Type 1 diabetesmellitus (T1DM) is one of the most common chronic incurable diseases of the developmental age in Europe ( 1 ).
The treatment of T1DM includes insulin therapy with the insulin dose individually adjusted, self-monitoring, proper nutrition, physical activity and health education ( 2 ).
Children and adolescents with T1DM should attend public educational institutions ( 3 , 4 ). Therefore, properly organised diabetes care for a child with T1DM at school or preschool is very important for the proper individual and social
Rade Iljaž, Andrej Brodnik, Tatjana Zrimec and Iztok Cukjati
Diabetesmellitus (DM), defined as a “group of common metabolic disorders that share the phenotype of hyperglycaemia”, is a very relevant and growing public health problem in all developed countries. Among the most important treatment goals for adults with diabetes are: good glycaemic control (HbA1c<7.0% and fewer hyperglycaemia symptoms), regulation of blood pressure and serum lipids, prevention of complications, and patient education about DM, nutrition and exercise. The measurement of glycated haemoglobin and self-monitoring of blood
Daria Ługowska, Tomasz Ługowski, Olga Krzywińska, Mariusz Kozakiewicz and Paweł Grzelakowski
1. Zalecenia PTD. 2017 Guidelines on the management of diabetic patients. A position of Diabetes Poland. Clin Diabet. 2017;6, Suppl. A: A1–A80;
2. Rutkowski M, Bandosz P, Czupryniak L, Gaciong Z, Solnica B, Jasiel-Wojculewicz H, et al. Prevalence of diabetes and impaired fasting glucose in Poland--the NATPOL 2011 Study. Diabet Med. 2014 Dec;31(12):1568-71;
3. Hazel J. SCUBA diving: ADS position statement. 1994;
4. Edge CJ, St Leger Dowse M, Bryson P. Scuba diving with diabetesmellitus--the UK experience 1991-2001. Undersea
Davorina Petek, Danica Rotar-Pavlič, Janko Kersnik and Igor Švab
Health Care Costs in an Older Population with Type 2 DiabetesMellitus: A Longitudinal Cohort Study. Clin Ther 2003; 25: 2958-71.
Krapek K, King K, Warren SS, George KG, Caputo DA, Mihelich K et al. Medication adherence and associated hemoglobin A1c in type 2 diabetes. Ann Pharmacother 2004; 38: 1357-62.
Vermeire E, Hearnshaw H, Van Royen P, Denekens J. Patient adherence to treatment: three decades of research. A comprehensive review. J Clin Pharm Ther 2001; 26 : 331-342.
Roter DR, Hall JA
Ageing of the population, increasing prevalence of diabetesmellitus 2 (DM2) and costs of diabetes care stress the need for effective and quality care that should be at least partly managed at the primary level, because it is cost effective and more accessible than at the secondary level (1) . Several studies found that the recommended clinical practice guidelines were not adequately followed in diabetes patients (2 - 4) , although the process of care and intermediate outcomes have improved in the past decade (4) . Thereafter, a range of
Zalika Klemenc-Ketiš, Igor Švab and Antonija Poplas Susič
, Mlakar M. Quality of care for patients with diabetesmellitus type 2 in ‘model practices’ in Slovenia – first results. Zdr Varst 2016; 55: 179-84. Petek D Mlakar M. Quality of care for patients with diabetesmellitus type 2 in ‘model practices’ in Slovenia – first results Zdr Varst 2016 55 179 84
24 Heneghan C, Perera R, Mant D, Glasziou P. Hypertension guideline recommendations in general practice: awareness, agreement, adoption, and adherence. Br J Gen Pract 2007; 57: 948-52. 10.3399/096016407782604965 Heneghan C Perera R Mant D Glasziou P. Hypertension
MJ, de Zeeuw D. The economic benefits of preventing end-stage renal disease in patients with type 2 diabetesmellitus. Nephrol Dial Transplant 2009; 10: 2975-2983.
20. ParraMoncasi E, Arenas Jiménez MD, Alonso M et al. Multicentre study of haemodialysis costs. Nefrologia 2011; 31: 299-307.
21. Villa G, Rodríguez-Carmona A, Fernández-Ortiz L et al. Cost analysis of the Spanish renal replacement therapy programme. Nephrol Dial Transplant 2011; 26: 3709-3714.
22. Haller M, Gutjahr G, Kramar R, Harnoncourt F, Oberbauer R
Grażyna Adler, Arkadiusz Nędzarek and Agnieszka Tórz
22 Ranheim T, Halvorsen B. Coffee consumption and human health-beneficial or detrimental? Mechanisms for effects of coffee consumption on different risk factors for cardiovascular disease and type 2 diabetesmellitus. Mol Nutr Food Res. 2005;49:274-84. doi: 10.1002/mnfr.200400109. 10.1002/mnfr.200400109 15704241
Ranheim T Halvorsen B Coffee consumption and human health-beneficial or detrimental? Mechanisms for effects of coffee consumption on different risk factors for cardiovascular disease and type 2 diabetesmellitus Mol Nutr Food Res 2005 49 274
Diabetesmellitus is a chronic metabolic disorder affecting 8-11% of the general population ( 1 ). It is one of the major public health problems worldwide, including Slovenia ( 2 ). The disease is characterized by elevated blood sugar levels, which damage blood vessel walls, ultimately leading to end-organ injury. The financial burden of diabetes treatment and its complications is enormous ( 3 ). Gangrene and amputation are among the most feared complications of diabetes. More than 50% of all non-traumatic amputations are performed on
Tanja Pate, Miha Rutar, Tadej Battelino, Maja Drobnič Radobuljac and Nataša Bratina
new cases 2005-20: a multicentre prospective registration study. Lancet 2009; 373: 2027-33.
7. Bratina N, editor. Sladkorčki: vse, kar ste želeli vedeti o sladkorni bolezni. Ljubljana: Društvo za pomoč otrokom s presnovnimi motnjami, 2012.
8. DCCT Research Group. The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetesmellitus. N Engl J Med 1993; 329: 977-86.
9. Delamater AM. Psychological care of children and adolescents with diabetes