scholarly journals The dynamics of the main epidemiological indicators among living in Moscow patients with diabetes mellitus (2013–2018)

2020 ◽  
Vol 23 (2) ◽  
pp. 113-124
Author(s):  
Mikhail B. Antsiferov ◽  
Nikolay A. Demidov ◽  
Marina F. Kalashnikova ◽  
Olga V. Duhareva ◽  
Olga K. Vikulova ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Causes Of Death ◽  
Adult Population ◽  
Data Entry ◽  
Online Data ◽  
State Register ◽  
Data Entry System ◽  
Number Of Patients ◽  
Patients With Diabetes ◽  
Oncological Diseases

BACKGROUND: State Register of Diabetes Mellitus (SRDM) plays an important role in the dynamic analysis of the epidemiological parameters that evaluate the disease itself and its complications, and also helps to analyze the quality of specialized medical care for patients. To solve modern scientific and practical problems, it is important to analyze data not only among the entire population of Russia, but also in large administrative-territorial subjects of the country. AIMS: To Study the dynamics of the main epidemiological indicators (values) among patients with type 1 diabetes mellitus (DM1) and type 2 diabetes mellitus (DM2) living in Moscow for the period from 2013 to 2018 according to the State Register of Diabetes Mellitus (SRDM). MATERIALS AND METHODS: The analysis of Moscow region of the SRDM database was conducted. According to it there were registered 345.1 thousand patients with diabetes by 01.01.2019. RESULTS: During the period from 2013 to 2018 the total number of patients with DM increased up 9.8% (from 314.4 thousand to 345.1 thousand people). DM2 accounts for 94% of the total number of patients. According to SRDM the prevalence of DM1 on 100 thousand population has grown up 6.9% (from 152.2 in 2013 to 162.7 in 2018); DM2 by 9.6% (from 2864.7 in 2013 to 3139.4 in 2018). The incidence of DM1 per 100 thousand people decreased down to 6.4% (from 4.7 in 2013 to 4.4% in 2018); DM2 grew up 4.3% (from 198.1 in 2002, to 206.6 in 2018). Throughout the study period the incidence of DM2 was higher among women, while the opposite trend was observed among women with DM1. The mortality among people with DM1 in 2018 was 1.6 per 100 thousand among adult population (in 2017 it was 1.7); among patients with DM2 the mortality was 56.6 people per 100 thousand among adult population (in 2017 it was 65.6). The first place among the direct causes of death among patients with DM1 and DM2 in 2018 was occupied by cardiovascular diseases (57.5% and 67.9%, respectively), the second place oncological diseases (9.9% and 12.2%). CONCLUSIONS: The results of the epidemiological analysis showed that since 2013 in Moscow there has been an increase in the prevalence of diabetes, against the background of stable indicators of incidence (except for the organizational period of adapting to the new online data entry system of SRDM). The leading causes of death of patients with diabetes are cardiovascular and oncological diseases.

scholarly journals Epidemiology of diabetes mellitus

1995 ◽  
Vol 41 (3) ◽  
pp. 44-46
Author(s):  
V. I. Pankiv
Keyword(s):  
Diabetes Mellitus ◽  
Insulin Dependent Diabetes Mellitus ◽  
Epidemiological Studies ◽  
Insulin Dependent Diabetes ◽  
Dependent Diabetes Mellitus ◽  
Industrialized Countries ◽  
State Register ◽  
Number Of Patients ◽  
Patients With Diabetes ◽  
Insulin Dependent

Diabetes mellitus (DM) is one of the most common diseases, the frequency of which is steadily increasing every year. In industrialized countries, the prevalence of DM is 4-5%. Despite the large number of existing forms of diabetes associated with various syndromes and diseases, the main ones are two that are characterized as spontaneous: insulin-dependent diabetes mellitus (IDDM) and non-insulin-dependent diabetes (NIDDM). Statistical data on the prevalence of the disease are based on the registration of a medical diagnosis of diabetes and in general reflect mainly the prevalence of spontaneous forms of IDDM and NIDDM. In 1991, 1 826 758 patients with DM were registered in the Russian Federation, of which 295 333 (16.2%) suffered from IDDM. Compared with 1990, the number of patients with diabetes increased by 5.78%. However, the figures do not reflect the actual prevalence of diabetes. The conducted epidemiological studies on the frequency of diabetes show that the true number of patients with diabetes is 3-4 times higher compared to the registered one. These include people with a mild form of NIDDM who do not need medical treatment, as well as people with impaired glucose tolerance. In these groups, disorders of carbohydrate metabolism occur in a subclinical form, and the recorded prevalence of diabetes is largely determined by the quality of the medical examination. A more accurate picture of the prevalence of various types of diabetes can be obtained only with the State Register for diabetes, its development is necessary in the near future.

scholarly journals VITAMINS. PREVENTION AND TREATMENT OF COMPLICATIONS IN PATIENTS WITH DIABETES MELLITUS

2017 ◽  
pp. 95-98
Author(s):  
S. V. Podachina
Keyword(s):  
Diabetes Mellitus ◽  
Glycemic Control ◽  
Optimal Level ◽  
Number Of Patients ◽  
Prevention And Treatment ◽  
Patients With Diabetes

Hyperglycemia is a major cause of complications in patients with diabetes mellitus (DM). Since the optimal level of glycemic control is achieved only in a small number of patients with diabetes mellitus, additional methods of prevention and treatment of complications are strongly recommended. The focus of healthcare specialists is increasing on substances that can affect intracellular pathological processes associated with hyperglycemia. Such drugs or agents include certain vitamins and minerals.

scholarly journals A Novel Approach to Practice-Based Learning and Improvement Using a Web-Based Audit and Feedback Module

2014 ◽  
Vol 6 (3) ◽  
pp. 541-546 ◽  
Author(s):  
Joel C. Boggan ◽  
George Cheely ◽  
Bimal R. Shah ◽  
Randy Heffelfinger ◽  
Deanna Springall ◽  
...  
Keyword(s):  
Phase 1 ◽  
Data Entry ◽  
Audit And Feedback ◽  
Phase 2 ◽  
Online Data ◽  
Web Based ◽  
Online Tool ◽  
Novel Approach ◽  
Patients With Diabetes ◽  
Personal Performance

Abstract Background Systematically engaging residents in large programs in quality improvement (QI) is challenging. Objective To coordinate a shared QI project in a large residency program using an online tool. Methods A web-based QI tool guided residents through a 2-phase evaluation of performance of foot examinations in patients with diabetes. In phase 1, residents completed reviews of health records with online data entry. Residents were then presented with personal performance data relative to peers and were prompted to develop improvement plans. In phase 2, residents again reviewed personal performance. Rates of performance were compared at the program and clinic levels for each phase, with data presented for residents. Acceptability was measured by the number of residents completing each phase. Feasibility was measured by estimated faculty, programmer, and administrator time and costs. Results Seventy-nine of 86 eligible residents (92%) completed improvement plans and reviewed 1471 patients in phase 1, whereas 68 residents (79%) reviewed 1054 patient charts in phase 2. Rates of performance of examination increased significantly between phases (from 52% to 73% for complete examination, P < .001). Development of the tool required 130 hours of programmer time. Project analysis and management required 6 hours of administrator and faculty time monthly. Conclusions An online tool developed and implemented for program-wide QI initiatives successfully engaged residents to participate in QI activities. Residents using this tool demonstrated improvement in a selected quality target. This tool could be adapted by other graduate medical education programs or for faculty development.

SWEETWISE: developing a multi-professional approach to diabetes mellitus

2015 ◽  
Vol 17 (02) ◽  
pp. 107-113
Author(s):  
Amrit Takhar ◽  
Jenny Herbert ◽  
Rosemary Plum ◽  
Mukesh Lad ◽  
Deborah Manger ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Lifestyle Modification ◽  
Continuing Professional Development ◽  
Health Checks ◽  
Professional Network ◽  
Number Of Patients ◽  
Patients With Diabetes ◽  
Patient Advice ◽  
Audit Project ◽  
Improve Health

The formation of a local joint professional network (LJPN) in Northamptonshire has led to a joint Continuing professional development initiative and an audit project to determine the take up of annual health checks by patients with diabetes mellitus with dentists, optometrists, pharmacists as well as the usual check with the General Medical Practice team. The findings showed that a significant number of patients (29–50%) do not access available dental, optometry and pharmacy advice. Better collaboration between the professions has the potential to improve health outcomes in diabetes mellitus and other areas where lifestyle modification reduces adverse health risks. A patient advice card (SWEETWISE) was developed by the group and could be used to help educate patients and health professionals.

Metformin in diabetic pancreatic cancer patients: Benefit or not—Multicenter experience.

2013 ◽  
Vol 31 (15_suppl) ◽  
pp. e15110-e15110 ◽  
Author(s):  
Onur Esbah ◽  
Berna Oksuzoglu ◽  
Tulay Eren ◽  
Kaan Helvaci ◽  
Tunc Guler ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Pancreatic Cancer ◽  
Cancer Patients ◽  
Pancreas Cancer ◽  
Tumour Size ◽  
Pancreas Carcinoma ◽  
Number Of Patients ◽  
Stage 4 ◽  
Patients With Diabetes ◽  
Stage 1

e15110 Background: Risk factors for the pancreatic cancer are cigarette smoking, obesity, family history, chronic pancreatitis and type 2 diabetes mellitus. Diabetes mellitus is associated with 2-3 fold increase in the risk of pancreas cancer development. Down-regulation of mTOR pathway which begins with the insulin signaling is the possible protective effect of metformin in the oncogenesis of pancreatic cancer. In this study, we aimed to evaluate whether the use of metformin in diabetic pancreas cancer patients has an advantage or not. Methods: The data of 467 patients with the diagnosis of pancreas cancer in from 2003 to 2012 were analyzed, retrospectively. Results: Four hundred and sixty seven patients with the median age of 62 (20-85) were reviewed Median tumour size was 42 mm (14-145 mm). According to 2010 TNM staging, 23 patients had stage 1 (4.9%), 97 patients stage 2 (20.8%), 70 patients stage 3 (15%) and 277 patients had stage 4 disease (59.3%). Diabetes mellitus was detected in 173 (37%) patients. In this group 23 patients had stage 1 (4.9%), 97 patients stage 2 (20.8%), 70 patients stage 3 (15%) and 98 patients had stage 4 disease (56.6%). Thirty seven percent (64 patients) of the patients with diabetes were using metformin. Median time for metformin usage was 14±2,3 months. Median follow-up time was 7 months (1-88 months). Median overall survival (OS) of all pancreas cancer patients was 8 months. Surprisingly, median OS of diabetic pancreas cancer patients and non-diabetics was 9 and 8 months, respectively (statistically not significant). Median OS of diabetic patient subgroup who use metformin or not was 7 versus 10 months, respectively (statistically not significant). In the subgroup of stage 3 pancreatic cancer patients with diabetes mellitus, the median OS were 16 months and 10 months according to metformin usage or not, respectively (p=02). Conclusions: In this study, the median OS of diabetic pancreas cancer patients was superior from the non-diabetics. Multi-center prospective trials including large number of patients are needed to understand well enough the benefit of metformin in diabetic pancreas carcinoma patients.

scholarly journals The Prevalence of Giardia Intestinalis in Dyspeptic and Diabetic Patients

2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
Gözde Derviş Hakim ◽  
Şafak Kızıltaş ◽  
Hilmi Çiftçi ◽  
Şafak Göktaş ◽  
İlyas Tuncer
Keyword(s):  
Diabetes Mellitus ◽  
Giardia Intestinalis ◽  
Diabetic Patients ◽  
Elisa Method ◽  
Number Of Patients ◽  
Significant Difference ◽  
Patients With Diabetes ◽  
Stool Specimens ◽  
Positive Results ◽  
Healthy Persons

Background and Aims. We aimed to investigate the prevalence of Giardiasis in patients with dyspepsia and patients with diabetes mellitus. Methods. 400 patients and 100 healthy persons were included in this clinical prospective study. The number of patients in each group was equal, 200 dyspeptic and 200 diabetic, respectively. The antigen of G. lntestinalis was determined in the stool specimens by ELISA method. Results. The frequency of Giardiasis was 7% in dyspeptic and 15% in diabetic patients. There was no positive results in any of the healthy persons. There was a significant difference in prevalence rate of Giardiasis between patients with dyspepsia and diabetes mellitus (P<0.05). Conclusions. These results revealed that the prevalence of Giardiasis in dyspepsia and with diabetes mellitus was high in our country. This is the first study investigating the prevalence of Giardiasis in diabetic patients. To investigate Giardiasis in diabetic patients, who have dyspepsia or not, may be a good approach for public health.

scholarly journals Assessing efficacy of diabetes school using diabetes knowledge scale in Turkey

2019 ◽  
Vol 8 (1) ◽  
pp. 280
Author(s):  
Bengur Taskiran ◽  
Guven Baris Cansu
Keyword(s):  
Diabetes Mellitus ◽  
Diabetes Management ◽  
Diabetes Education ◽  
Education Programme ◽  
Haemoglobin A1c ◽  
Diabetes Knowledge ◽  
Poor Knowledge ◽  
Knowledge Questionnaire ◽  
Number Of Patients ◽  
Patients With Diabetes

Background: Diabetes education, as an essential component of diabetes management, improves various aspects of diabetes mellitus including lowering Haemoglobin A1c. There is a number of surveys evaluating diabetes knowledge.Methods: The purpose of this study to measure diabetes knowledge of patients with diabetes mellitus after a structured group education programme named as diabetes school. This study is an observational study and the design is a cohort study. The study took place in 2017-2018. The duration of follow-up is 4 weeks. Fifty-four patients aged over 18 with a previous diagnosis of diabetes mellitus, who attended to the diabetes school education programme, were included to the study. Twenty-three patients participated in the true-false version of the revised Michigan diabetes knowledge questionnaire before and after the programme.Results: Twenty female and 3 male patients were aged 60.43±9.97 years. The scores improved significantly after the education programme (7.61±4.59 vs 12.39±3.35, p<0.0001). The number of patients correctly identifying more than half of the statements showed a steep increase after the programme (n=6, 26.0% vs n=17, 73.9%). Before education programme 13 had poor knowledge, 9 had moderate, and 1 had good knowledge. After completion 6 had poor knowledge, 11 had moderate, and 5 had good knowledge.Conclusions: Diabetes school is effective in improving diabetes knowledge in patients with diabetes mellitus. Revised Michigan Diabetes Knowledge Questionnaire can be used to evaluated diabetes knowledge. It may aid to detect the subgroup of patients who are lack knowledge of various aspects of diabetes mellitus.

scholarly journals Self Instructional Training Methods to Reduce Blood Glucose Levels Type 2 Diabetes Mellitus

2017 ◽  
Vol 4 (1) ◽  
pp. 006-011
Author(s):  
Nian Afrian Nuari
Keyword(s):  
Diabetes Mellitus ◽  
Blood Glucose ◽  
T Test ◽  
Glucose Levels ◽  
Blood Glucose Levels ◽  
Number Of Patients ◽  
Patients With Diabetes ◽  
Reduce Blood Glucose ◽  
Instructional Training ◽  
Paired T Test

Blood glucose levels  uncontrolled is a problem that is often found in patients with Diabetes Mellitus. This has an impact on the health of the patient as it would appear some macrovascular and microvascular complications. Number of patients with DM in Indonesia has increased every year and only 50% of patients suffering from diabetes who are aware of, and around 30% of them take medication regularly. The purpose of this study to determine the effect of Self Instructional Training method on blood glucose levels of patients. The method used is pre experiment with purposive sampling technique and the sample size of 16 respondents. Measuring instrument used glucometers to measure blood glucose levels and analyzed with Paired T Test. Based on the results, the entire blood glucose levels before the intervention above 200 mg /dl. After Self Instructional Training Intervention average blood glucose level was 35.75 mg /dl. Blood glucose levels are highest when the post test was 253 mg /dl and the lowest is 197 mg /dl. Based on Paired T Test  analysis obtained Self Instructional Training interventions can reduce blood glucose levels of patients with Diabetes Mellitus Type II (p value = 0.000). Diabetes Mellitus patients expected to be able to apply the  SIT method to perform self-care so that the patient's blood glucose levels can be controlled. Patient can do this methods  at home and needed support from their  family and health professionals to treat the diseases.Keywords : Self, Instructional, Training, level, glucose, blood, DM

scholarly journals CLINICAL STUDY OF RETINOPATHY IN PATIENTS WITH DIABETES MELLITUS TYPE 1 AND TYPE 2 AND ITS ASSOCIATION WITH RISK FACTORS

2019 ◽  
Vol 3 (10) ◽  
Author(s):  
Dr Kalpana Singh ◽  
Dr Dhiraj Balwir ◽  
Dr Jeetendra Singh ◽  
Dr Ruchita Raikar
Keyword(s):  
Diabetes Mellitus ◽  
Diabetic Retinopathy ◽  
Proliferative Diabetic Retinopathy ◽  
Multivariate Logistic Regression Analysis ◽  
P Value ◽  
Systemic Complications ◽  
Female Ratio ◽  
Number Of Patients ◽  
Patients With Diabetes

Aim: To study the relationship between severity of diabetic retinopathy (PDR or NPDR) and systemic complications of diabetes mellitus such as Neuropathy, Nephropathy or Cardiovascular manifestation as hypertension. Methods and Materials: This prospective observational study of 100 patients suffering from diabetic retinopathy. Such patients were recruited as a part of the study and further examined for any other systemic abnormality as neuropathy, nephropathy or hypertension. Statistical Analysis: Chi square test, univariate and multivariate logistic regression analysis was performed. P value < 0.05 was taken as significant. Results: Male: Female ratio of presence of diabetic retinopathy was 2.13: 1. The rate of proliferative diabetic retinopathy (PDR) was 1.47 % in persons who had diabetes for less than 5 years to 7.35 % in persons who had diabetes more than 15 years. In our study, it was seen that nephropathy was present in 35.71 % cases with PDR as compared to 8.93% of cases with Non proliferative diabetic retinopathy (NPDR). Conclusion: Our study showed that there is a significant correlation between severity of retinopathy and duration in type 2 Diabetes mellitus patients. Maximum number of patients with Diabetes mellitus having cardiovascular involvement, had hypertension (68%).In patients suffering from neuropathy as a complication of DM, maximum number of patients had diabetic foot (56%).It was seen that the severity of diabetic retinopathy had some association with presence of nephropathy. Also it can be postulated that patients with severe NPDR and PDR have high risk of developing nephropathy than patients suffering with mild and moderate NPDR. Hence it can be recommended that all patients of diabetes mellitus suffering from clinically significant neuropathy, nephropathy or hypertension as a complication of diabetes should always be screened for presence of retinopathy. Further studies with larger sample size are to be conducted to further look into this association. Keywords: Diabetic retinopathy, Diabetic nephropathy, diabetic neuropathy, complications

scholarly journals The dynamics, causes of mortality and lethality of population of the Perm krai because of diabetes mellitus

2019 ◽  
Vol 61 (2) ◽  
pp. 60-63
Author(s):  
Tatyana P. Demicheva ◽  
S. P. Shilova
Keyword(s):  
Diabetes Mellitus ◽  
Cerebral Circulation ◽  
Causes Of Death ◽  
Vascular Complications ◽  
The State ◽  
Official Statistics ◽  
State Register ◽  
Perm Krai ◽  
Causes Of Mortality ◽  
Analysis Of Dynamics

The academician E.A. Wagner Perm State Medical University, Perm, 614000, Russian Federation The article presents the results of analysis of dynamics, causes of mortality and lethality in consequence of diabetes mellitus ofpopulation of the Perm krai. The materials of official statistics were used provided by the regional medical informational analytical center for 13 years, the state register of diabetes mellitus (2015) and primary documentation of the municipal endocrinological department for 25 years. According the official statistics data, in total number of the deceased in the Perm krai percentage of patients with diseases of endocrine system consisted 0.4%. The average annual level of mortality is 7.1 per 100 thousand of population. According the state register of diabetes mellitus, every third patient (30.6%) died because of chronic cardiovascular inefficiency, 14.3% because of acute disturbed cerebral circulation, 5.2% because of acute myocardium infarction and 0.8% because of chronic renal inefficiency. The oncological pathology comprised 7.8% of all causes of death. The age and gender differences of indices of mortality are established. The rate of cases of death increased with age. The females died in 1.9 times more often than males. The average level of hospital lethality comprised 2.2 of 100 and daily lethality - 0.5 of 100 underwent patients. The macro-vascular complications are registered as leading causes of death. The positive dynamics of hospital lethality because of acute disturbed cerebral circulation (5 times decreasing of indicator in 25 years) was established.

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