scholarly journals Acute disorders of brain circulation and type 2 diabetes

2019 ◽  
pp. 57-60
Author(s):  
D. T. Khodjiyeva ◽  
D. К. Khaydarova ◽  
N. К. Khaydarov

A study of the state of carbohydrate metabolism in patients with acute disorders of cerebral circulation (ADCC) was carried out.It is established that the development of a stroke is often preceded by a period of hyperglycemia. The level of glycosylatedhemoglobin affects the clinical course of a stroke, including the restoration of disturbed neurological functions. The debut ofdiabetes mellitus (DM) can coincide with the development of ADCC.

Pharmateca ◽  
2019 ◽  
Vol 4_2019 ◽  
pp. 61-67
Author(s):  
K.V. Antonova () Antonova ◽  
M.M. Tanashyan () Tanashyan ◽  
M.Yu. Maksimova () Maksimova ◽  
N.V. Shakhparonova () Shakhparonova ◽  
T.I. Romantsova () Romantsova ◽  
...  

Author(s):  
S.I. Ismailov ◽  
◽  
S.U. Muminova ◽  

Aim of the study: To study the effect of prescribing inhibitors of sodium glucose cotransporter type 2 (iSGLT-2) and inhibitors of dipeptidyl peptidase-4 (iDDP-4) on the parameters of carbohydrate metabolism in patients with type 2 diabetes. Materials and methods: A prospective study included 80 patients with type 2 diabetes. The average age was 52.7 ± 3.78 years; diabetes experience - 8 years; BMI-30 ± 0.17; Hb1C-9.2 ± 0.4%; fasting glycemia –10.2 mmol/; eGFR-78 ml/min; TG-2.7 ± 0.44; total cholesterol-3.4 ± 0.72; MAU 32 ± 0.125. The patients were divided into 2 groups: group 1 - 30 patients with DN with impaired renal function and 30 patients with diabetic nephropathy without renal dysfunction in the presence of metformin + iSGLT- 2; 2 group of 30 patients with impaired renal function and 30 patients with diabetic nephropathy without impaired renal function on the background of metformin + iDPP-4. Results: The study of the effect of the inclusion of drugs iSGLT-2 (group 1) and iDPP-4 (group 2) showed a positive dynamics of carbohydrate metabolism indicators in patients with type 2 diabetes. So if the initial indicators in the groups were comparable in terms of glycemic control indicators, then by the 3rd month of treatment there was a significant decrease in HbA1c in the 1st group of patients in relation to the 2nd group. The result of the correction performed within 3 months was the achievement of the state of compensation in the 1st group in 36.7%, and in the 2nd group in 28.3%, 48.3% of the patients of the 1st group were brought into the state of sub compensation and 31.7 % of patients of the 2nd group. Conclusion: On the combination of metformin and INGLT-2, a larger number of patients managed to achieve the set goals of therapy with a lower risk of overt hypoglycemia, then this combination should be considered not only more effective.


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