| Author/Editor | Urbančič, Vilma; Vrtovec, Matjaž | |
| Title | Nefarmakološki pristop k zdravljenju sladkorne bolezni | |
| Translated title | A non-pharmacological approach to the treatment of diabetes mellitus | |
| Type | članek | |
| Source | Med Razgl | |
| Vol. and No. | Letnik 41, št. Suppl 1 | |
| Publication year | 2002 | |
| Volume | str. 19-25 | |
| Language | slo | |
| Abstract | A therapeutic approach to the treatment of diabetes mellitus consists of non-pharmacological interventions and drug therapy. The non-pharmacological measures are the cornerstone of diabetes therapy and include health care education, healthy nutrition, body weight control, physical activity and self-monitoring. In most patients with type 2 diabetes mellitus, in the initial phases, non-pharmacological measures can lead to stable metabolic regulation. Health care education motivates the patient to be an active participant in the treatment process. Individually tailored nutritional interventions enable good glycemic control and weight loss in overweight patients. Even moderate weight reduction can have a significant improvement on blood glucose control, serum lipids and blood pressure. Regular exercise has similar effects, and contributes at the same time to weight reduction. Self-monitoring enables the patients to actively follow their disease and treatment. The effectiveness of the non-pharmacologcal measures is evaluated by following the parameters of metabolic regulation (blood glucose, HbA1c and lipid concentration), blood pressure, body weight and quality of life. | |
| Summary | Zdravljenje bolnika s sladkorno boleznijo obsega splošne nefarmakološke ukrepe in zdravljenje z zdravili. Nefarmakološki ukrepi so temelj zdravljenja sladkorne bolezni in vključujejo zdravstveno vzgojo, zdravo prehrano, primerno telesno težo, telesno dejavnost in samokontrolo. Pri bolnikih s sladkorno boleznijo tipa 2 v začetni fazi običajno zadoščajo za doseganje dobre presnovne urejenosti. Z zdravstveno vzgojo bolnika pridobimo in usposobimo za aktivno sodelovanje v zdravljenju. Prehrana, ki mora biti prilagojena posameznemu bolniku, omogoča urejanje glikemije, v primeru debelosti pa tudi hujšanje. Že zmerna izguba telesne teže dokazano zniža glikemijo, hiperlipidemijo in hipertenzijo. Enako vpliva tudi redna telesna dejavnost, ki hkrati pomaga pri hujšanju in vzdrževanju telesne teže. Samokontrola omogoča bolnikom, da bolje spremljajo svojo bolezen in zdravljenje. Ocena uspešnosti nefarmakoloških ukrepov temelji na spremljanju parametrov presnovne urejenosti (koncentracija glukoze v krvi, lipidov in glikiranega hemoglobina), krvnega tlaka in telesne teže, kot tudi kakovosti življenja. | |
| Descriptors | DIABETES MELLITUS, NON-INSULIN-DEPENDENT HEALTH EDUCATION HEALTH FOOD EXERCISE BLOOD GLUCOSE SELF-MONITORING |