medsovetМедицинский СоветMeditsinskiy sovet = Medical Council2079-701X2658-5790REMEDIUM GROUP Ltd.10.21518/2079-701X-2021-12-238-244medsovet-6354Research ArticleЭНДОКРИНОЛОГИЯENDOCRINOLOGYГликемический контроль – важный инструмент в профилактике сердечно-сосудистого старения у больных сахарным диабетомGlycemic control as an important tool in the prevention of cardiovascular aging in patients with diabetes mellitushttps://orcid.org/0000-0003-1831-8052ШацкаяО. А.ShatskayaO. A.

к.м.н., ведущий научный сотрудник отдела кардиологии и сосудистой хирургии,

117036, Москва, ул. Дмитрия Ульянова, д. 11

Cand. Sci. (Med.), Leading Researcher of the Department of Cardiology and Vascular Surgery,

11, Dmitry Ulyanov St., Moscow, 117036

shatskaya@bk.ruhttps://orcid.org/0000-0002-5178-6029БондаренкоИ. З.BondarenkoI. Z.

 д.м.н., главный научный сотрудник отдела кардиологии и сосудистой хирургии,

117036, Москва, ул. Дмитрия Ульянова, д. 11

Dr. Sci. (Med.), Chief Researcher of the Department of Cardiology and Vascular Surgery,

11, Dmitry Ulyanov St., Moscow, 117036

iz_bondarenko@mail.ruhttps://orcid.org/0000-0003-1926-0091КухаренкоС. С.KukharenkoS. S.

к.м.н., ведущий научный сотрудник отдела кардиологии и сосудистой хирургии

117036, Москва, ул. Дмитрия Ульянова, д. 11

Cand. Sci. (Med.), Leading Researcher of the Department of Cardiology and Vascular Surgery,

11, Dmitry Ulyanov St., Moscow, 117036

sveta_kukharenko@mail.ruНациональный медицинский исследовательский центр эндокринологииРоссияNational Medical Research Center for EndocrinologyRussian Federation202117092021012238244Copyright © Шацкая О.А., Бондаренко И.З., Кухаренко С.С., 20212021Шацкая О.А., Бондаренко И.З., Кухаренко С.С.Shatskaya O.A., Bondarenko I.Z., Kukharenko S.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/6354

В последние десятилетия отмечается значительный рост заболеваемости и распространенности сахарного диабета (СД), который характеризуется развитием сосудистых осложнений, ведущих к ранней инвалидизации и снижению продолжительности жизни пациентов. Старение организма неизбежно ведет к возникновению возрастзависимых заболеваний, в т. ч. сердечнососудистой системы, и повышает риск смерти. Метаболические и структурно-функциональные нарушения сердечно-сосудистой системы, возникающие при СД, имеют общие со  старением организма патофизиологические механизмы. Для больных СД, особенно в условиях стойкой гипергликемии, характерны изменение метаболизма в миокарде, усиление окислительного стресса, возникновение структурно-функциональных изменений, нарушение микроциркуляции с последующим развитием диастолической и систолической дисфункций сердца, атеросклероза, клинически значимой сердечной недостаточности. Хроническая гипергликемия может ускорять процессы старения и иметь решающее значение в возникновении и прогнозе кардиоваскулярных событий у  больных СД. Достижение и  поддержание целевых показателей гликемии позволяют снизить риск развития сердечно-сосудистых осложнений у  пациентов с  СД. Оптимальный гликемический контроль включает определение уровня гликированного гемоглобина, непрерывное мониторирование гликемии, флеш-мониторинг глюкозы и самоконтроль гликемии при помощи глюкометра. Усовершенствованные модели глюкометров, оснащенные рядом дополнительных функций, позволяют проводить структурированный самоконтроль гликемии, анализировать полученные данные и проводить своевременную коррекцию терапии, активно вовлекать пациентов в процесс управления СД, что значительно повысит эффективность управления заболеванием, позволит снизить риск осложнений у пациентов и улучшить качество жизни. 

In recent decades, there has been a significant increase in the incidence and prevalence of diabetes mellitus. Diabetes mellitus is characterized by the development of vascular complications leading to early disability and a decrease in the life expectancy of patients. Aging of the body inevitably leads to the occurrence of age-related diseases, including the cardiovascular system, and increases the risk of death. Metabolic and structural and functional disorders of the cardiovascular system arising in diabetes mellitus have common pathophysiological mechanisms with aging of the body. Chronic hyperglycemia can accelerate the aging process and play a decisive role in the occurrence and prognosis of cardiovascular events in patients with diabetes mellitus. Achieving target glycemic values is an important step towards preventing vascular complications in patients with diabetes mellitus. Improved models of glucometers, equipped with a number of additional functions, allow for structured self-control of glycemia, analyze the data obtained and carry out timely correction of therapy, actively involve patients in the process of diabetes management, which will significantly increase the efficiency of disease management, reduce the risk of complications in patients and improve the quality of life.

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