Вплив комплаєнсу пацієнтів з комбінацією цукрового діабету 2 типу та хронічного гастриту на особливості перебігу та лікування захворювань

Abstract

Diabetes mellitus is a systemic metabolic disease that can affect most of the bodily systems, including the gastrointestinal tract. Some studies report a higher prevalence of HP infection in people with diabetes. A healthy diet, regular physical activity, support of normal body weight and avoiding tobacco use can help prevent or delay the onset of DM 2 type. The purpose of the study – to evaluate the peculiarities of the clinical course and effectiveness of treatment of DM type 2 and chronic gastritis (CG) depending on the presence of higher education in patients. 46 HP positive patients with a combination of CG and type 2 DM were examined, the average age of patients was 55.4±1.3 years. Patients were divided into 2 groups, depending on the presence or absence of higher education, so that 23 (50%) patients with higher education were included in group I, whereas in the II group – 23 (50%) patients with secondary education. The Morisky-Green scale was tested to determine the patient's compliance. Results. Insulin resistance depends on the presence of HP in the body and its eradication subsequently leads to an improvement in insulin sensitivity. According to the results obtained, patients in group I (with higher education) have a higher degree of adherence to treatment, namely, the average score of compliance in the I group was 0.61±0.15 points, and in the II group – 2.74±0.24 points. Hence, the presence of higher education in a patient contributes to better adherence to treatment. Improvement of insulin resistance after eradication of HP in patients with type 2 DM and CG, and these changes are somewhat more significant in patients with higher education.