Aspects of examination of patients with diabetes mellitus type 1 and 2 in the office of sociomedical assessment
- Authors: Stolov S.V.1,2, Ugleva E.M.1, Yamshchikova T.Y.1, Makarova O.V.1
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Affiliations:
- Saint-Petersburg Postgraduate Institute of Medical expert
- I.I. Mechnikov North-Western State Medical University
- Issue: Vol 26, No 4 (2020)
- Pages: 255–262
- Section: Reviews
- URL: https://medjrf.com/0869-2106/article/view/46608
- DOI: https://doi.org/10.17816/0869-2106-2020-26-3-255-262
Cite item
Abstract
When examining citizens in federal state medical and social examination institutions when recognizing a person as disabled, it is necessary to apply the criteria for determining disability set out in Order of the Ministry of Labor of Russia dated August 27, 2019 No. 585н. The conditions for recognizing a citizen as a disabled person are persistent violations of body functions, which lead to a limitation in various categories of life, the need for social support. A quantitative assessment of the severity of persistent dysfunctions of the human body is determined in percent. Certain clauses of the Order regulate the examination of citizens with diabetes. The article sets out the generally accepted criteria for assessing the severity of diabetes and its complications, the main research methods to determine the dysfunction of the target organs for a timely and reasonable referral for examination at the bureau of medical and social examination.
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About the authors
Sergey V. Stolov
Saint-Petersburg Postgraduate Institute of Medical expert; I.I. Mechnikov North-Western State Medical University
Author for correspondence.
Email: sv100lov@gmail.com
SPIN-code: 5492-2429
Scopus Author ID: 25177
candidate of medical sciences, Associate Professor of the Department of Therapy, Medical and Social Expertise and Rehabilitation №1 “Saint-Petersburg Postgraduate Institute of Medical Еxperts”
Russian Federation, Saint-PetersburgElena M. Ugleva
Saint-Petersburg Postgraduate Institute of Medical expert
Email: uglevaem@mail.ru
ORCID iD: 0000-0002-1130-5913
SPIN-code: 8589-8371
Scopus Author ID: 220013
MD, PhD
Russian Federation, Saint-PetersburgTatiana Yu. Yamshchikova
Saint-Petersburg Postgraduate Institute of Medical expert
Email: tania@tirn.spb.ru
SPIN-code: 4985-2190
Scopus Author ID: 704069
MD, PhD
Russian Federation, Saint-PetersburgOlga V. Makarova
Saint-Petersburg Postgraduate Institute of Medical expert
Email: olgamak2012@mail.ru
SPIN-code: 3301-1322
Scopus Author ID: 706047
MD, PhD
Russian Federation, Saint-PetersburgReferences
- Shestakova M.V., Vikulova O.K., Zheleznyakova A.V., Isakov M.A., Dedov I.I. Diabetes epidemiology in Russia: what has changed over the decade? Terapevticheskiy arkhiv. 2019;91(10):4-13. (in Russian) doi: 10.26442/00403660.2019.10.000364.
- Dedov I.I., Shestakova M.V., Vikulova O.K. Epidemiology of diabetes mellitus in Russian Federation: clinical and statistical report according to the federal diabetes registry. Sakharnyy diabet. 2017; 20(1):13-41. (in Russian) doi: 10.14341/DM8664.
- Dedov I.I., Shestakova M.V., Vikulova O.K., Zheleznyakova A.V., Isakov M.A. Diabetes mellitus in Russian Federation: prevalence, morbidity, mortality, parameters of glycaemic control and structure of glucose lowering therapy according to the Federal Diabetes Register, status 2017. Sakharnyy diabet. 2018;21(3):144-59. (in Russian) doi: 10.14341/DM9686.
- Dedov I.I., Shestakova M.V., eds. Type 1 diabetes: realities and prospects. [Sakharnyy diabet tipa 1: realii i perspektivy]. Moscow: Meditsinskoe informatsionnoe agentstvo; 2016. 504 p. (in Russian)
- Shamkhalova M.Sh., Vikulova O.K., Zheleznyakova A.V., Isakov M.A., Shestakova M.V., Dedov I.I. Trends in the epidemiolo¬gy of chronic kidney disease in Russian Federation according to the Federal Diabetes Register (2013–2016). Sakharnyy diabet. 2018; 21(3):160-9. (in Russian) doi: 10.14341/DM9687.
- Lipatov D.V., Vikulova O.K., Zheleznyakova A.V., Isakov M.A., Bessmertnaya E.G., Tolkacheva A.A. et al. Trends in the epidemio¬logy of diabetic retinopathy in Russian Federation according to the Federal Diabetes Register (2013–2016). Sakharnyy diabet. 2018; 21(4):230-40. (in Russian) doi: 10.14341/DM9797.
- Galstyan G.R., Vikulova O.K., Isakov M.A., Zheleznyakova A.V., Serkov A.A., Egorova D.N. et al. Trends in the epidemiology of diabetic foot and lower limb amputations in Russian Federation according to the Federal Diabetes Register (2013–2016). Sakharnyy diabet. 2018;21(3):170-7. (in Russian) doi: 10.14341/DM9688.
- Kalashnikov V.Yu., Vikulova O.K., Zheleznyakova A.V., Isakov M.A., Bondarenko I.Z., Shestakova M.V., Dedov I.I. Epidemiology of cardiovascular diseases among patients with diabetes mellitus according to the federal diabetes register of the Russian Federation (2013–2016). Sakharnyy diabet. 2019;22(2):105-14. (in Russian) doi: 10.14341/DM10167.
- Puzin S.N., Shurgaya M.A., Karaeva A.F., Mammaraeva A.M., Dmitrieva N.V. Epidemiological aspects of primary disabilitiy caused by the diseases of the endocrine system in the Russian Federation. Vestnik vserossiyskogo obshchestva spetsialistov po mediko-sotsial’noy ekspertize, reabilitatsii i reabilitatsionnoy industrii. 2018;(4):17-23. (in Russian)
- Dedov I.I., Shestakova M.V., Mayorov A.Yu., eds. Algorithms for specialized medical care for patients with diabetes. [Algoritmy spetsializirovannoy meditsinskoy pomoshchi bol’nym sakharnym diabetom]. Moscow; 2019. (in Russian)
- Dedov I.I., Shestakova M.V., Peterkova V.A., Vikulova O.K., Zheleznyakova A.V., Isakov M.A. et al. Diabetes mellitus in children and adolescents according to the Federal diabetes registry in the Russian Federation: dynamics of major epidemiological characteristics for 2013–2016. Sakharnyy diabet. 2017;20(6):392-402. (in Russian) doi: 10.14341/DM9460.
