Статья

Standards of specialized diabetes care

I. Dedov, M. Shestakova, A. Mayorov, O. Vikulova, G. Galstyan, T. Kuraeva, V. Peterkova, O. Smirnova, E. Starostina, E. Surkova, O. Sukhareva, A. Tokmakova, M. Shamkhalova, I. Jarek-Martynova, D. Beshlieva, O. Bondarenko, N. Volevodz, O. Grigoryan, R. Esayan, L. Ibragimova, V. Kalashnikov, D. Lipatov, E. Shestakova,
2021

Dear Colleagues! We are glad to present the 8th Edition of Standards of Diabetes Care. These evidence-based guidelines were designed to standardize and facilitate diabetes care in all regions of the Russian Federation. The Standards are updated on the regular basis to incorporate new data and relevant recommendations from national and international clinical societies, including World Health Organization Guidelines (WHO, 2011, 2013), International Diabetes Federation (IDF, 2011, 2012, 2013), American Diabetes Association (ADA, 2012, 2017), American Association of Clinical Endocrinologists (AACE, 2017), International Society for Pediatric and Adolescent Diabetes (ISPAD, 2014) and Russian Association of Endocrinologists (RAE, 2011, 2012, 2015). Current edition of the "Standards" also integrates results of completed randomized clinical trials (ADVANCE, ACCORD, VADT, UKPDS, SAVOR, TECOS, LEADER, EMPA-REG OUTCOME, etc.), as well as findings from the national studies of diabetes mellitus (DM), conducted in close partnership with a number of Russian hospitals. Latest data indicates that prevalence of DM in the world increased during the last decade more than two-fold, reaching some 415 million patients by the end of 2015. According to the current estimation by the International Diabetes Federation, 642 million patients will be suffering from DM by 2040. These observations resulted in the UN Resolution on Diabetes 61/225 passed on 20.12.2006, and in 2011 - UN Political Declaration, addressed to national health systems, calling for the establishment of multidisciplinary strategy in the prevention and control of non-communicable diseases, where special attention is drawn to the problem of diabetes as one of the leading causes of disability and mortality. Like many other countries, Russian Federation experiences a sharp rise in the prevalence of DM. According to Russian Federal Diabetes Register, there are at least 4.35 million patients with DM in this country by the end of 2016 (3% of population) with 92% (4 million) - Type 2 DM, 6% (255 th) - Type 1 DM and 2% (75 th) - other types of DM. However, these results underestimates real quantity of patients, because they consider only registered cases. Results of Russian epidemiological study (NATION) confirmed that only 50% of Type 2 DM are diagnosed. So real prevalence of patients with DM in Russia is no less than 8-9 million patients (about 6% of population). This is a great long-term problem, because a lot of patients are not diagnosed, so they don't receive any treatment ant have high risk of vascular complications. Severe consequences of the global pandemics of DM include its vascular complications: nephropathy, retinopathy, coronary, cerebral, coronary and peripheral vascular disease. These conditions are responsible for the majority of cases of diabetes-related disability and death. Current edition of the "Standards" emphasizes the patient-oriented approach in making decisions on therapeutic goals, such as levels of glycaemia and blood pressure. It also features updated guidelines on the management of Type 2 DM and its vascular complications, added information about bariatric surgery as a method of treatment of DM with morbide obesity. This text represents a consensus by the absolute majority of national experts, achieved through a number of fruitful discussions held at national meetings and forums. These guidelines are intended for endocrinologists and diabetologists, primary care physicians, cardiologists and other medical professionals involved in prevention and treatment of DM. On behalf of the Working Group.

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  • 1. Version of Record от 2021-04-27

Метаданные

Об авторах
  • I. Dedov
    Endocrinology Research Centre, 11, Dm. Ulyanova street, Moscow, 117036, Russian Federation
  • M. Shestakova
    Endocrinology Research Centre, I.M. Sechenov First Moscow State Medical University, 11, Dm. Ulyanova street, Moscow, 117036, Russian Federation
  • A. Mayorov
    Moscows regional research clinical institute n.a. M.F. Vladimirskiy, 61/2, Shepkina street, Moscow, 129110, Russian Federation
  • O. Vikulova
    Research Center for Obstetrics, Gynecology and Perinatology, 4, akademika Oparina street, Moscow, 117997, Russian Federation
  • G. Galstyan
  • T. Kuraeva
  • V. Peterkova
  • O. Smirnova
  • E. Starostina
  • E. Surkova
  • O. Sukhareva
  • A. Tokmakova
  • M. Shamkhalova
  • I. Jarek-Martynova
  • D. Beshlieva
  • O. Bondarenko
  • N. Volevodz
  • O. Grigoryan
  • R. Esayan
  • L. Ibragimova
  • V. Kalashnikov
  • D. Lipatov
  • E. Shestakova
Название журнала
  • Diabetes Mellitus
Том
  • 20
Выпуск
  • 1S
Страницы
  • 1-112
Ключевые слова
  • Article; blood pressure; cerebrovascular disease; coronary artery disease; decision making; disability; human; insulin dependent diabetes mellitus; kidney disease; limit of quantitation; morbid obesity; mortality; non insulin dependent diabetes mellitus; peripheral vascular disease; population research; practice guideline; prevalence; retinopathy; Russian Federation
Издатель
  • Russian Association of Endocrinologists
Тип документа
  • journal article
Тип лицензии Creative Commons
  • CC
Правовой статус документа
  • Свободная лицензия
Источник
  • scopus