The study of medico-social aspects of the quality of life and the level of health care provided to children with type 1 diabetes

The article presents the results of a questionnaire-based survey of children with type 1 diabetes mellitus and their parents, analyzes medical and social aspects of the lifestyle and quality of life and the level of health care provided. Our findings indicate that the pediatric patients face significant social limitations and are at risk of developing complications (inability to attend preschool educational institutions, extracurricular and physical education classes; the need for psychological consultations; lack of conditions for controlling the level of glycemia and insulin at school; problems with school meals). The survey results helped develop recommendations for prevention of complications of diabetes mellitusВ статье представлены результаты анкетирования детей с сахарным диабетом 1 типа и их родителей, проанализированы медикосоциальные аспекты образа и качества жизни, уровень оказываемой медицинской помощи. Полученные результаты свидетельствуют о том, что у детей с данным заболеванием есть существенные социальные ограничения и присутствуют факторы риска развития осложнений (невозможность посещения дошкольных образовательных учреждений, дополнительных занятий, занятий по физической культуре, необходимость психологических консультаций, отсутствие условий для осуществления контроля уровня гликемии и постановки инсулина в образовательных учреждениях, проблемы с приемом пищи в школе). По результатам опроса были разработаны рекомендации, направленные на профилактику развития осложнений

Twenty-four-hour blood pressure profile in elderly patients with borderline arterial hypertension

The aim of the study was to compare 24-hour blood pressure (BP) profile in elderly patients with borderline arterial hypertension (BAH) and in subjects with more advanced AH stages. Ninety-nine elderly pateints (mean age 72+4 years) were examined. Twenty-four-hour BP monitoring (24-hour BPM) was performed with a device «MDP-NS- 01» (Russia), by standard methodics. BAH in the elderly is charaterised by higher than in other AH stages, prevalence of white-coat hypertension, and its relative prevalence in the isolated systolic hypertension structure. In the elderly patients with BAH, «pressure load» was relatively high, like in advanced AH stages, due to high systolic BP for all time intervals. Such patients were charaterised with various 24-hour rhythm disturbancies of systolic and diastolic BP. In general, these disturbancies resembled such disorders in advanced AH stages. Elderly hypertensive patients with BAH had high BP variability, mostly due to systolic BP variations