diaendoСахарный диабетDiabetes mellitus2072-03512072-0378Endocrinology research centre10.14341/DM6846diaendo-6846Research ArticleЭпидемиологияEpidemiologyСмертность при сахарном диабете 2 типаA review of mortality in type 2 diabetes mellitusАсфандияроваНаиля СайфуллаевнаAsfandiyarovaNailya Sayfullaevna

доктор медицинских наук, доцент кафедры внутренних болезней и поликлинической терапии

MD, PhD, Assistance professor

n.asfandiyarova2010@yandex.ruГБОУ ВПО Рязанский государственный медицинский университет имени академика И.П. ПавловаРоссияRyazan State Medical UniversityRussian Federation2015030320151841221Copyright © Асфандиярова Н.С., 20152015Асфандиярова Н.С.Asfandiyarova N.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.dia-endojournals.ru/jour/article/view/6846

Последние годы отмечается рост заболеваемости и смертности от сахарного диабета 2 типа. Причинами смерти больных СД 2 типа являются сердечно-сосудистые и онкологические заболевания, инфекция, заболевания почек, диабетическая кома и пр. Факторами риска смерти этой категории пациентов могут быть малоподвижный образ жизни, ожирение, курение, пол, возраст, длительность и тяжесть СД, наличие макро- и микрососудистых осложнений, гипер- и гипогликемические состояния. Адекватный контроль уровня глюкозы, умеренные физические нагрузки, использование антиагрегантов (аспирина), снижение уровня липидов, прием ингибиторов АПФ, метформина снижает смертность. Интенсивный контроль уровня глюкозы связан с риском развития тяжелых гипогликемических состояний, увеличивающих риск смерти.  Оперативное вмешательство также увеличивает риск смерти у больных СД 2 типа, за исключением бариатрических вмешательств.

The morbidity and mortality associated with type 2 diabetes have increased over recent years. The causes of death include cardiovascular disease, cancer, infection, kidney disease and diabetic coma. Risk factors for death are a sedentary lifestyle, obesity, smoking, sex, age, duration and severity of diabetes, macro- and microvascular complications and hyper- and hypoglycaemic states. Adequate glycemic control and moderate exercise along with the use of antiplatelet agents (e.g. aspirin), statins, antihypertensives and metformin can reduce mortality. Intensive glucose control was associated with an increased risk of severe hypoglycaemia and death, and surgical intervention increased the risk of death.

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The authors declare that there are no conflicts of interest present.