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The predictive importance of adequate treatment of diabetes in patients with diabetes

Early risk stratification should be part of the assessment of patients with diabetes mellitus after acute coronary syndrome. When treating each patient with diabetes mellitus after acute coronary syndrome, one should strive to achieve the goals of therapy listed in Table. 4.4. Patients with acute myocardial infarction and diabetes mellitus are prescribed thrombolytic therapy on the same basis as for patients without diabetes mellitus. If possible, patients with diabetes mellitus and acute coronary syndrome should undergo early angiography and mechanical revascularization. The use of β-adrenoreceptor blockers can reduce morbidity and mortality in patients with diabetes and acute coronary syndrome.

The most important therapeutic measure for the prevention of thrombotic complications of the metabolic syndrome has been recommended the prescription of acetylsalicylic acid (HOT, ^ RJ, ETDRS), which significantly reduces the risk of developing major cardiovascular complications. The full implementation of all the above therapeutic approaches can significantly affect the quality of life of patients and prevent the occurrence of life-threatening cardiovascular complications.
Acetylsalicylic acid in patients with diabetes mellitus is prescribed for the same indications and in the same doses as patients without this disease. Patients with diabetes mellitus with acute coronary syndrome, in addition to the use of acetylsalicylic acid, can be assigned inhibitors of platelet aggregation, induced by the activation of ADP receptors (clopidogrel).

The use of an ACE inhibitor in addition to other therapies reduces the risk of developing cardiovascular complications in patients with diabetes and diagnosed coronary artery disease. Hard glucose metabolic control provides an advantage to patients with diabetes mellitus and acute MI. It allows you to effectively implement various therapeutic strategies.

Careful consideration and analysis of risk factors makes it possible to isolate a contingent of patients with a high risk of developing major cardiovascular complications. Focusing attention in clinical practice on patients with diabetes mellitus, impaired glucose tolerance and overweight will provide an opportunity to modify risk factors, and therefore have a positive impact on the prognosis of this serious cardiology population.
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The predictive importance of adequate treatment of diabetes in patients with diabetes

  1. Percutaneous coronary interventions in patients with coronary artery disease and multivessel disease and / or diabetes mellitus
    In patients with multivessel lesions and other signs of a high risk of complications, performing CABG, as compared with percutaneous coronary intervention, provides better survival rates. However, the differences in the cost of treatment and quality of life between the results of CABG and percutaneous coronary intervention are lost within 10-12 years of observation. Decision on complete revascularization or on
    The recommended target blood pressure in patients with diabetes mellitus and hypertension is below 130/80 mm Hg. Art. The risk of developing cardiovascular complications in patients with diabetes mellitus and hypertension is significantly increased. This risk can be effectively reduced by antihypertensive therapy. In patients with diabetes, for satisfactory control of blood pressure, it is usually necessary to prescribe a combination of several
  3. Anesthesia in patients with diabetes
    Diabetes mellitus as a comorbid pathology in patients entering the surgical department is found in more than 5% of cases. This diagnosis is made if fasting blood sugar is 8 mmol / l and above, or when testing for tolerance (by ingesting 75 g of sugar), the level of the latter in venous blood reaches 11 mmol / l and above. It must be borne in mind that these patients are predisposed to
  4. Nutrition for patients with diabetes in a mild form with overweight. Calorie reduced to 1800-2000 calories.
    PRODUCT SET FOR THE DAY White bread 150 g. Potato 250 g. Vegetables (except potatoes) 50 g. Manna-croup 50 g. Rice or buckwheat groats 50 g. Meat or fish 120 g. Egg 2 pieces. Milk 0.5 liters. Kefir 200 g. Butter, cream 20 g. Apples 200 g. Flour 5 g. Xylitol 30 g. Tea 1 g. Sour cream 15 g. APPROXIMATE MENU FOR A WEEK MONDAY First breakfast: scrambled eggs, tea with xylitol. Lunch:
  5. Food for patients with diabetes in a mild form with a normal weight, receiving hypoglycemic agents - 2500 calories
    PRODUCT SET FOR THE DAY White bread 300 g. Vegetables (except potatoes) 150 g. Potatoes 500 g. Semolina 50 g. Rice or buckwheat. Meat or fish 120 g. Egg 3 pieces. Milk 500 g. Kefir or yogurt 200 g. Butter, 20 g. Apples 400 g. Xylitol 30 g. EXAMPLE MENU FOR A WEEK MONDAY First breakfast: scrambled eggs, tea with xylitol. The second breakfast: rice porridge. Lunch: soup
  6. Meals for patients with diabetes mellitus of mild severity with diseases of the liver and gall bladder with normal body weight, receiving hypoglycemic drugs (diet on 2500 calories)
    PRODUCT SET FOR THE DAY Bread black 300 g. Potatoes 100 g. Vegetables 800 g. Buckwheat, oatmeal or barley 50 g. Meat (category II beef or chicken) 160 g. Meat broth 300 g. Protein eggs 2 pieces. Cottage cheese skim 200 g. Milk 600 g. Kefir or yogurt 200 g. Butter 25 g. Vegetable oil 25 g. Sausage dietetic 50 g. Sugar 20 g. EXAMPLE MENU NADEN
  7. Diabetes
    Diabetes mellitus is characterized by hyperglycemia and disorders of carbohydrate, fat and protein metabolism, which are accompanied by absolute or relative insufficiency of the action and / or secretion of insulin. Therefore, although diabetes is an endocrine disease in its origin, its main manifestations reflect the pathology of metabolism. EPIDEMIOLOGY. Diabetes is found among
  8. Abstract. Diabetes in obstetrics, 2010
    During pregnancy and childbirth in diabetes mellitus, Management and treatment of patients with diabetes mellitus during pregnancy, Dynamic use of ultrasound diagnostics, Management of pregnancy and childbirth in patients with diabetes, Obstetric or diabetic situation Tactics
  9. Diabetes
    Diabetes mellitus is a disease caused by absolute or relative insulin deficiency. It leads to severe violations of all types of metabolism, but above all carbohydrate and fat. Classification of diabetes. According to etiology, primary (idiopathic) and secondary diabetes mellitus are distinguished. A. Primary diabetes mellitus may be insulin-dependent (type 1) and
  10. Diabetes
    Criteria for the diagnosis of diabetes mellitus (American Diabetes Association, 1997) • Diabetes symptoms: polyuria, polydipsia, polyphagia, weight loss, elevated plasma glucose levels> 11.1 mmol / l with a random definition. • ???? Fasting plasma glucose level (fasting at least 8 hours)> 7 mmol / l. • ???? The level of glucose in blood plasma> 11.1 mmol / l during the test
  11. Diabetes
    Diabetes mellitus is a disease that is characterized by an increase in blood sugar levels, the presence of sugar in the urine, enhanced preservation of fats and enhanced protein breakdown. Diabetes mellitus is caused by a deficiency of insulin, which regulates the concentration of sugar in the blood, or a deficiency in its action. Diabetes mellitus is not a single disease. There are two main types of diabetes. Diabetes
    - A state of chronic hyperglycemia, which can develop as a result of exposure to many exogenous and genetic factors that often complement each other. Classification (according to WHO, 1985) A. Clinical.classes. Insulin-dependent diabetes mellitus. Insulin-dependent diabetes mellitus: a) in patients with normal body weight; b) in obese individuals. Diabetes associated with
    In recent years, the problem of diabetes mellitus (DM) in pregnant women and their offspring has gained important medical and social importance. Complicated during pregnancy and childbirth in diabetes, the extremely unfavorable effect of this disease on the intrauterine development of the fetus leads to disability of pregnant women, as well as to increased incidence of malformations, high perinatal morbidity and mortality. Despite
  14. Diabetes mellitus (cipher? 10,? 11)
    Definition Diabetes mellitus (DM) is a polyetiological genetically caused suffering caused by pancreatic or extrapancreatic relative or absolute insulin deficiency, characterized by impaired all types of metabolism, mainly carbohydrate in the form of chronic hyperglycemia, occurring with early atherosclerotic vascular lesions, microangiopathies,
    Extragenital pathology is all the somatic diseases that a pregnant woman has. If these diseases are in the stage of compensation, then the birth can proceed normally. Problems that need to be addressed if a pregnant woman has diabetes mellitus: 1) the question of the feasibility of pregnancy 2) family planning for diabetes 3) contraception issues:
  16. Coma with diabetes
    The labile course of diabetes in children causes frequent metabolic disorders, the highest degree of which are comatose states. They can also develop in children with newly emerged and not diagnosed diabetes in a timely manner. Depending on the genesis and clinical picture in diabetes mellitus, the following comas are distinguished: 1) diabetic (hyperglycemic,
  17. Treatment and prevention of attacks of VT in patients with myocardial infarction, suffering from chronic Ibs or other organic heart diseases (idiopathic cardiomyopathy, etc.)
    This section discusses the measures that constitute the most important element in protecting a patient from sudden cardiac death or severe circulatory disorders associated with ventricular arrhythmias. In patients with postinfarction aneurysm or with extensive scars in the walls of the left ventricle, in individuals with low EF, almost every attack of VT creates a crisis condition that must be overcome as
  18. Definition, features of pathogenesis in diabetes mellitus
    Atherosclerotic lesions of the arteries of large, medium and small caliber in patients with diabetes mellitus (DM) are defined as diabetic macroangiopathies. The emergence of a special term for atherosclerosis in people with diabetes is due to its early development and malignant course in such patients. It is established that with the same degree of dyslipidemia, atherosclerosis in patients with diabetes develops
    Diabetes mellitus is a chronic hyperglycemia syndrome that develops as a result of absolute or relative insulin deficiency and is also manifested by glucosuria, polyuria, polydipsia, disorders of lipid (hyperlipidemia, dyslipidemia), protein (dysproteinemia) and mineral (for example, hypokalemia) exchanges and the development of complications. • Absolute insulin deficiency leads to the development of
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