6 man, as DM 1 so DM 2). On an age-old sign women prevailed among patients - 32 (64%). Distribution showed after weight of motion, that DM 1 differs in more heavy motion and more frequent accompanied by complications than DM 2. Educed high level of correlation between the level of GH and presence of retinopatis in a group DM 1 (СС = 0,8738) and in a group from DM 2 (СС = 0,7894). Educed high level of correlation between the concentration of GH and presence of encelopatis (СС = 0,8856) in a group DM 1 and some more subzero (СС = 0,7732) in a group from DM 2. A clear tendency is traced on direct dependence of weight of vascular violations of lower limbs on the concentration of GH in blood. GH appeared for patients with a diabetic arthropathy, the level of GH straight proportional to the degree of weight of diabetic arthropathy. Direct dependence of presence of chronic kidney insufficiency observed with content of GH (СС = 7629) in blood. Separately, efficiency of determination of GH was studied at prophylactic reviews. During realization health centre systems from 41 workers, which inspected in 2 man (4,9%) the increased level of GH is first educed and at deep inspected them first in life DM is diagnosed 2 to the type. Thus, it is possible to assert that an analysis of content of GH is a perspective method not only for, to control of motion and correction of charts of treatment of DM of both types at conducted medical rehabilitation but also conducted prophylactic reviews for the exposure of latent forms of DM Not having regard to the high cost of research, it is necessary wider to inculcate him in clinical practice.

Keywords: diabetes mellitus, complication of diabetes mellitus, glycated haemoglobin, HbA1C

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  1. Ametov AS. Uroven glikirovannogo gemoglobina kak znachimyiy marker polnotsennogo glikemicheskogo kontrolya i prediktor pozdnih sosudistyih oslozhneniy saharnogo diabeta 2 tipa. Russkiy meditsinskiy zhurnal. 2011: 13: 832-7.
  2. Galstyan GR. Mezhdunarodnyie rekomendatsii po issledovaniyu urovnya glikirovannogo gemoglobina HbA1c kak diagnosticheskogo kriteriya saharnogo diabeta i drugih narusheniy uglevodnogo obmena. Saharnyiy diabet. 2010; 4: 57–61.
  3. Korolev VA. Glikirovannyiy gemoglobin: metodicheskie aspektyi primeneniya. Belorusskiy meditsinskiy zhurnal. 2011; 2: 47-51.
  4. Korolev VA. Kliniko-patogeneticheskoe znachenie glikirovannogo gemoglobina v terapevticheskoy praktike. Vrachebnoe delo. 2007; 7: 32-42.
  5. Lantuh LA. Detskiy diabet. Zdorove. 2014; 17: 39-39.
  6. Gallagher EJ, Le Roith D, Bloomgarden ZT. Review of hemoglobin A1c in the management of diabetes. Journal of diabetes. 2009; 1: 9-17.