Gastroduodenal Bleeding and Perforation in Diabetic Patients with Metabolic Syndrome (the Results of a 15-Year Observation of City Residents with Intensive Urbanization)

Abstract

<jats:p>Background: The prevalence of bleeding and perforation against the diabetes mellitus, obesity and metabolic syndrome (MetS) is studied not sufficiently.&#x0D; Methods: The period of collecting the material was 15 years (2003-2017). The observation analysis was conducted for the patients at polyclinics observations, by the doctors of first-aid, in the surgical departments of the Astana City, Kazakhstan. The number of first-aid visits to patients, the medical cards of the patients with gastroduodenal perforation (GDP) and gastroduodenal bleeding (GDB) were analyzed.&#x0D; Results: The rate of annual growth of indices of overall morbidity Rgm=1.0%, obesity in combination with diabetes was Ro=1.7%; and morbidity with metabolic syndrome was Rm=3.1%. The diagnosis of GDP was revealed in 0.63 men with MetS for every 100000 urban people. The diagnosis of GDB was registered in 2.12 men for 100000 urban people. The index of the annual growth in patients with MetS had the tendency to the growth (Rms=3.1%).&#x0D; Conclusion: The high medical and social significance of diseases of the digestive system among the adult population in Kazakhstan is determined by the annual increase in the incidence rate and a clear decrease in the quality of life of such patients, which necessitates the search for scientifically based ways to improve medical care for this population.</jats:p>

Nursing care for diabetes mellitus

“…At the hospital stage, nursing therapy is based on discharge planning, ensuring balanced treatment, care in the transition period, proper communication with the patient and family members -along with the reference to DSMES and MNT, nurses need to emphasize the importance of blood glucose monitoring, information, treatment and prevention of hypoglycaemic events, hyperglycaemic events, continued medication use, and the importance of nutrition [27][28][29]. As for special populations, nurses, parents, and other health professionals should prepare kids with diabetes for the transition to health care and self-management in adulthood [30,31]. Thus, self-management education and psychosocial problem solving are critical elements of both diabetes management and nursing practice [32].…”

Obesity and covid-19 — signs of convergence of two pandemiсs. Guidelines to fight obesity based on the principles of «ROOTS»

“…Причем показатель распространенности ожирения в отдельных регионах растет настолько стремительно, что может опережать темпы прироста населения [4], особенно в городах с высоким уровнем урбанизации. И эти процессы идут параллельно с развитием коморбидных заболеваний, возникновением тяжелых и смертельных осложнений, что создает дополнительную нагрузку на систему здравоохранения [5].Другая актуальная проблема, бросающая серьезный вызов мировому здравоохранению в последние годы, касается распространения опасных вирусных инфекций и связанных с ними заболеваний. Однако начиная с 2020 г. самым опасным и быстро распространяющимся возбудителем признан SARS-COV-2.…”

“…Причем показатель распространенности ожирения в отдельных регионах растет настолько стремительно, что может опережать темпы прироста населения [4], особенно в городах с высоким уровнем урбанизации. И эти процессы идут параллельно с развитием коморбидных заболеваний, возникновением тяжелых и смертельных осложнений, что создает дополнительную нагрузку на систему здравоохранения [5].…”