Рецепт. 2020; : 808-815
Обучение пациента с сахарным диабетом на фоне избыточной массы тела или ожирения в центрах первичной медико-санитарной помощи
https://doi.org/10.34883/PI.2020.23.6.001Аннотация
В XXI веке проблемы сахарного диабета и избыточной массы тела или ожирения приобрели масштабы эпидемии. Каждые 13–15 лет количество пациентов с диабетом 2-го типа удваивается, до 2040 года прогнозируют увеличение числа пациентов до 642 млн лиц, а до 2045 – до 700 млн. Аналогичным образом продолжает расти распространенность избыточной массы тела или ожирения во всем мире. Около 1,9 млрд людей в мире имеют избыточную массу тела, а 650 млн – ожирение. Поскольку диабет – это хроническое, прогрессирующее заболевание, с которым пациенту придется существовать всю жизнь, оно требует длительной, пожизненной терапии при участии самого пациента. С 1998 года образование пациентов официально включено ВОЗ в стратегию лечения диабета и стало неотъемлемой частью организации помощи пациентам, которые живут с диабетом, во многих странах. На кафедре семейной медицины Одесского национального медицинского университета создана и успешно функционирует «Школа диабета и избыточной массы тела», основной целью которой является предоставление информационной поддержки взрослым и детям, которые живут с диабетом, избыточной массой тела или ожирением, а также их родным.
Список литературы
1. Ametov A.S., Prudnikova M.A. (2016) Ozhirenie i sakharnyj diabet tipa 2: sovremennye aspekty farmakoterapii [Obesity and type 2 diabetes: modern aspects of pharmacotherapy]. Endocrinology: News, Opinions, Training, vol. 4, pp. 15–21.
2. Biryukova E.V., Askerkhanov R.G. (2018) Samokontrol glikemii neobkhodim dlya uspeshnogo lecheniya sakharnogo diabeta [Glycemia self- control is necessary for successful diabetes treatment]. Consilium Medicum, vol. 20, no 12, pp. 105–109. doi: 10.26442/20751753.2018.12.000044.
3. Jameson J.L., Fauci A., Kasper D., Hauser S., Longo D., Loscalzo J. (2018) Harrison’s Principles of Internal Medicine, 20th, New York: McGraw-Hill Education.
4. Contreras F., Sanchez M., Martinez M.S., Castillo M.C., Mindiola A. (2017) Management and Education in Patients with Diabetes Mellitus. Medical& Clinical Reviews, vol. 3, no 2:7, pp. 1–7.
5. International Diabetes Federation. IDF Diabetes Atlas, 9th ed, issue 2019. [Electronic resource]. Available at: http://www.diabetesatlas.org (accessed November 10, 2020).
6. Svetyj L.I., Vorvul A.O., Markina E.V., Ivikh K.A., Russu A.A. (2020) Rezultati obucheniya v shkole diabeta pozhilykh licz, stradayushhikh diabetom II tipa [The results of education of elderly persons with type II diabetes mellitus at the diabetes school]. Current problems of health care and medical statistics, vol. 1, pp. 82–91.
7. Kochuyeva M.M. (2020) Rol likarya simejnoyi mediczini v vedenni pacziyentiv z CzD 2 tipu [The role of a family doctor in the management of patients with type 2 diabetes]. DOMS diabetes. Obesity. Metabolic syndrome, vol. 4, no 9, pp. 26–29.
8. World Health Organization (2018) Global report on diabetes. Geneva.
9. Dedov I.I., Shestakova M.V., Majorova A.Yu. (2019) Algoritmy speczializirovannoj mediczinskoj pomoshhi bolnym sakharnym [Standards of specialized diabetes care]. Diabetes mellitus, vol. 22, no S1, pp. 1–112. doi: 10.14341 / DM221S1
10. Patrick J. O’Connor, JoAnn M. Sperl-Hillen (2018) Czukrovij diabet 2 tipu u doroslikh [Type 2 diabetes in adults]. BMJ Best Practice [Electronic resource], pp. 1–88. Available at: https://bestpractice.bmj.com/topics/uk-ua/24 (accessed November 20, 2020).
11. Nakaz MOZ Ukrainy vid 21.12.2012 № 1118 (2012) Unifikovanij klinichnij protokol pervinnoyi ta vtorinnoyi (speczializovanoyi) medichnoyidopomogi Czukrovij diabet 2 tipu [Unified clinical protocol of primary and secondary (specialized) medical care Type 2 diabetes mellitus] [Electronic resource], pp. 1–115. Available at: http://www.moz.gov.ua (accessed November 24, 2020).
12. World Health Organization. Obesity [Electronic resource]. WHO. Available at: https://www.euro.who.int/ru/health-topics/noncommunicable- diseases/obesity/data-and-statistics (accessed November 14, 2020).
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14. Bencza T.M. (2019) Ozhirenie: sovremennye podkhody k raczionalnoj terapii [Obesity: modern approaches to rational therapy]. Medicine of Ukraine, vol. 3, no 229, pp. 4–9.
15. Constantine T. Frantzides, Minh B. Luu (2018) Ozhirinnya u doroslikh [Obesity in adults]. BMJ Best Practice [Electronic resource], pp. 1–63. Available at: https://bestpractice.bmj.com/topics/uk-ua/211 (accessed November 20, 2020).
16. Mkrtumyan A.M., Biryukova E.V. (2017) Orlistat v kompleksnoj terapii ozhireniya i sakharnogo diabeta 2-go tipa [Orlistat in combination therapy of obesity and type 2 diabetes]. Meditsinskiy sovet, vol. 3, pp. 68–74.
17. Kondraczka I. (2018) Efektivnij samokontrol – osnova uspishnogo likuvannya czukrovogo diabetu [Effective self-control is the basis of successful treatment of diabetes]. DOMS diabetes. Obesity. Metabolic syndrome, vol. 3, no 7, pp. 25–28.
18. Petunina N.A., Goncharova E.V., Panasenko O.I. (2018) Osnovnye aspekty regulyarnogo samokontrolya urovnya glikemii u paczientov s sakharnym diabetom [Major aspects of constant self-monitoring of the level of glycemia in patients with diabetes]. Cardiosomatics, vol. 20, no 1, pp. 61–66.
19. Khizhnyak O.O., Barabash N.E., Tikhonova T.M. (2014) Rol sistemy obucheniya v formirovanii aktivnoj motivaczii k samokontrolyu u bolnykh sakharnym diabetom [Role of training system in the formation of active motivation to self-management in patients with diabetes mellitus]. International journal of endocrinology, vol. 5, no 61, pp. 116–120.
20. World Health Organization (1998) Therapeutic Patient Education. Continuing Education Programmes for Health Care Providers in the Field of Prevention of Chronic Diseases. Report of a WHO Working Group, Copenhagen.
21. American Diabetes Association (2018) Economic Costs of Diabetes in the U.S. in 2017. Diabetes Care [Electronic resource], vol. 41, no 5, pp. 917– 928. Available at: https://doi.org/10.2337/dci18-0007 (accessed November 24, 2020).
22. Nazar CMJ, Bojerenu MM, Safdar M, Marwat J. (2016) Effectiveness of diabetes education and awareness of diabetes mellitus in combating diabetes in the United Kingdom; a literature review. Journal of Nephropharmacology, vol. 5, no 2, pp. 110–115.
23. Tronko M.D., OrlenkoV.L., Savolyuk S.I. (2019) Rolmetabolichnoyikhirurgiyivlikuvannipacziyentivizczukrovimdiabetom 2-gotiputaozhirinnyam [The role of metabolic surgery in the treatment of patients with type 2 diabetes mellitus and obesity]. Mizhnarodnij endokrinologichnij zhurnal, vol. 15, no 3, pp. 236–245. doi: 10.22141/2224 0721.15.3.2019.172110
24. Galstyan G.R., Shestakova E.A., Sklyanik I.A. (2017) Ozhirenie i sakharnyj diabet 2 tipa: poisk kompromissnogo terapevticheskogo resheniya [Obesity and type 2 diabetes: can we find a compromise treatment solution?]. Diabetes Mellitus, vol. 20, no 4, pp. 270–278.
25. American Diabetes Association (2020) Facilitating behavior change and wellbeing to improve health outcomes: Standards of Medical Care in Diabetes 2020. Diabetes Care [Electronic resource], vol. 43, suppl. 1, pp. 48–65. Available at: https://care.diabetesjournals.org/content/43/ Supplement_1/S48 (accessed November 24, 2020).
26. Ametov A.S., Demidova T.Yu., Stelmakh M.V., Depyui T.I. (2016) Vzaimosvyaz ozhireniya i sakharnogo diabeta tipa 2 v svete dokazatelnoj medicziny [The relationship of obesity and type 2 diabetes in the light of evidence-based medicine]. Endocrinology: News, Opinions, Training, vol. 2, pp. 38–50.
27. American Diabetes Association (2020) Obesity management for the treatment of type 2 diabetes: Standards of Medical Care in Diabetes 2020.Diabetes Care [Electronic resource], vol. 43, suppl. 1, pp. 89–97. Available at: https://doi.org/10.2337/dc20-s008 (accessed November 24, 2020).
28. Ruyatkina L.A., Ruyatkin D.S. (2017) Mnogoplanovye effekty metformina u paczientov s sakharnym diabetom 2 tipa [Multidimensional effects of metformin in patients with type 2 diabetes]. Diabetes mellitus, vol. 20, no 3, pp. 210–219. doi: 10.14341/DM2003458-64.
Recipe. 2020; : 808-815
Education of an Overweight or Obese Diabetic Patient in Primary Health Care Centers
https://doi.org/10.34883/PI.2020.23.6.001Abstract
References
1. Ametov A.S., Prudnikova M.A. (2016) Ozhirenie i sakharnyj diabet tipa 2: sovremennye aspekty farmakoterapii [Obesity and type 2 diabetes: modern aspects of pharmacotherapy]. Endocrinology: News, Opinions, Training, vol. 4, pp. 15–21.
2. Biryukova E.V., Askerkhanov R.G. (2018) Samokontrol glikemii neobkhodim dlya uspeshnogo lecheniya sakharnogo diabeta [Glycemia self- control is necessary for successful diabetes treatment]. Consilium Medicum, vol. 20, no 12, pp. 105–109. doi: 10.26442/20751753.2018.12.000044.
3. Jameson J.L., Fauci A., Kasper D., Hauser S., Longo D., Loscalzo J. (2018) Harrison’s Principles of Internal Medicine, 20th, New York: McGraw-Hill Education.
4. Contreras F., Sanchez M., Martinez M.S., Castillo M.C., Mindiola A. (2017) Management and Education in Patients with Diabetes Mellitus. Medical& Clinical Reviews, vol. 3, no 2:7, pp. 1–7.
5. International Diabetes Federation. IDF Diabetes Atlas, 9th ed, issue 2019. [Electronic resource]. Available at: http://www.diabetesatlas.org (accessed November 10, 2020).
6. Svetyj L.I., Vorvul A.O., Markina E.V., Ivikh K.A., Russu A.A. (2020) Rezultati obucheniya v shkole diabeta pozhilykh licz, stradayushhikh diabetom II tipa [The results of education of elderly persons with type II diabetes mellitus at the diabetes school]. Current problems of health care and medical statistics, vol. 1, pp. 82–91.
7. Kochuyeva M.M. (2020) Rol likarya simejnoyi mediczini v vedenni pacziyentiv z CzD 2 tipu [The role of a family doctor in the management of patients with type 2 diabetes]. DOMS diabetes. Obesity. Metabolic syndrome, vol. 4, no 9, pp. 26–29.
8. World Health Organization (2018) Global report on diabetes. Geneva.
9. Dedov I.I., Shestakova M.V., Majorova A.Yu. (2019) Algoritmy speczializirovannoj mediczinskoj pomoshhi bolnym sakharnym [Standards of specialized diabetes care]. Diabetes mellitus, vol. 22, no S1, pp. 1–112. doi: 10.14341 / DM221S1
10. Patrick J. O’Connor, JoAnn M. Sperl-Hillen (2018) Czukrovij diabet 2 tipu u doroslikh [Type 2 diabetes in adults]. BMJ Best Practice [Electronic resource], pp. 1–88. Available at: https://bestpractice.bmj.com/topics/uk-ua/24 (accessed November 20, 2020).
11. Nakaz MOZ Ukrainy vid 21.12.2012 № 1118 (2012) Unifikovanij klinichnij protokol pervinnoyi ta vtorinnoyi (speczializovanoyi) medichnoyidopomogi Czukrovij diabet 2 tipu [Unified clinical protocol of primary and secondary (specialized) medical care Type 2 diabetes mellitus] [Electronic resource], pp. 1–115. Available at: http://www.moz.gov.ua (accessed November 24, 2020).
12. World Health Organization. Obesity [Electronic resource]. WHO. Available at: https://www.euro.who.int/ru/health-topics/noncommunicable- diseases/obesity/data-and-statistics (accessed November 14, 2020).
13. World Health Organization obesity and overweight fact sheet № 311 [Electronic resource]. WHO. Available at: https://www.who.int/news-room/ fact-sheets/detail/obesity-and-overweight http://www.who.int/mediacentre (accessed November 14, 2020).
14. Bencza T.M. (2019) Ozhirenie: sovremennye podkhody k raczionalnoj terapii [Obesity: modern approaches to rational therapy]. Medicine of Ukraine, vol. 3, no 229, pp. 4–9.
15. Constantine T. Frantzides, Minh B. Luu (2018) Ozhirinnya u doroslikh [Obesity in adults]. BMJ Best Practice [Electronic resource], pp. 1–63. Available at: https://bestpractice.bmj.com/topics/uk-ua/211 (accessed November 20, 2020).
16. Mkrtumyan A.M., Biryukova E.V. (2017) Orlistat v kompleksnoj terapii ozhireniya i sakharnogo diabeta 2-go tipa [Orlistat in combination therapy of obesity and type 2 diabetes]. Meditsinskiy sovet, vol. 3, pp. 68–74.
17. Kondraczka I. (2018) Efektivnij samokontrol – osnova uspishnogo likuvannya czukrovogo diabetu [Effective self-control is the basis of successful treatment of diabetes]. DOMS diabetes. Obesity. Metabolic syndrome, vol. 3, no 7, pp. 25–28.
18. Petunina N.A., Goncharova E.V., Panasenko O.I. (2018) Osnovnye aspekty regulyarnogo samokontrolya urovnya glikemii u paczientov s sakharnym diabetom [Major aspects of constant self-monitoring of the level of glycemia in patients with diabetes]. Cardiosomatics, vol. 20, no 1, pp. 61–66.
19. Khizhnyak O.O., Barabash N.E., Tikhonova T.M. (2014) Rol sistemy obucheniya v formirovanii aktivnoj motivaczii k samokontrolyu u bolnykh sakharnym diabetom [Role of training system in the formation of active motivation to self-management in patients with diabetes mellitus]. International journal of endocrinology, vol. 5, no 61, pp. 116–120.
20. World Health Organization (1998) Therapeutic Patient Education. Continuing Education Programmes for Health Care Providers in the Field of Prevention of Chronic Diseases. Report of a WHO Working Group, Copenhagen.
21. American Diabetes Association (2018) Economic Costs of Diabetes in the U.S. in 2017. Diabetes Care [Electronic resource], vol. 41, no 5, pp. 917– 928. Available at: https://doi.org/10.2337/dci18-0007 (accessed November 24, 2020).
22. Nazar CMJ, Bojerenu MM, Safdar M, Marwat J. (2016) Effectiveness of diabetes education and awareness of diabetes mellitus in combating diabetes in the United Kingdom; a literature review. Journal of Nephropharmacology, vol. 5, no 2, pp. 110–115.
23. Tronko M.D., OrlenkoV.L., Savolyuk S.I. (2019) Rolmetabolichnoyikhirurgiyivlikuvannipacziyentivizczukrovimdiabetom 2-gotiputaozhirinnyam [The role of metabolic surgery in the treatment of patients with type 2 diabetes mellitus and obesity]. Mizhnarodnij endokrinologichnij zhurnal, vol. 15, no 3, pp. 236–245. doi: 10.22141/2224 0721.15.3.2019.172110
24. Galstyan G.R., Shestakova E.A., Sklyanik I.A. (2017) Ozhirenie i sakharnyj diabet 2 tipa: poisk kompromissnogo terapevticheskogo resheniya [Obesity and type 2 diabetes: can we find a compromise treatment solution?]. Diabetes Mellitus, vol. 20, no 4, pp. 270–278.
25. American Diabetes Association (2020) Facilitating behavior change and wellbeing to improve health outcomes: Standards of Medical Care in Diabetes 2020. Diabetes Care [Electronic resource], vol. 43, suppl. 1, pp. 48–65. Available at: https://care.diabetesjournals.org/content/43/ Supplement_1/S48 (accessed November 24, 2020).
26. Ametov A.S., Demidova T.Yu., Stelmakh M.V., Depyui T.I. (2016) Vzaimosvyaz ozhireniya i sakharnogo diabeta tipa 2 v svete dokazatelnoj medicziny [The relationship of obesity and type 2 diabetes in the light of evidence-based medicine]. Endocrinology: News, Opinions, Training, vol. 2, pp. 38–50.
27. American Diabetes Association (2020) Obesity management for the treatment of type 2 diabetes: Standards of Medical Care in Diabetes 2020.Diabetes Care [Electronic resource], vol. 43, suppl. 1, pp. 89–97. Available at: https://doi.org/10.2337/dc20-s008 (accessed November 24, 2020).
28. Ruyatkina L.A., Ruyatkin D.S. (2017) Mnogoplanovye effekty metformina u paczientov s sakharnym diabetom 2 tipa [Multidimensional effects of metformin in patients with type 2 diabetes]. Diabetes mellitus, vol. 20, no 3, pp. 210–219. doi: 10.14341/DM2003458-64.
