Urolog. pro Praxi, 2009; 10(6): 332-335

Diabetic patient at a urologist‘s office

MUDr. František Musil Ph.D

Klinika gerontologická a metabolická, Fakultní nemocnice

Diabetes mellitus is a group of etiopathogenetically heterogeneous conditions with a common main feature of hyperglycemia. In type

1 diabetes, there is an absolute insulin deficiency caused by an autoimmune inflammation which affects pancreatic B-cells. The surveillance

of type 1 diabetes patients involves mimicking the physiological insulin secretion pattern (basal–bolus) using an intensified insulin

regimen or insulin pump. In addition to insulin resistance, type 2 diabetes also involves impaired insulin secretion with a relative insulin

deficiency. The surveillance of type 2 diabetes patients requires repeated assessment of the mutual relation of insulin resistance and

impaired insulin secretion with a maximum effort to individualize therapy. The surveillance of diabetes is not to be restricted to the treatment

of symptomatic hyperglycemia. It is essential to regularly monitor and effectively treat hypertension, dyslipidemia, and obesity,

and to interfere with coagulation disorders.

Keywords: diabetes mellitus, diagnosis, surveillance.

Published: January 1, 2010  Show citation