Dispensary observation of adult patients with diabetes in Minsk is regulated by order of the Health Committee of the Minsk City Executive Committee dated 07.09.2015 No. 556 “On additional measures to ensure the availability of endocrinological assistance” (as amended on 01.01.2016).
Patients with diabetes are observed in territorial polyclinics either with a general practitioner, or by an endocrinologist or in the healthcare institution “Minsk City Clinical Endocrinological Center” (hereinafter-the MGK Endocrinological Center). The determination of the specialist and healthcare institution, where patients with diabetes are observed, depends on the type of diabetes, the type of treatment, the degree of severity of chronic complications and age.
General practice doctors provide dispensary observation of patients with type 2 diabetes receiving tabletized sugar-free drugs and do not have severe late stages of diabetes (retinopathy 2-3 st., KHBS C3-5 nephropathy, diabetic foot syndrome).
Endocrinologists of the territorial clinics provide dispensary observation of patients with type 2 diabetes receiving insulin therapy with severe late complications of diabetes, as well as patients with type 1 diabetes at the age of older, other types of diabetes and diabetes (dietary therapy).
Much attention is paid to dispensary observation of patients with diabetes in the MGK Endocrinological Center. In the center, patients with diabetes of type 1 diabetes are observed, type 2 diabetes mellitus, type of working age, receiving insulin therapy or having severe late complications of diabetes.
Dispensary observation involves regularly examination in accordance with the individual medical observation plan. This plan without fail includes: the determination of glycated hemoglobin 2 times a year, lipidograms, determination of the functional state of the kidneys (calculation of the speed of glomerular filtration, determination of microalbuminuria), examination of the eyeball at the ophthalmologist, examination of the feet. The annual implementation of the above measures allows you to timely identify the initial stages of chronic complications, develop a plan for the prevention of weighting the state and generally suspend the development of the process.
Deputy Chief Physician for Medical Part of the Minsk City Clinical Endocrinological Center O.N. Shishko
