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001-es BibID:BIBFORM041585
Első szerző:Barkai László (gyermekgyógyász)
Cím:Microvascular complications in children and adolescents with type 1 diabetes / L. Barkai, I. Gurieva, A. Striban, S. Tesfaye, L. Czupryniak, B. N. Mankovsky, V. Spallone, I. A. Veresiu, O. Schnell, P. Kempler
Dátum:2012
Megjegyzések:The increasing incidence of type 1 diabetes in children and adolescents emphasizes the need to focus on potential diabetic complications as well. These complications may also occur subclinically and increase at the onset of puberty. In type 1 diabetes, the absence of microvascular complications such as nephropathy, retinopathy, and neuropathy is associated with a life expectancy comperable with that of the general population. Therefore, successful screening and prevention of microvascular complications play a key role in managing younger diabetic patients. The frequency of screening for nephropathy, retinopathy, and neuropathy has been summarized in guidelines, and also depends on age, diabetes duration, and individual risk factors such as family predisposition, puberty, and elevated blood pressure. Optimized glycaemic control plays a key role in efficiency reducing the risk and progression of all microvascular complications. Current consensus recommendations for symptomatic pharmacological treatment of painful diabetic peripheral neuropathy include anticonvulsants; studies have also shown that the thiamine prodrug benfotiamine (S-benzoylthiamine-O-monophosphate) may prevent the formation of advanced glycation end products (AEGs), and may therefore improve early nerve dysfunction in adolescents with type 1 diabetes. The aim of this paper was to review the epidemiology, screening and prevention of microvascular complications from type 1 diabetes in younger patients.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
diabetes in the young
nephropathy
retinopathy
neuropathy
benfotiamine
külföldön készült közlemény
Megjelenés:Diabetes, Stoffwechsel und Herz. - 21 : 5 (2012), p. 309-315. -
További szerzők:Gurieva, I. Striban, A. Tesfaye, S. Czupryniak, Leszek Mankovsky, Boris N. Spallone, V. Veresiu, I. A. Schnell, Oliver Kempler Péter (1954-) (belgyógyász, diabetológus)
Internet cím:Intézményi repozitóriumban (DEA) tárolt változat
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2.

001-es BibID:BIBFORM041484
Első szerző:Ceriello, Antonio
Cím:Diabetes as a case study of chronic disease management with a personalized approach : the role of a structured feedback loop / Antonio Ceriello, László Barkai, Jens Sandahl Christiansen, Leszek Czupryniak, Ramon Gomis, Kari Harno, Bernhard Kulzer, Johnny Ludvigsson, Zuzana Némethyová, David Owens, Oliver Schnell, Tsvetalina Tankova, Marja-Riitta Taskinen, Bruno Vergèsm, Raimund Weitgasser, Johan Wens
Dátum:2012
ISSN:0168-8227
Megjegyzések:As non-communicable or chronic diseases are a growing threat to human health and economic growth, political stakeholders are aiming to identify options for improved response to the challenges of prevention and management of non-communicable diseases. This paper is intended to contribute ideas on personalized chronic disease management which are based on experience with one major chronic disease, namely diabetes mellitus. Diabetes provides a pertinent case of chronic disease management with a particular focus on patient self-management. Despite advances in diabetes therapy, many people with diabetes still fail to achieve treatment targets thus remaining at risk of complications. Personalizing the management of diabetes according to the patient's individual profile can help in improving therapy adherence and treatment outcomes. This paper suggests using a six-step cycle for personalized diabetes (self-)management and collaborative use of structured blood glucose data. E-health solutions can be used to improve process efficiencies and allow remote access. Decision support tools and algorithms can help doctors in making therapeutic decisions based on individual patient profiles. Available evidence about the effectiveness of the cycle's constituting elements justifies expectations that the diabetes management cycle as a whole can generate medical and conomic benefit.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
külföldön készült közlemény
Megjelenés:Diabetes Research And Clinical Practice. - 98 : 1 (2012), p. 5-10. -
További szerzők:Christiansen, Jens Sandahl Czupryniak, Leszek Gomis, Ramon Harno, Kari Kulzer, Bernhard Ludvigsson, Johnny Némethyová, Zuzana Owens, David Schnell, Oliver Tankova, Tsvetalina Taskinen, Marja-Riitta Vergèsm, Bruno Weitgasser, Raimund Wens, Johan Barkai László (1958-) (gyermekgyógyász)
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