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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">medsovet</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинский Совет</journal-title><trans-title-group xml:lang="en"><trans-title>Meditsinskiy sovet = Medical Council</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2079-701X</issn><issn pub-type="epub">2658-5790</issn><publisher><publisher-name>REMEDIUM GROUP Ltd.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21518/2079-701X-2018-16-86-92</article-id><article-id custom-type="elpub" pub-id-type="custom">medsovet-2637</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>Коморбидный пациент</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>Comorbid patient</subject></subj-group></article-categories><title-group><article-title>Новый препарат в комплексной терапии сахарного диабета пострегистрационный опыт применения у пациентов с сахарным диабетом 1-го и 2-го типа</article-title><trans-title-group xml:lang="en"><trans-title>А new drug in the complex therapy of diabetes mellitus. Post-registration experience in patients with type 1 and type 2 diabetes mellitus</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Воробьев</surname><given-names>С. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Vorob'yev</surname><given-names>S. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>д.м.н., профессор, заведующий эндокринологическим отделением,</p><p>Ростов-на-Дону</p></bio><bio xml:lang="en"><p>Rostov-on-Don</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Петровская</surname><given-names>Е. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Petrovskaya</surname><given-names>E. U.</given-names></name></name-alternatives><bio xml:lang="ru"><p>к.м.н., сотрудник эндокринологического отделения,</p><p>Ростов-на-Дону</p></bio><bio xml:lang="en"><p>Rostov-on-Don</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кузьменко</surname><given-names>Н. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Kuz'menko</surname><given-names>N. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>к.м.н., сотрудник эндокринологического отделения,</p><p>Ростов-на-Дону</p></bio><bio xml:lang="en"><p>Rostov-on-Don</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Хрипун</surname><given-names>И. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Khripun</surname><given-names>I. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>к.м.н., доцент, сотрудник эндокринологического отделения,</p><p>Ростов-на-Дону</p></bio><bio xml:lang="en"><p>Rostov-on-Don</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБОУ ВО «Ростовский государственный медицинский университет» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal State Budgetary Educational Institution of Higher Education «Rostov State Medical University» of the Ministry of Healthcare of the Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2018</year></pub-date><pub-date pub-type="epub"><day>27</day><month>09</month><year>2018</year></pub-date><volume>0</volume><issue>16</issue><fpage>86</fpage><lpage>92</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Воробьев С.В., Петровская Е.Ю., Кузьменко Н.А., Хрипун И.А., 2018</copyright-statement><copyright-year>2018</copyright-year><copyright-holder xml:lang="ru">Воробьев С.В., Петровская Е.Ю., Кузьменко Н.А., Хрипун И.А.</copyright-holder><copyright-holder xml:lang="en">Vorob'yev S.V., Petrovskaya E.U., Kuz'menko N.A., Khripun I.A.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.med-sovet.pro/jour/article/view/2637">https://www.med-sovet.pro/jour/article/view/2637</self-uri><abstract><p>В связи с высоким уровнем заболеваемости и распространенности сахарный диабет (СД) представляет актуальную проблему для научного сообщества, которая требует поиска новых способов лечения и профилактики осложнений. Имеющиеся подходы к коррекции гипергликемии не всегда способствуют достижению целевых показателей углеводного обмена.</p><sec><title>Цель</title><p>Цель. Изучение практики применения препарата Субетта в амбулаторных условиях у пациентов с СД 1 и СД 2.</p></sec><sec><title>Материалы и методы</title><p>Материалы и методы. В программе участвовали 71 пациент с СД 1 и 289 пациентов с СД 2, уровнем HbA1c ≥ 7,0%, которые принимали Субетту в комплексной терапии диабета. Длительность программы составила 12 недель. Лабораторное обследование включало определение уровня HbA1c, глюкозы плазмы натощак.</p></sec><sec><title>Результаты</title><p>Результаты. Назначение препарата Субетта в комплексной терапии СД 1 и СД 2 способствовало значимому снижению уровня HbA1c с 9,2 ± 1,85 до 8,13 ± 1,29 ммоль/л и с 8,62 ± 1,54 до 7,49 ± 1,1 ммоль/л соответственно (р&lt;0,0001), глюкозы плазмы натощак с 9,33 до 7,65 ммоль/л и с 9,25 до 7,08 ммоль/л соответственно (p&lt;0,0001). Эффективность терапии высоко оценена пациентами и врачами. Применение Субетты не сопровождалось развитием гипогликемии и других нежелательных явлений.</p></sec><sec><title>Заключение</title><p>Заключение. В реальных клинических условиях применение нового отечественного антидиабетического препарата Субетта продемонстрировало значимое уменьшение уровня HbA1c и глюкозы плазмы натощак при отсутствии эпизодов гипогликемии у пациентов с СД 1 и СД 2.</p></sec></abstract><trans-abstract xml:lang="en"><p>Diabetes mellitus (DM), due to its high incidence and prevalence, presents an urgent problem for the scientific community, which requires new ways of treating and preventing complications. Existing hypoglycemic treatment approaches do not always contribute to the achievement of glycaemic targets.</p><sec><title>Objective</title><p>Objective. Study of Subetta-based therapy for patients with DM 1 and DM 2 in real-life clinical practice.</p></sec><sec><title>Materials and methods</title><p>Materials and methods. The program involved 71 patients with DM 1 and 289 patients with DM 2, HbA1c ≥ 7.0%, who took Subetta in combination therapy of diabetes. The duration of the program was 12 weeks. The laboratory examination included the determination of the level of HbA1c, fasting plasma glucose.</p></sec><sec><title>Results</title><p>Results. The administration of Subetta in complex therapy of DM 1 and DM 2 led to a significant reduction in HbA1c from 9.2 ± 1.85 to 8.13 ± 1.29 mmol/L and from 8.62 ± 1.54 to 7.49 ± 1.1 mmol/L, respectively (p&lt;0.0001), reduction of fasting blood glucose from 9.33 to 7.65 mmol/l and from 9.25 to 7.08 mmol/l, respectively (p&lt;0.0001). The effectiveness of therapy is highly appreciated by patients and physicians. The use of Subetta was not accompanied by the development of hypoglycemia and other adverse effects.</p></sec><sec><title>Conclusion</title><p>Conclusion. In real-life clinical practice, use of new locally developed antidiabetic drug Subetta demonstrated a significant decrease of HbA1c and fasting blood glucose, with no episodes of hypoglycemia in patients with DM 1 and DM 2. </p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>сахарный диабет</kwd><kwd>макро- и микрососудистые осложнения</kwd><kwd>сахароснижающие препараты</kwd><kwd>Субетта</kwd></kwd-group><kwd-group xml:lang="en"><kwd>diabetes mellitus</kwd><kwd>macro- and microvascular complications</kwd><kwd>antidiabetic drugs</kwd><kwd>Subetta</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Dedov II, Shestakova MV, Benedetti MM, Simon D, Pakhomov I, Galstyan G, NATION study, diabetes research and clinical practice, 2016.</mixed-citation><mixed-citation xml:lang="en">Dedov II, Shestakova MV, Benedetti MM, Simon D, Pakhomov I, Galstyan G, NATION study, diabetes research and clinical practice, 2016.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Дедов И.И., Шестакова М.В., Викулова О.К. Сахарный диабет. Федеральный регистр СД. 2017, 20(1): 13-41.</mixed-citation><mixed-citation xml:lang="en">Dedov II, Shestakova MV, Vikulova OK. Diabetes mellitus. Federal register of DM. 2017, 20 (1): 13-41.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">IDF Diabetes Atlas, 7th edition. Brussels: International Diabetes Federation; 2015. Available from: http://www.diabetesatlas.org.</mixed-citation><mixed-citation xml:lang="en">IDF Diabetes Atlas, 7th edition. Brussels: International Diabetes Federation; 2015. Available from: http://www.diabetesatlas.org.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Stratton IM, Adler AI, Neil HA, Matthews DR, Manley SE, Cull CA, Hadden D, Turner RC, Holman RR. Association of glycaemia with macrovascular and microvascular complications of type 2 diabetes (UKPDS 35): prospective observational study. BMJ, 2000, 321(7258): 405-12.</mixed-citation><mixed-citation xml:lang="en">Stratton IM, Adler AI, Neil HA, Matthews DR, Manley SE, Cull CA, Hadden D, Turner RC, Holman RR. Association of glycaemia with macrovascular and microvascular complications of type 2 diabetes (UKPDS 35): prospective observational study. BMJ, 2000, 321(7258): 405-12.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Giugliano D, Maiorino MI, Bellastella G, Esposito K. Type 2 diabetes and cardiovascular prevention: the dogmas disputed Endocrine. 2017.</mixed-citation><mixed-citation xml:lang="en">Giugliano D, Maiorino MI, Bellastella G, Esposito K. Type 2 diabetes and cardiovascular prevention: the dogmas disputed Endocrine. 2017.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Pharmacologic Approaches to Glycemic Treatment: Standards of Medical Care in Diabetes – 2018. American Diabetes Association Diabetes Care Jan, 2018, 41(1): 73-85. doi: 10.2337/dc18-S008.</mixed-citation><mixed-citation xml:lang="en">Pharmacologic Approaches to Glycemic Treatment: Standards of Medical Care in Diabetes – 2018. American Diabetes Association Diabetes Care Jan, 2018, 41(1): 73-85. doi: 10.2337/dc18-S008.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Демидов Н.А., Аванесова Д.И., Андрияшина Е.Г., Капустина Л.А., Мишра О.А., Сафронова Т.Э., Дорофеева Л.Г., Анциферов М.Б. Структура медикаментозной терапии больных сахарным диабетом 2 типа по данным Московского регистра больных сахарным диабетом, 2017.</mixed-citation><mixed-citation xml:lang="en">Demidov NA, Avanesova DI, Andriyashina EG, Kapustina LA, Mishra OA, Safronova TE, Doro feeva LG, Antsiferov MB. The drug therapy pattern in patients with type 2 diabetes mellitus according to the Moscow register of diabetes mellitus, 2017.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Мисникова И.В., Древаль А.В., Ковалева Ю.А. Гликированный гемоглобин – основной параметр в контроле сахарного диабета. Сахарный диабет, 2008, 4: 36-39.</mixed-citation><mixed-citation xml:lang="en">Misnikova IV, Dreval AV, Kovaleva YuA. Glycated hemoglobin is the main parameter for the management of diabetes mellitus. Sakharniy Diabet, 2008, 4: 36-39.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Эпштейн О.И. Релиз-активность (современный взгляд на гомеопатию и негомеопатию). М.: Издательство РАМН. 2017, 48.</mixed-citation><mixed-citation xml:lang="en">Epstein OI. Release-activity (a contemporary view of homeopathy and non-homoeopathy). M.: RAMS Publishing House. 2017, 48.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Epstein O. The spatial homeostasis hypothesis. Symmetry, 2018, 10(4): 103. doi: 10.3390/ sym10040103.</mixed-citation><mixed-citation xml:lang="en">Epstein O. The spatial homeostasis hypothesis. Symmetry, 2018, 10(4): 103. doi: 10.3390/ sym10040103.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Bailbé D, Philippe E, Gorbunov E, Tarasov S, Epstein O, Portha B. The Novel Oral Drug Subetta Exerts an Antidiabetic Effect in the Diabetic Goto-Kakizaki Rat: Comparison with Rosiglitazone. Journal of Diabetes Research, 2013, 13(1): Article ID 763125. doi: 10.1155/2013/763125.</mixed-citation><mixed-citation xml:lang="en">Bailbé D, Philippe E, Gorbunov E, Tarasov S, Epstein O, Portha B. The Novel Oral Drug Subetta Exerts an Antidiabetic Effect in the Diabetic Goto-Kakizaki Rat: Comparison with Rosiglitazone. Journal of Diabetes Research, 2013, 13(1): Article ID 763125. doi: 10.1155/2013/763125.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Gorbunov EA, Nicoll J, Myslivets AA, Kachaeva EV, Tarasov SA. Subetta Enhances Sensitivity of Human Muscle Cells to Insulin. Bulletin of Experimental Biology and Medicine, 2015, 159(4): 463-465.</mixed-citation><mixed-citation xml:lang="en">Gorbunov EA, Nicoll J, Myslivets AA, Kachaeva EV, Tarasov SA. Subetta Enhances Sensitivity of Human Muscle Cells to Insulin. Bulletin of Experimental Biology and Medicine, 2015, 159(4): 463-465.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Nicoll J, Gorbunov EA, Tarasov SA, Epstein OI. Subetta Treatment Increases Adiponectin Secretion by Mature Human Adipocytes In Vitro. International Journal of Endocrinology, 2013, 2013: 1-4.</mixed-citation><mixed-citation xml:lang="en">Nicoll J, Gorbunov EA, Tarasov SA, Epstein OI. Subetta Treatment Increases Adiponectin Secretion by Mature Human Adipocytes In Vitro. International Journal of Endocrinology, 2013, 2013: 1-4.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Хейфец И.А., Спасов А.А., Воронкова М.П., Дугина Ю.Л., Эпштейн О.И. Изучение гипогликемической активности субетты и росиглитазона на модели стрептозотоцинового диабета у крыс. Бюллетень экспериментальной биологии и медицины, 2012, 153(1): 62-64.</mixed-citation><mixed-citation xml:lang="en">Heifetz IA, Spasov AA, Voronkova MP, Dugina YuL, Epstein OI. The study of hypoglycemic activity of subetta and rosiglitazone using the streptozotocin-induced diabetic model in rats. Bulleten Experimentalnoy Biologii i Meditsiny, 2012, 153 (1): 62-64.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Инструкция по медицинскому применению препарата Субетта https://grls.rosminzdrav.ru/Grls_View_v2.aspx?routingGuid = 83f9a6c1-1115-41a2-b329-440652c7954e&amp;t=ef769e67-8063-48a0-9e38-5e4f60e736c3.</mixed-citation><mixed-citation xml:lang="en">Instruction leaflet for medical use of the medicinal product Subetta https://grls.rosminzdrav.ru/Grls_View_v2.aspx?routingGuid=83f9a6c1-1115-41a2-b329-440652c7954e&amp;t=ef769e67-8063-48a0-9e38-5e4f60e736c3.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Покровский М.В., Кочкаров В.И., Покровская Т.Г., Артюшкова Е.Б., Пашин Е.Н., Даниленко Л.М., Корокин М.В., Белоус А.С., Корокина Л.В., Малыхин В.А., Залозных Я.И., Брусник М.С., Жавберт Е.С. Сравнительное изучение потенциальных эндотелий протекторов и препарата импаза при моделировании дефицита оксида азота. Бюлл. экспер. биол. и мед., 2009, 148(8): 154-157.</mixed-citation><mixed-citation xml:lang="en">Pokrovskiy MV, Kochkarov VI, Pokrovskaya TG, Artyushkova EB, Pashin EN, Danilenko LM, Korokin MV, Belous AS, Korokina LV, Malykhin VA, Zaloznykh YaI, Brusnik MS, Zhavbert ES. Comparative study of potential endothelio-protectors and impaza in modelled nitric oxide deficiency. Byull. Exper. Biol. i Med.2009, 148(8): 154-157.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Алгоритмы специализированной медицинской помощи больным сахарным диабетом. Под ред. И.И. Дедова, М.В. Шестаковой, А.Ю. Майорова, 8-й выпуск, Москва, 2017.</mixed-citation><mixed-citation xml:lang="en">Algorithms of specialized medical care for diabetes mellitus patients. Edited by Dedov II, Shestakova MV, Mayorov AYu, 8th edition, Moscow, 2017.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
