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№1' 2019

THERAPY

International Medical Journal, Vol. 25., Iss. 1, 2019, P. 5−9.

GLYCEMIC CONTROL IN PREVENTION OF CARDIOVASCULAR DISEASES IN DIABETES MELLITUS

Kharkiv Medical Academy of Postgraduate Education, Ukraine

Diabetes mellitus is considered as a pathology, representing a chain of clinical events beginning as an impairment of carbohydrate metabolism, and resulting in a cardiovascular disease. The incidence and mortality from coronary heart disease in the patients with diabetes exceeds the expected levels with a simple summation of risks, indicating the direct influence of hyperglycemia on the atherosclerotic process. Explicit link between glycemic control and a reduced risk of micro− and macrovascular complications of diabetes has been proven. To date the ideology of early intervention is actively developing and is gaining more and more followers. New approaches suggest quiet preventive activity of both the patient and his/her doctor. Effective competent self−monitoring of glycemia is one of the fundamental factors in slowing down and preventing the development of cardiovascular complications of diabetes. In glycemia self−control, the patient becomes an active participant in the treatment process, sharing the responsibility with the doctor, but as well accordingly, increases adherence to compliance with the recommendations of the doctor. It is important to maintain a high quality of life for the patient. Full awareness of the patient's disease, knowledge of the technique of measuring blood glucose and the ability to correct a dysfunctional state provide good results to the patient.

Key words: glycemia, diabetes mellitus, cardiovascular diseases, diabetes management, therapeutic education.