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Časopis Internal medicine – Článok Measurement of glycaemia in pharmacies as a suitable way of screening for diabetes mellitus

Internal medicine

Peer - Reviewed Postgraduate Medical Journal.
Period 11x per year (july - august double issue)
1335-8359
The journal is indexed in the Slovak National Bibliography, Bibliographiia Medica Slovaca (BMS) and listed to citation database CiBaMed. All articles are reviewed. The publisher does not bear any responsibility for data and opinions of particular authors of the articles or advertisements. The articles on grey pages are company promotions or non reviewed information, an author is responsible for the content. Any reproduction of the content is allowed only with direct consent of the editorial office.
Predplatné
Internal medicine
Internal medicine
Peer - Reviewed Postgraduate Medical Journal.
Period 11x per year (july - august double issue)
Predplatné
Téma: Original works

Measurement of glycaemia in pharmacies as a suitable way of screening for diabetes mellitus

Emil Martinka, Jana Varsová

Diabetes mellitus (DM) is one of the most frequent chronic diseases. However, in quite a large number of people, it remains unrecognised or is diagnosed late, many times already in the stage of present complications. The diagnosis of this disease early enough, also in people without more significant DM symptoms, requires regular preventive examinations of people in risk. Although preventive examinations are a standard workload for a general practitioner, the interest of general population in these examinations is many times ignored. So, all activities which increase the public awareness of DM and interest in preventive examination are welcomed. The professional campaign – Measurement of glycaemia in pharmacies Dr Max – proved many patients with DM or prediabetic condition not knowing about their disease. So realisation of such projects brings valuable findings for medical practice, contributing to disclosure and earlier detection of highly risky people or people with already present DM, who would stay unrecognised. The results of the professional campaign showed pharmacies as an optimal place for realisation of such measurements. Not only thanks to professionally educated personnel but also regarding the fact that pharmacy is less stressful than a doctor’s office or hospital and a visitor is more prone to undergo a simple examination there, especially when this examination is anonymous and not obligatory and presented in a meaningful way. Pharmacies are usually visited by patients with various chronic or acute diseases, among whom many are at increased or high risk for DM. Therefore the results are highly effective. The examinations were preceded by media campaign and done thanks to a significant amount of Dr Max pharmacies. The examination was available over whole Slovakia. Within a week more than 15,000 people without known DM were interested in the examination. The measurement of glycaemia identified 239 (1.6%) people with the glycaemic values proving the DM presence and 1709 (11.2 %) people, in whom the glycaemic values indicates the present pre-diabetic condition or DM, who were sent for further examination or continuing health care with a doctor. Thanks to the professional campaign other 2296 (15%) people were identified, whose glycaemia was increased when fasting. However, inaccuracy of this information could not be excluded. Therefore, they were recommended to undergo repeated examinations with a general practitioner under the standard conditions. Higher glycaemic values associate not only with incidence of DM symptoms but also with more frequent incidence of diseases, which often associate with DM and increase also the risk (arterial hypertension, dyslipidaemia, obesity, gout), of cardiovascular events (condition after myocardial infarction, condition after cerebral event). All individuals in risk were recommended to improve their life-style habits, and based on this, the educational brochures were published. Due to further increase in the effectiveness when interpreting future measurement and especially better interpreting of results, detailed information about time relation to food, especially with the data obtained on an empty stomach will be required. It would also be suitable to get feedback from people who were referred to the doctor or from doctors themselves.

diabetes mellitus, pre-diabetic stage, screening, early diagnosis, Dr Max
Interná med. 2018; 18 (3): 123-128

Ročník 2018  Témy časopisu Internal medicine 3 / 2018

Overview works

Viera Fábryová
Denisa Čelovská, Viera Štvrtinová, Miroslav Malík, Dáša Mesárošová, Silvia Strečanská, Marína Arpášová, Soňa Kiňová
Zora Lazúrová, Peter Mitro
Iveta Ondriová, Terézia Fertaľová, Lívia Hadašová
Andrej Dukát, Eliška Kubíková, Milan Kriška, Martin Kužma, Peter Gavorník, Juraj Payer

Original works

Jana Mateovičová, Peter Ponťuch, Zdenka Štefániková, Katarína Masárová, Miroslav Budaj, Martin Mistrík
Emil Martinka, Jana Varsová
Nie sú dostupné žiadne voľne dostupné články
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MUDr. Viera Fedelešová, CSc.
prof. MUDr Martin Haluzík, CSc.
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prof. MUDr. Peter Mitro, PhD.
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3. LIPID Study Group. Prevention of cardiovascular events and death with pravastatin in patients with coronary heart disease and a broad range of initial cholesterol levels. N Engl J Med 1998; 339: 1349-1357.
4. Jurkovičová O, Spitzerová H, Cagáň S. Komorové arytmie a náhla srdcová smrť pri akútnom infarkte myokardu. Bratisl Lek Listy 1997; 98: 379-389.
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Period 11x per year (july - august double issue)
1335-8359
The journal is indexed in the Slovak National Bibliography, Bibliographiia Medica Slovaca (BMS) and listed to citation database CiBaMed. All articles are reviewed. The publisher does not bear any responsibility for data and opinions of particular authors of the articles or advertisements. The articles on grey pages are company promotions or non reviewed information, an author is responsible for the content. Any reproduction of the content is allowed only with direct consent of the editorial office.
Predplatné
Internal medicine
Internal medicine
Peer - Reviewed Postgraduate Medical Journal.
Period 11x per year (july - august double issue)
Predplatné