scholarly journals Exercise Assessment and Prescription in Patients With Type 2 Diabetes in the Private and Home Care Setting: Clinical Recommendations From AXXON (Belgian Physical Therapy Association)

2013 ◽  
Vol 93 (5) ◽  
pp. 597-610 ◽  
Author(s):  
Dominique Hansen ◽  
Stefaan Peeters ◽  
Bruno Zwaenepoel ◽  
Dirk Verleyen ◽  
Carla Wittebrood ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Physical Therapy ◽  
Home Care ◽  
Care Setting ◽  
Clinical Recommendations

scholarly journals Evaluating the Management of Type 2 Diabetes in the Primary Care Setting Through a Novel Multi-Step Needs Assessment Process

2013 ◽  
Vol 37 ◽  
pp. S39
Author(s):  
Keith Bowering ◽  
Stewart Harris ◽  
Lawrence A. Leiter ◽  
Vincent Woo ◽  
Jean-François Yale
Keyword(s):  
Type 2 Diabetes ◽  
Primary Care ◽  
Needs Assessment ◽  
Care Setting ◽  
Primary Care Setting ◽  
Assessment Process

scholarly journals TYPE 2 DIABETES MELLITUS’S DECOMPENSATED FORM: ON THE PROBLEM OF EFFECTIVE PHARMACOTHERAPY IN REAL CLINICAL PRACTICE

2021 ◽  
Vol 9 (5) ◽  
pp. 377-386
Author(s):  
A. V. Safronenko ◽  
E. V. Gantsgorn ◽  
E. A. Sanina ◽  
M. A. Khachumova ◽  
S. O. Panenko ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Hba1c Level ◽  
Venous Blood ◽  
Cardiovascular Risks ◽  
Treatment Optimization ◽  
Clinical Recommendations ◽  
Significant Pathology ◽  
History Of ◽  
Hypoglycemic Therapy

The aim of this retrospective study was to analyze the pharmacotherapy regimens of the decompensated form of type 2 diabetes mellitus (DM2) and to evaluate its effectiveness, its compliance with clinical recommendations.Materials and methods: A retrospective analysis of 54 medical cards of patients with decompensated DM2 was conducted. The 1st group (n=24; 44%) included the patients who had a decrease in glycated hemoglobin (HbA1c) by 50% or more in 3 months after hypoglycemic therapy; and the 2nd group (n=30; 56%) – the patients whose HbA1c level decreased by less than 50%.Results. A HbA1c level was 10.4% in the 1st group and 13.2% in the 2nd group (р<0.001). However, the target levels of venous blood plasma glucose and HbA1c were not achieved in any of the patient groups. The total number of the drugs prescribed to the patients ranged from 4 (in 25% (n=6) and 10% (n=3) cases in the 1st and the 2nd groups, respectively) to 8 (in 12.5% (n=3) and 20% (n=6) cases in the 1st and the 2nd, groups, respectively). However, in a number of cases some violations of clinical recommendations were recorded: the prescription to the obese patients of insulin drugs, the administration of sulfonylureas derivatives to patients with a history of cardiovascular diseases of the atherosclerotic origin, but modern hypoglycemic drugs with proven benefits in reducing cardiovascular risks were rarely prescribed.Conclusion. The tactics of pharmacotherapy in the patients with a decompensated form of DM2 does not fully comply with the approved clinical guidelines, which requires the effectiveness of treatment optimization of this medically and socially significant pathology.

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