Med. Pro Praxi 2009; 6(4): 182-186

Rules for surveillance of diabetic patients

MUDr. František Musil Ph.D

Klinika gerontologická a metabolická, Fakultní nemocnice

Diabetes mellitus is a group of aetiopathogenetically heterogeneous conditions with a common main feature of hyperglycaemia. In type 1

diabetes, there is an absolute insulin deficiency caused by an autoimmune inflammation which affects pancreatic B-cells. Surveillance

of type 1 diabetes patients involves mimicking the physiological insulin secretion pattern (basal-bolus) using an intensified insulin regimen

or insulin pump. In addition to insulin resistance, type 2 diabetes is also characterized by impaired insulin secretion with a relative

insulin deficiency. Surveillance of type 2 diabetes patients requires repeated assessment of the mutual relation of insulin resistance and

impaired insulin secretion with a maximum effort to individualize therapy.

Surveillance of diabetes is not to be restricted to the treatment of symptomatic hyperglycaemia. It is essential to regularly monitor and

effectively treat hypertension, dyslipidaemia, and obesity, and to interfere with coagulation disorders.

Keywords: diabetes mellitus, diagnosis, surveillance.

Published: September 1, 2009  Show citation