Type 2 diabetes and comorbid conditions in the practice of a family doctor

Abstract

The treatment of type 2 diabetes in a patient with high comorbidity is usually carried out simultaneously by several specialists, each of whom prescribes a complex of treatments, not always taking into account the appointments of their colleagues and do not follow treatment tactics . [1] . Therefore, in patients with diabetes mellitus (DM), several ways of developing polymorbidity are important at once : the presence of cause-and-effect relationships and mechanisms of formation, the unity of pathogenetic mechanisms , as well as the long-term use of medications leads to the occurrence of side complications that develop into independent nosological forms [ ]. Polypharmacy as a result of polymorbidity leads to a sharp increase in the probability of the development of systemic and unwanted effects of drugs, which is not always taken into account by doctors, since it is considered as a manifestation of one of the factors of polymorbidity and entails the prescription of an even greater number of drugs [2, 3]. Numerous studies have proven that comorbid pathology worsens the course of diabetes, in turn, diabetes also negatively affects the accompanying pathology. In this regard, it is necessary to study the impact of polymorbid pathology in patients with type 2 diabetes on the rehabilitation capabilities of the body.