Vol 16, No 2S (2013): Special issue 2
Economic aspects
Ivan Ivanovich Dedov,
Marina Vladimirovna Shestakova,
Yury Ivanovich Suntsov,
Valentina Alexandrovna Peterkova,
Gagik Radikovich Galstyan,
Alexander Yuryevich Mayorov,
Tamara Leonidovna Kuraeva,
Olga Yur'evna Sukhareva
1-48 1048
Abstract
During 2007-2012 years the ?Diabetes mellitus? sub-programme reached the performance targets with the following results.
- Development of the State Diabetes Register covering all regions of the Russian Federation. The Register facilitates the continuous evaluation and planning of diabetes care in this country, analysis of epidemiological dynamics (including incidence and mortality in diabetes population) and human resources management.
- Alteration of the demographics of the national diabetes population, specifically:
- an increase in life expectancy among T1DM patients: up to 56.7 years (+3.8 years) in males and up to 60.8 years (+4.1 years) in females; an increase in life expectancy among T2DM patients: up to 72.4 years (+3.2 years) in males and up to 74.5 years (+2.9 years) in females;
- a reduction in mortality of diabetes patients for 28.4%; - Introduction of novel technologies for diagnostics, prevention and management of DM and its complications, that, in turn, allowed to:
- decrease the incidence of diabetic nephropathy for 16.1% and extend the pre-dialysis period;
- decrease the incidence of diabetic retinopathy for 11.4% and preserve vision in 86-91% patients who still develop this complication;
- decrease the frequency of upper- and lower-level amputations for 24% and 28%, respectively, and to reduce the ulcer healing times 2.5 to 3-fold; - Introduction of safe and highly efficient human recombinant insulin and its analogues in the regions of the Russian Federation, along with modern methods of insulin administration and outpatient blood glucose monitoring.
- Establishment of diabetes educational centres (more than 1100 in the regions of the Russian Federation) that resulted in substantial reduction of number and frequency of diabetes-associated hospital admissions.
ISSN 2072-0351 (Print)
ISSN 2072-0378 (Online)
ISSN 2072-0378 (Online)