Abordarea comprehensiva a pacientului diabetic. Comprehensive approach to the diabetic patient - Mariana Cornelia Tilinca

RO: Una dintre problemele cu care se confrunta lumea medicala de astazi este diabetul zaharat, care, prin complexitatea manifestarilor clinice si a evolutiei progresive spre complicatii, constituie o reala provocare pentru medicul diabetolog. Complicatiile pot fi acute, mai frecvent intalnite fiind cetoacidoza diabetica si hipoglicemia sau cronice microvasculare (retinopatie diabetica, nefropatie diabetica, polineuropatie diabetica) si macrovasculare (boala coronariana, boala cerebrovasculara si boala arteriala periferica).
Ca urmare, identificarea variantei terapeutice optime specifice fiecarui pacient, tinand cont de starea de sanatate a acestuia la momentul evaluarii si respectand protocoalele in vigoare, constituie elementul cheie in controlul evolutiei bolii. In managementul diabetului si a patologiei asociate acestuia este implicata, in egala masura, echipa multidisciplinara, alaturi de medicul de familie, personalul de ingrijire, pacient si apartinatorii acestuia.
In acest context, s-a conturat mobilul conceperii unei lucrari medicale de specialitate menite sa vina in intampinarea formarii profesionale a tinerilor medici, precum si in ajutorul celor cu experienta in domeniu. In cuprinsul acestei lucrari au fost expuse pe larg principalele clase farmacologice antihiperglicemiante, principalele tehnologii utilizate in managementul diabetului, precum si abordarile pacientilor cu factori de risc cardio-reno-metabolici.
Diabetul zaharat, pe care noi il percepem la prima vedere, reprezinta, de fapt, doar varful icebergului in ceea ce priveste implicatiile multiple pe care le are in intreg organismul. In realitate insa, aceasta boala, prin efectul tintit pe care il are la nivelul peretelui vascular, imbraca o multitudine de fatete clinice, care orienteaza pacientul de multe ori catre alte specialitati medicale, datorita unei simptomatologii aferente complicatiilor, ce mascheaza simptomatologia bolii de baza.
Cartea se doreste a fi un element de sprijin cu aplicabilitate practica in activitatea medicala prin modul concis de expunere a informatiilor culese din ghidurile internationale si studiile de ultima ora. Consideram ca aparitia volumului de fata este binevenita in aceasta permanenta remodelare a abordarii terapeutice a diabetului zaharat.
Autoarele

EN: One of the challenges faced by today’s medical world is diabetes mellitus, which, due to the complexity of its clinical manifestations and progressive evolution towards complications, represents a real issue for the diabetology physician. The complications can be acute, with diabetic ketoacidosis and hypoglycemia being more frequently encountered, or chronic, including microvascular complications (diabetic retinopathy, diabetic nephropathy, diabetic polyneuropathy) and macrovascular complications (coronary artery disease, cerebrovascular disease, peripheral arterial disease).
Consequently, identifying the optimal therapeutic approach tailored to each patient, considering their health status at the time of evaluation and also the current protocols, represents the key element in controlling the progression of the disease. The management of diabetes and its associated pathology involves a multidisciplinary team, together with the family physician, the care personnel, the patients, and their relatives.
In this context, the mobile for conception of a specialized medical work has emerged, intended to contribute to the professional training of young doctors, but also to support those with experience in the field. This volume comprehensively reviews the main classes of antihyperglycemic medications, the main technologies used in diabetes management, and approaches to patients with cardio-reno-metabolic risk factors.
Diabetes mellitus, as we perceive it at first sight, is actually just the tip of the iceberg regarding the multiple implications it has throughout the entire body. In reality, this disease, through its targeted effect on the vascular wall, presents a plenty of clinical manifestations that often lead the patient towards other medical specialties due to the symptomatology of complications, which masks the symptoms of the underlying disease.
The book is intended to be a supportive element with practical applicability in medical practice through a concise presentation of information gathered from international guidelines and state-of-the-art studies. We believe that the publication of this volume is welcome in this continuous remodeling of the therapeutic approach to diabetes mellitus.
The authors

RECENZII