{"id":8426,"date":"2018-12-17T17:12:37","date_gmt":"2018-12-17T17:12:37","guid":{"rendered":"https:\/\/jurmed.ro\/medici\/?p=8426"},"modified":"2018-12-17T17:12:37","modified_gmt":"2018-12-17T17:12:37","slug":"screeningul-pentru-neuropatie-diabetica-obligatoriu-lupta-impotriva-diabetului","status":"publish","type":"post","link":"https:\/\/jurmed.ro\/medici\/screeningul-pentru-neuropatie-diabetica-obligatoriu-lupta-impotriva-diabetului\/","title":{"rendered":"Screeningul pentru neuropatie diabetic\u0103, obligatoriu \u00een lupta \u00eempotriva diabetului"},"content":{"rendered":"<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\"><strong>Lupta \u00eempotriva diabetului zaharat presupune o abordare complex\u0103, pe mai multe paliere, care \u00eencepe cu preven\u021bia primar\u0103 \u0219i continu\u0103 cu diagnosticarea precoce, screeningul pentru complica\u021bii \u0219i \u00eengrijirea interdisciplinar\u0103 complet\u0103.<\/strong><\/p>\n<p style=\"text-align: justify;\">Neuropatia diabetic\u0103, una dintre complica\u021biile cronice ale diabetului afecteaz\u0103 p\u00e2n\u0103 la 66% dintre persoanele cu diabet.<sup>1<\/sup> De\u0219i \u00een multe cazuri pacien\u021bii nu \u0219tiu c\u0103 au aceast\u0103 complica\u021bie, <strong>neuropatia diabetic\u0103 ar putea fi depistat\u0103 \u00een stadiile incipiente, prin intermediul unor programe de screening<\/strong>. Un <strong>tratament adecvat<\/strong>, \u00eenc\u0103 de la \u00eenceput, ajut\u0103 la <strong>\u00eembun\u0103t\u0103\u021birea evolu\u021biei bolii<\/strong> (care, \u00een lipsa unui control eficient, poate conduce la apari\u021bia ulcera\u021biilor, un factor de risc pentru amputa\u021biile la nivelul picioarelor) \u0219i <strong>reduce astfel impactul asupra calit\u0103\u021bii vie\u021bii.<\/strong><\/p>\n<p style=\"text-align: justify;\">\u00cen contextul \u00een care estim\u0103rile arat\u0103 c\u0103 num\u0103rul persoanelor cu diabet va cre\u0219te cu aproximativ 50% p\u00e2n\u0103 \u00een 2045<sup>2<\/sup>, interven\u021biile pentru prevenirea \u0219i reducerea complica\u021biilor sunt esen\u021biale \u00een combaterea poverii diabetului, subliniaz\u0103 Federa\u021bia Interna\u021bional\u0103 de Diabet.<\/p>\n<p style=\"text-align: justify;\"><strong>Ce \u00eenseamn\u0103 screeningul de neuropatie diabetic\u0103<\/strong><\/p>\n<p style=\"text-align: justify;\">Conform recomand\u0103rilor Asocia\u021biei Americane de Diabet (American Diabetes Association) 2018, screening-ul neuropatiei diabetice trebuie efectuat la debutul diabetului zaharat de tip 2 \u0219i la 5 ani de la diagnosticul diabetului de tip 1, iar apoi, cel pu\u0163in anual.<sup>3<\/sup><\/p>\n<p style=\"text-align: justify;\">Screening-ul presupune anamneza pacientului \u0219i o serie de teste clinice. Majoritatea pacien\u0163ilor cu neuropatie diabetic\u0103 prezint\u0103 de cele mai multe ori simptome \u015fi\/sau semne specifice, care ar trebui recunoscute imediat de c\u0103tre clinician.<\/p>\n<p style=\"text-align: justify;\"><em>\u201e\u00cen jur de 1 din 10 pacien\u021bi prezint\u0103 simptomatologie evident\u0103 de neuropatie diabetic\u0103, atunci c\u00e2nd se pune diagnosticul de diabet zaharat, \u00een timp ce dup\u0103 25 de ani de la depistarea diabetului, aproximativ 1 din 2 pacien\u021bi au semne clinice de neuropatie.\u201d<\/em>, a explicat <strong>prof. dr. Gabriela Radulian, pre\u0219edintele Societ\u0103\u021bii de Neuropatie Diabetic\u0103.<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>Controlul glicemic eficient, esen\u021bial \u00een managementul neuropatiei diabetice<\/strong><\/p>\n<p style=\"text-align: justify;\">Complica\u0163iile cronice sau pe termen lung ale diabetului zaharat se dezvolt\u0103 treptat. Cu c\u00e2t cre\u015fte durata de evolu\u0163ie a diabetului \u2013 mai ales \u00een condi\u0163iile unor valori glicemice necontrolate \u2013 cu at\u00e2t este mai mare riscul de complica\u0163ii cronice.<\/p>\n<p style=\"text-align: justify;\">Speciali\u0219tii subliniaz\u0103 c\u0103 pentru reducerea riscului de dezvoltare a neuropatiei diabetice, prioritatea este asigurarea unui control glicemic eficient. De altfel, Federa\u021bia Interna\u021bional\u0103 de Diabet atrage aten\u021bia c\u0103 <strong>un management strict al nivelului glucozei din s\u00e2nge, caracterizat prin valori ale hemoglobinei A1c (media valorilor glicemice pe trei luni) &lt;<\/strong><strong> 7% poate conduce la o sc\u0103dere cu 35% a riscului de amputa\u021bii la nivelul piciorului<sup>4<\/sup>.<\/strong><\/p>\n<p style=\"text-align: justify;\">Referin\u021be:<\/p>\n<p style=\"text-align: justify;\"><sup>1,2,4<\/sup><a href=\"http:\/\/diabetesatlas.org\/IDF_Diabetes_Atlas_8e_interactive_EN\/\">http:\/\/diabetesatlas.org\/IDF_Diabetes_Atlas_8e_interactive_EN\/<\/a><\/p>\n<p style=\"text-align: justify;\"><sup>3 <\/sup><a href=\"http:\/\/care.diabetesjournals.org\/content\/41\/Supplement_1\/S105\">http:\/\/care.diabetesjournals.org\/content\/41\/Supplement_1\/S105<\/a><\/p>\n<p style=\"text-align: justify;\"><strong>PR&amp;Comunicare:<\/strong> S\u0103n\u0103tatea Press Group \u2013 expertul t\u0103u \u00een comunicare pe domeniul medical<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Lupta \u00eempotriva diabetului zaharat presupune o abordare complex\u0103, pe mai multe paliere, care \u00eencepe cu preven\u021bia primar\u0103 \u0219i continu\u0103 cu diagnosticarea precoce, screeningul pentru complica\u021bii \u0219i \u00eengrijirea interdisciplinar\u0103 complet\u0103. Neuropatia [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":8244,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-8426","post","type-post","status-publish","format-standard","has-post-thumbnail","category-stiri-noutati"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Screeningul pentru neuropatie diabetic\u0103, obligatoriu \u00een lupta \u00eempotriva diabetului<\/title>\n<meta name=\"description\" content=\"Neuropatia diabetic\u0103 este una dintre complica\u021biile cronice ale diabetului afecteaz\u0103 p\u00e2n\u0103 la 66% dintre persoanele cu diabet\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/jurmed.ro\/medici\/screeningul-pentru-neuropatie-diabetica-obligatoriu-lupta-impotriva-diabetului\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Screeningul pentru neuropatie diabetic\u0103, obligatoriu \u00een lupta \u00eempotriva diabetului\" \/>\n<meta property=\"og:description\" content=\"Neuropatia diabetic\u0103 este una dintre complica\u021biile cronice ale diabetului afecteaz\u0103 p\u00e2n\u0103 la 66% dintre persoanele cu diabet\" \/>\n<meta property=\"og:url\" content=\"https:\/\/jurmed.ro\/medici\/screeningul-pentru-neuropatie-diabetica-obligatoriu-lupta-impotriva-diabetului\/\" \/>\n<meta property=\"og:site_name\" content=\"Jurmed - 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