| Author/Editor | Medvešček, Marko | |
| Title | Osnovna pravila obravnave bolnikov s sladkorno boleznijo tipa 2 v ambulanti zdravnika družinske medicine | |
| Translated title | Basic principles of the management of type 2 diabetic patients in the family physician's office | |
| Type | članek | |
| Source | Med Razgl | |
| Vol. and No. | Letnik 41, št. Suppl 1 | |
| Publication year | 2002 | |
| Volume | str. 3-10 | |
| Language | slo | |
| Abstract | Health care of type 2 diabetic patients is one of the tasks of a general practitioner's care for his patients. Previous dispensaries for diabetic patients have given way to specialist diabetes outpatient clinics following legislative changes in this country's health care system. Consequently, a shift of type 2 diabetic patients, who require a less demanding level of care for their diabetes, has occurred from diabetes clinics back to the general practitioner's office. However, referral to a diabetes specialist or any other specialist is possible when needed. Primary care of type 2 diabetic patients requires structured and continuous care, conducted along professional standards, and the target values for the control of diabetes are described. Target values should be tailored to patients' individual needs, respecting their quality of life. Primary care for diabetes type 2 requires a professionally well-educated team of a doctor and a nurse. | |
| Summary | Tako kot za druge kronične bolezni, npr. za hipertenzijo, je za oskrbo bolnikov s sladkorno boleznijo tipa 2 odgovoren izbrani zdravnik splošne oziroma družinske medicine. Diabetološke ambulante so v skladu z novim Zakonom o zdravstvenem varstvu prešle od dispanzerskega načina, pri katerem je tim z zdravnikom internistom oskrboval vse bolnike s sladkorno boleznijo, na specialistični način dela. Nova zakonska ureditev in potreba po oskrbi izredno velikega števila bolnikov tipa 2 zahteva preureditev delitve dela oskrbe teh bolnikov med primarno in sekundarno ravnijo zdravstvenega varstva. Raven primarne oskrbe je dolžna skrbeti za bolnike, ki ne potrebujejo zahtevne diabetološke oskrbe, ima pa zdravnik splošne medicine možnost sodelovanja z diabetološko ali katero koli drugo specialistično ambulanto, če za to obstajajo strokovni razlogi. Ambulantna oskrba zahteva strukturirano, neprekinjeno in strokovno oskrbo, ki upošteva individualne cilje vsakega bolnika. Ciljne vrednosti urejenosti glikemije in dejavnikov tveganja so v razponu od optimalnih do takih, ki bolniku zgolj zagotavljajo kompromisno kakovost življenja. Oskrba bolnikov s sladkorno boleznijo tipa 2 tudi v ambulanti splošne medicine zahteva timsko oskrbo teh bolnikov ter ustrezno usposabljanje zdravnika in tudi medicinske sestre. | |
| Descriptors | DIABETES MELLITUS, NON-INSULIN-DEPENDENT FAMILY PRACTICE |