Systematic analysis of diabetic patient care in Germany

Martin, S; Landgraf, R.

doi:10.1055/s-2005-866792

Cited by 8 publications

(3 citation statements)

References 7 publications

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“…It is suspected that in the near future every third person in the age group over 65 years will suffer from diabetes mellitus. Despite current efforts to integrate a substantial number of patients into structured disease management programmes (DMPs), a systematic analysis of diabetic patient care in Germany reveals distinctive deficits in transferring recommendations and guidelines into daily patient care [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Prevalence of nephropathy in the German diabetes population--Is early referral to nephrological care a realistic demand today?

Pommer

2008

Clinical Kidney Journal

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In Germany, diabetes mellitus in the general population has increased to ∼8 million people. The implication of this trend for future nephrological care is not well known, as data on this issue are rather limited. Results from different population-based studies suggest that microalbuminuria in diabetic patients is present in 20–30% of the cases. Findings from the diabetes disease management programme in the North-Rhine area revealed the prevalence of chronic kidney disease (CKD) stage II in half of the participants (CKD stage III was present in ∼20%). Only a small proportion of this cohort (∼1–2%) will reach end-stage renal failure, probably due to the excess mortality risks attributed to advanced kidney disease. Results from the QUASI-Niere registry, which reports on renal replacement therapy in Germany, indicate almost constant incidence and prevalence rates of diabetes in the last 5 years (30.6–34.2% and 23.6–27.1%, respectively). The high percentages of early stages of CKD in the diabetes population indicate a potentially high burden of future nephrological care, especially if patients are referred to nephrologists at an early stage. In reality, in nephrological care, bearing this burden is impossible without expanding the resources for this patient group.

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Section: Introductionmentioning

confidence: 99%

Prevalence of nephropathy in the German diabetes population--Is early referral to nephrological care a realistic demand today?

Pommer

2008

Clinical Kidney Journal

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“…Der Veränderung der gesellschaftlichen Rahmenbedingungen durch hohen Fernsehkonsum, Automatisierung und Computerisierung der Umwelt und überkalorische Ernährung muss durch neue Strukturen wie z.B. Gesundheitszentren entgegengewirkt werden [80]. Insbesondere das Bewusstsein, dass Sport bzw.…”

Section: Fazit Für Die Praxisunclassified

Nichtpharmakologische Diabetestherapie

Martin

2006

Med Klin

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Insulin resistance caused by obesity and lack of physical activity plays a major role for the development of type 2 diabetes. If the reduced insulin action cannot be compensated by overproduction of insulin, glucose regulation disorder is developing. In addition, other trigger factors such as television viewing, sleep, alcohol or smoking are discussed. During the past years an intensification of pharmacological therapy was believed to be the major goal for the treatment of type 2 diabetes, now the value of nonpharmacological treatment improves. While in the past only nutrition was in the view of lifestyle research, recently a number of studies on the value of physical activity were published. In this paper an overview of recent studies showing the therapeutic potential of nonpharmacological therapies will be given. It will also be shown that these measures will not only optimize hyperglycaemia but also all other cardiovascular risk factors.

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“…Die Umstellung des Lebensstils in Form von gesünderer Ernährung und vermehrter körperlicher Aktivität wird in Schulungsprogrammen für Typ-2-Diabetes zwar als Basistherapie vermittelt, jedoch sind keine medizinischen Motivationselemente enthalten, um die Betroffenen bei der Änderung des Lebensstils zu unterstützen, sodass die Umsetzung in der Praxis nur Wenigen gelingt. Von versorgungsmedizinischer Sicht wird die Schaffung solcher Programme gefordert [10]. Um Personen mit Typ-2-Diabetes bei der Änderung ihres Lebensstils zu unterstützen, wurde daher eine computerbasierte kognitive Verhaltenstherapie mit Motivationselementen (Da Vinci Diabetes ® [11]) entwickelt und im Rahmen einer Pilotstudie evaluiert.…”

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