medsovetМедицинский СоветMeditsinskiy sovet = Medical Council2079-701X2658-5790REMEDIUM GROUP Ltd.10.21518/2079-701X-2018-6-137-141medsovet-2387Research ArticleЭндокринологияEndocrinologyВсем ли лицам с сахарным диабетом необходим самоконтроль гликемии?Do all patients with diabetes require monitoring of glycemia?ПогореловаА. С.PogorelovaA. S.

к.м.н.

Университетская клиническая больница №2 Первого Московского государственного медицинского университета им. И.М. СеченоваРоссияUniversity Clinical Hospital No.2 of Sechenov Moscow State Medical UniversityRussian Federation20181204201806137141Copyright © Погорелова А.С., 20182018Погорелова А.С.Pogorelova A.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.med-sovet.pro/jour/article/view/2387

Специалисты полагают, что самоконтроль гликемии позволяет предотвратить эпизоды гипогликемии, адаптировать дозы лекарственных препаратов и уровень физической активности, а также обеспечить профилактику острых и поздних осложнений диабета. Однако до сих пор существуют разногласия о необходимости и частоте самоконтроля гликемии у лиц с сахарным диабетом 2-го типа, находящихся на таблетированной и комбинированной схемах сахароснижающей терапии. А развитие высокотехнологичных способов контроля гликемии у людей с сахарным диабетом 1-го типа делает сомнительной перспективу использования традиционных способов самоконтроля. Отношение пациентов к самоконтролю гликемии по-прежнему остается противоречивым.

Experts believe that self-monitoring of glycemia can prevent episodes of hypoglycemia, adapt the dose of drugs and the level of physical activity, and ensure the prevention of acute and late complications of diabetes. However, there is still disagreement over the need for and frequency of self-monitoring of glycemia in patients with type 2 diabetes mellitus on tableted and combination hypoglycemic therapy regimens. And the development of high-tech methods for managing glycemia in patients with type 1 diabetes mellitus makes the prospects for using conventional self-monitoring methods dubious. The attitude of patients towards self-monitoring of glycemia remains controversial. 

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