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Screening diabetischer Komplikationen — Prosit Projekt

Screening of diabetic complications — The prosit project

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Zusammenfassung

Trotz intensiver Bemühungen von Fachgesellschaften, der WHO/IDF Europa und vielen Einzelinitiativen von diabetologischen Experten ist es bisher nicht gelungen das einfache, effektive und relativ billige Screening-Programm auf diabetische Komplikationen in breitem Stil in der Bundesrepublik Deutschland durchzusetzen, obgleich die Betroffenen und unser Gesundheitssystem spätestens seit der St. Vincent Initiative 1989 darauf Recht hätten, da bei frühzeitiger Entdeckung beginnender diabetischer Komplikationen heute wirksame therapeutische Möglichkeiten zur Verfügung stehen. Das Screening besteht aus regelmäßiger Fußinspektion, einfacher vaskulärer und neurologischer, sowie gründlicher ophthalmologischer Untersuchung, Erarbeitung des vaskulären Riskoprofils (Rauchen, glykiertes Hämoglobin, Blutdruck, Köpergewicht, Triglyceride, Gesamt- und HDL-Cholesterin), EKG, evtl. Doppler-Untersuchung und Screening auf Mikroalbuminurie. Ein entsprechendes Screening-Programm zum Nachweis einer Mikroalbuminurie (Prosit Projekt) wird vorgestellt.

Summary

Despite of intensive efforts of diabetes associations, the WHO/IDF Europe and many initiatives of diabetes specialists the simple, effective and rather cheap screening programme for diabetic complications is still not functioning, although the people with diabetes and our health care system the latest since the St. Vincent Initiative in 1989 have the right for this screening, because there are effective therapeutic measures. The screening consists of regular foot inspection, simple vascular and neurological as well as careful ophthalmological examinations, screening of the vascular risk profile (smoking, glycated hemoglobin, blood pressure, body weight, triglycerides, total and HDL-cholesterol), ECG (Doppler examination), and screening for microalbuminuria. The screening programme for microalbuminuria (Prosit Projekt) will be presented.

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Literatur

  1. Borch-Johnson, K., P. K. Andersen, T. Deckert: The effect of proteinuria on relative mortality in type 1 (insulin-dependent) diabetes mellitus. Diabetologia 28 (1985), 590–596.

    Google Scholar 

  2. Chantelau, E.: Amputation? Nein danke! Kirchheim Verlag, Mainz 1995, S. 1–350.

    Google Scholar 

  3. Consensus Guidelines for the Management of insulindependent (Type 1) diabetes. European IDDM Policy Group. Medicom Europe BV, Bussum, The Netherlands 1993.

    Google Scholar 

  4. DeFronzo, R. A.: Diabetic nephropathy: Etiology and therapeutic considerations. Diabetes Reviews 3 (1995), 510–564.

    Google Scholar 

  5. European NIDDM Policy Group: Leitfaden für die Behandlung des nicht-insulinabhängigen Diabetes mellitus (NIDDM, Typ 2). Kirchheim Verlag, Mainz 1994.

    Google Scholar 

  6. Hauner, H., L. von Feber, I. Köster: Ambulante Versorgung von Diabetikern — Eine Analyse von Krankenkassendaten der AOK Dortmund. Dtsch. Med. Wschr. 119 (1994), 129–134.

    PubMed  CAS  Google Scholar 

  7. Hauner, H., L. von Ferber, I. Köster: Dieses Heft der Medizinischen Klinik.

  8. Janka, H. U., J. H. Warram, L. I. Rand, A. S. Krolewski: Risk factors for the progression of background retinopathy in ling-standing IDDM. Diabetes 38 (1989), 460–464.

    Article  PubMed  CAS  Google Scholar 

  9. Jeffcoate, W., R. MacFarlane: The diabetic foot. An illustrated guide to Management. Chapman & Hall Medical, London 1995, S. 1–166.

    Google Scholar 

  10. Jörgens, V., M. Grüßer: Abrechnung von HbA1c und Mikroproteinurie im Bereich der KV Westfalen-Lippe 1988 bis 1994. Diabetes und Stoffwechsel 4 (1995), 427–428.

    Google Scholar 

  11. Kasiske, B. L., R. S. N. Kalil, J. Z. Ma, M. Liao, W. F. Keane: Effect of antihypertensive therapy on the kidney in patients with diabetes: A meta-regression analysis. Ann. Int. Med. 118 (1993), 129–138.

    PubMed  CAS  Google Scholar 

  12. Kohner, E. M., M. Porta: Screening for diabetic retinopathy in Europe: A field guide-book. WHO and IDF Europe (1992).

  13. Lewis, E. J., L. G. Hunsicker, R. P. Bain, R. D. Rohde: The effect of angiotensin-converting-enzyme inhibition on diabetic nephropathy. New Engl. J. Med. 329 (1993), 1456–1462.

    Article  PubMed  CAS  Google Scholar 

  14. Mogensen, C. E., C. K. Christensen, E. Vittinghus: The stages in diabetic renal disease with emphasis on the stage of incipient diabetic nephropathy. Diabetes 32, Suppl. 2 (1983), 64–78.

    PubMed  Google Scholar 

  15. Mogensen, C. E.: Microalbuminuria. A marker for organ damage. Science Press, London 1993, S. 1–82.

    Google Scholar 

  16. Olivarius, F. N. de, A. H. Andreasen, N. Keiding, C. E. Mogensen: Epidemiology of renal involvement in newly-diagnosed middle-aged and elderly diabetic patients. Cross-sectional data from the population-based study “Diabetes Care in General Practice”, Denmark. Diabetologia 36 (1993), 1007–1016.

    Article  Google Scholar 

  17. Ritz, E., A. Stefanski: Diabetic nephropathy in Type II diabetes. Amer. J. Kidney Dis. 27 (1996), 167–194.

    Article  CAS  Google Scholar 

  18. Ryder, B.: Screening for diabetic retinopathy. Brit. Med. J. 311 (1995), 207–208.

    PubMed  CAS  Google Scholar 

  19. Selby, J. V., S. C. FitzSimmons, J. M. Newman, P. P. Katz, S. Sepe, J. Showstack: The natural history and epidemiology of diabetic nephropathy. JAMA 263 (1990), 1954–1960.

    Article  PubMed  CAS  Google Scholar 

  20. The Diabetes Control and Complications Trial Research Group: The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus. New Engl. J. Med. 329 (1993), 977–986.

    Article  Google Scholar 

  21. UK Prospective Diabetes Study Group (UKPDS): X. Urinary albumin excretion over 3 years in diet-treated Type 2, (non-insulin-dependent) diabetic patients, and association with hypertension, hyperglycemia and hypertriglyceridaemia. Diabetologia 36 (1993), 1021–1029.

    Article  Google Scholar 

  22. Word Health Organization: Diabetes mellitus. Report of a WHO Study Group. Technical Report Series 727. Geneva: WHO 1985.

    Google Scholar 

  23. WHO/IDF Europe: Diabetes care and research in Europe — the Saint Vincent Declaration. Diabetic Med. 7 (1990), 360.

    Article  Google Scholar 

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Authors and Affiliations

  1. Medizinische Klinik Innenstadt Klinikum, Universität München, Diabetes-Zentrum Klinikum München-Bogenhausen, Germany

    Rüdiger Landgraf

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  1. Rüdiger Landgraf
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  2. Wolfgang Piehlmeier
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  3. Rolf Renner
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Landgraf, R., Piehlmeier, W. & Renner, R. Screening diabetischer Komplikationen — Prosit Projekt. Med. Klin. 92 (Suppl 1), 20–22 (1997). https://doi.org/10.1007/BF03041805

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