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How does an appointment with a diabetologist go and what tests does the doctor prescribe?

The specialization of a diabetologist is currently gaining popularity. Diabetes mellitus is considered a complex, chronic disease, the treatment of which requires special attention.

Observation by a diabetologist for diabetes mellitus will ensure the achievement of better results in therapy. The help of a specialist is needed not only for patients with a diagnosis, but also for people at risk of developing the disease.

Upon rough examination, we can say that a diabetologist is an endocrinologist with a narrow specialization. Its main task is to provide high-quality control over blood sugar levels. The doctor also provides the necessary prevention of dangerous complications.

How does an appointment with a diabetologist go and what tests does the doctor prescribe?A doctor who treats diabetes.

Features of a specialist’s work

List of main tasks for a specialist:

  • determination of the most effective insulin therapy regimen;
  • helps prevent or promptly identify complications from various organs and systems;
  • develops an individual nutrition plan;
  • selects a scheme of safe and effective physical activity;
  • explains to the patient emergency care schemes for emergency conditions;
  • introduces the patient to the rules of self-control.

It is worth noting that not all clinics have such a staffing position as a diabetologist. In most cases, all of the above functions are performed by an endocrinologist. This condition is normal and should not alarm patients. Such a specialist is able to provide comprehensive care to a patient with diabetes.

How does an appointment with a diabetologist go and what tests does the doctor prescribe?The main tasks of a specialist.

In large cities and even small towns, Diabetes Schools are currently being created, to which diagnosed patients and their relatives are invited.

In special classes, endocrinologists or diabetologists give patients complete knowledge about the rules for monitoring the course of the disease and introduce patients to new treatment methods. Such conditions represent a confident prevention of dangerous complications.

Attention! The diabetes school can operate remotely - this condition is optimal for providing assistance to people living in remote communities or people facing severe complications that lead to disability.

How does an appointment with a diabetologist go and what tests does the doctor prescribe?How are classes conducted at the diabetes school?

The goal of such institutions is to teach people to live a full life with diabetes. The main difficulties are that patients simply do not attend classes, citing the loss of time.

How does an appointment with a diabetologist go and what tests does the doctor prescribe?What are the signs that indicate you need to see a doctor?

There is a list of symptoms that indicate the need to see a specialist:

  • nocturia - an increase in the frequency and volume of urine output at night, a change in the smell of urine;
  • the smell of acetone from the mouth is an ambiguous symptom that requires a full examination; in some cases, the development of renal pathologies is possible;
  • sticky sweat, the appearance of hyperhidrosis;
  • feeling of thirst - the patient consumes about 4-5 liters of fluid per day;
  • constant weakness, sleep disturbances;
  • fluctuations in body weight.

When these symptoms appear, the patient must donate blood for sugar. If hyperglycemia is detected, you should consult a diabetologist.

How does an appointment with a diabetologist go and what tests does the doctor prescribe?You need to visit a doctor during pregnancy.

Important! A pregnant woman may need to consult a specialized specialist. At certain stages of pregnancy, screening for diabetes is carried out.

How is the appointment going?

The appointment with a diabetologist follows a standard procedure and begins with a questioning of the patient. First of all, the doctor determines when the symptoms appeared and what could have been the provoking factor. The specialist must review the patient’s diet and compare the approximate content of proteins, fats and carbohydrates in the menu.

At the next stage, the doctor measures the concentration of sugar in the blood. Based on the available data, the diabetologist draws up a treatment regimen for a specific patient.

How does an appointment with a diabetologist go and what tests does the doctor prescribe?How is the reception going?

It is worth noting that diabetes is a complex disease. Its treatment requires not only the use of medications. The therapy is also based on diet.

The menu is selected individually, taking into account the following factors:

  • characteristics of the body;
  • gender;
  • patient's age;
  • Lifestyle;
  • profession.

It is worth remembering that the drug treatment regimen must be periodically adjusted.

Laboratory tests and other recommendations

How does an appointment with a diabetologist go and what tests does the doctor prescribe?Blood analysis.

A patient can receive a referral to a diabetologist from a family doctor or general practitioner after confirming the diagnosis of diabetes mellitus based on laboratory tests.

Attention! You can also contact a specialist by visiting a private clinic. The price of admission may vary depending on the region.

To determine blood sugar levels, the patient must provide biological material in the morning on an empty stomach. No less important are the indicators obtained from examining the patient’s urine.

How does an appointment with a diabetologist go and what tests does the doctor prescribe?Analysis of urine.

After determining the clinical picture, the diabetologist can recommend that his patient contact the following specialists:

  • endocrinologist;
  • gynecologist – for women and urologist for men;
  • nutritionist;
  • ophthalmologist;
  • gastroenterologist

Consultation with these specialists is necessary to prevent the development of complications. The cost of not following such advice can be quite high.

Frequency of visits to a specialist

How does an appointment with a diabetologist go and what tests does the doctor prescribe?How often should a diabetic visit a doctor?

Diabetes is a disease whose course must always be monitored - under such conditions it does not pose a danger to the patient. To ensure the required control, you must follow all doctor's advice and attend consultations regularly.

The recommended frequency of appointments for patients with type 1 diabetes accompanied by complications is once every 1-2 months. If the course is successful, the frequency of visits can be reduced to once every 6 months.

The state of good compensation is absolutely safe for the patient. During this period, the level of glucose and ketone bodies is within acceptable limits. Provided you follow the diet and take medications in a timely manner, dangerous conditions are excluded.

Attention! Recommendations for reducing the frequency of visits are determined privately. For persons with concomitant diseases, the frequency of recommended doses, on the contrary, can be increased.

Provided timely correction, the disease will proceed as easily as possible, and the patient will be able to continue a normal, fulfilling life. The instructions described by the doctor must be followed.

Basic Tips

The list of basic recommendations for patients with diabetes and healthy patients who want to prevent the disease can be presented in the form of a table.

What the patient should remember
Recommendations Characteristic photo
Periodic blood testing for glucose levels. This recommendation should be followed by patients over 40 years of age. This is due to the high risk of developing type 2 diabetes. How does an appointment with a diabetologist go and what tests does the doctor prescribe?Blood collection.
Equally important for the prevention and treatment of pathology is adherence to a special diet. Some dietary restrictions will help reduce the amount of medication or insulin you take. The patient should also remember to eat after the injection. Why you need to follow a diet.
Sufficient attention should be paid to reducing the load on the pancreas - this will not only help reduce the risk of developing diabetes, but will also help prevent the development of its dangerous complications. Taking care of the pancreas.
Regular preventive examinations will ensure timely detection of complications and help prevent their further progression. Regular examinations are necessary.
You should limit your consumption of sweets and especially carbonated drinks - such products have a negative effect on the condition of the pancreas. You need to stop drinking unhealthy drinks and sweets.
  • Compliance with the tips listed will help reduce the risk of the disease in healthy individuals and will ensure the prevention of the development of dangerous consequences of diabetes for diagnosed patients.
  • 
  • The video in this article will introduce readers to the features of the work of a diabetologist.

Source: https://Diabet-expert.com/obshhie-svedeniya-2/kto-takoj-diabetolog-307

Which doctor treats diabetes mellitus - who to contact and when to contact

Diabetes mellitus (DM) is a common disease that involves impaired glucose absorption or insufficient insulin production. As the disease progresses, blood glucose levels increase.

Many people have questions about which doctor treats diabetes. After identifying the disease, the endocrinologist deals with therapy, but other doctors can treat complications or concomitant pathologies.

Diabetes is classified into a separate section of endocrinology called diabetology.

How does an appointment with a diabetologist go and what tests does the doctor prescribe?Increased blood sugar causes many pathologies

Which doctor should I contact if I have high blood sugar in adults and children?

If, according to the results of the analysis, a high level of sugar in the blood was detected, the therapist will independently make an appointment for the person with an endocrinologist. If for some reason this does not happen, you need to do it yourself. An endocrinologist will prescribe additional examinations.

The doctor will conduct a visual examination and take a medical history. It is worth noting that the approach to diagnosing diabetes in a child and an adult may differ. First of all, diseases with similar symptoms are excluded, including diabetes insipidus. Once the test results are received, an accurate diagnosis will be made.

How does an appointment with a diabetologist go and what tests does the doctor prescribe?The doctor will examine you and prescribe medications to improve your general condition.

If a person does not yet know that he has diabetes, then the following symptoms may be a reason to contact a specialist:

  • malaise;
  • weight gain or loss;
  • thirst;
  • frequent urge to urinate.

If you have these symptoms, you should first consult a therapist. He will order a finger prick blood test for fasting sugar. If suspicions of diabetes are confirmed, further diagnosis will be carried out by a specialized specialist.

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Important! A physician cannot treat a person with diabetes, but they can help diagnose the disease. Often people discover this disease during a preventive examination, which is prescribed by a general practitioner.

What is the name of a doctor who specializes in type 1 and type 2 diabetes?

A doctor called an endocrinologist is responsible for preparing therapy, monitoring and adjusting it. After a diagnosis of diabetes, a person regularly visits this doctor for recommendations. In addition, the following doctors may participate in the treatment of the disease:

  • vascular surgeon;
  • cardiologist;
  • ophthalmologist;
  • neurologist.

Other specialized specialists treat complications of diabetes that arise from improper treatment or delay in seeking help.

The endocrinologist selects the most preferable treatment method. For type 1 diabetes, insulin therapy is prescribed. Type 2 diabetes is treated with drugs that increase the sensitivity of tissues to the action of insulin and enhance its secretion. Equally important in therapy is proper diet and a healthy lifestyle.

In addition, in order to be treated effectively, a person must independently learn to control the disease. If insulin therapy is used, you will need to monitor your blood sugar using a glucometer. A diabetic should know what dose he needs to maintain normal sugar levels.

How does an appointment with a diabetologist go and what tests does the doctor prescribe?A glucometer allows you to quickly determine your blood sugar level at home

It is impossible to completely cure diabetes, so you will need to do certain things on an ongoing basis.

It is worth noting that early diagnosis of the pathology makes it possible to achieve long-term remission with the help of tablet medications. Modern medicine offers a lot of highly effective remedies. It is possible to cure all manifestations of the disease.

In later stages, insulin therapy is required. All manifestations of the disease must be eliminated as early as possible.

Which specialist treats diabetic foot?

If you want to find out which doctor deals with diabetes, you will need to contact the clinic. Almost always, drawing up a successful treatment regimen requires the help of several specialized specialists.

Diabetic foot is a complication of diabetes, characterized by damage to nerves and blood vessels. As the pathology develops, necrotic processes and ulcers occur in the soft tissues. If blood glucose is not normalized, the pathology can cause gangrene, the only treatment for which is amputation.

Complications are treated by an endocrinologist and a doctor called a podiatrist. An endocrinologist normalizes glucose levels by prescribing specialized medications or insulin.

The podiatrist directly treats the lesions of the lower extremities, prescribing healing and antiseptic agents for the speedy recovery of the foot.

It is worth noting that without putting sugar in order, it is impossible to get rid of the complication.

How does an appointment with a diabetologist go and what tests does the doctor prescribe?Localization of complications in long-term diabetes

Damage to the limbs in diabetes threatens a person’s life. As a rule, diabetic foot appears approximately 7-10 years after the onset of the disease.

In most cases, this complication occurs in older people suffering from type 2 diabetes. Many diabetics do not pay due attention to the complication when it first begins to develop.

This is the main reason for the appearance of ulcers and purulent-necrotic processes in the foot.

Who in the clinic deals with eye complications of diabetes?

Diabetes can cause poor vision and even blindness. To prevent this complication from appearing, it is necessary to start treatment on time. At the first sign of eye problems, you should seek help from an ophthalmologist.

The ophthalmologist will perform the following manipulations:

  • examine your eyes using an ophthalmoscope;
  • check visual acuity;
  • measure intraocular pressure.

If diabetes causes retinopathy, the ophthalmologist will prescribe treatment that will slow down the development of this pathology. Eye complications often occur in adulthood.

After a diagnosis of diabetes, a person needs to visit an ophthalmologist at least once a year for preventive examinations. If necessary, appropriate treatment is prescribed by an ophthalmologist.

Important! The key to eye health is normal blood glucose levels. If you do not want to face complications, it is advisable to strictly monitor your diet and take medications regularly.

Which doctor will help cure neuropathy?

In diabetes, small vessels are affected. This in turn can lead to neuropathy. This pathology is a disorder of the nervous system. As the complication develops, a person’s ability to work decreases. There are central and peripheral neuropathy. Diabetic neuropathy is accompanied by the following symptoms:

  • sensory disturbance;
  • movement disorders;
  • muscle weakness.

If a person wants to know exactly the name of the doctor who treats neuropathy, then a therapist can give him the answer. In most cases, treatment is carried out by a neurologist. To confirm the diagnosis of neuropathy, diagnostics are performed using electroneuromyography.

How does an appointment with a diabetologist go and what tests does the doctor prescribe?Testing the knee reflex is the most popular diagnostic method used by neurologists

It is worth noting that cardiologists, urologists, dermatologists, gynecologists and many other specialists can take part in the treatment of neuropathy. This complication of diabetes causes a huge number of problems. It is necessary to see a doctor to prevent the development of neuropathy.

Conclusion

Diabetes requires immediate treatment. When it is detected, the main treatment regimen is an endocrinologist.

As complications and other manifestations of the disease arise, other specialists may become involved in therapy. A diabetic must have sufficient knowledge to help himself independently.

You will have to live with the disease for the rest of your life, so you need to know all its manifestations and possible complications.

Interesting information about diabetes can be found in the video:

Source: https://BezDiabet.ru/diagnostika/obsledovaniya/3382-kakoy-vrach-lechit-saharnyim-diabetom.html

Diabetologist: features of the specialty

How does an appointment with a diabetologist go and what tests does the doctor prescribe?

A diabetes doctor specializes in diabetology, which belongs to the branch of endocrinology. This is a narrowly focused area of ​​medicine that deals with the study of diabetes mellitus.

Competence of a diabetes doctor

A diabetologist deals with questions regarding all aspects of the disease diabetes mellitus (the causes of the pathology, effective methods of treatment and prevention).

A diabetologist takes into account the complex effects of high blood sugar on the body of concomitant diseases and studies methods of influencing the prevention of complications of this disease.

Diabetes mellitus is the result of dysfunction of the pancreas in producing insulin. As a result, tissue sensitivity to this hormone decreases.

What is the disease diabetes mellitus? This:

  • The most common form is type 2 diabetes. Occurs in elderly patients.
  • This disease is a group of chronic endocrine disorders characterized by absolute or relative insulin deficiency and metabolic disorders (fat, protein, mineral, water-salt, carbohydrate and mineral).
  • There are several types of diabetes: type 1, type 2, gestational and prediabetes. The latter is a state of such a disorder, which is accompanied by an increase in glucose levels to the limit. The limit differs from the norm, but does not reach the level at which the condition can be characterized as diabetes mellitus.

Diabetology today has achieved considerable success, methods for treating diabetes mellitus types 1 and 2 have been developed, there are medications that replace the hormone insulin and allow you to live a full life.

The task of a diabetologist is to select a balanced diet, taking into account the individual characteristics of the body, because diabetes occurs differently in everyone and therefore there is no single method of treatment.

Of particular importance in the work of a diabetologist is the prevention of disease, which is based on a healthy lifestyle and low-calorie balanced diet. The diet does not imply serious dietary restrictions. First of all, this is a preference in the diet for plant foods, which are rich in vitamins, macro- and microelements and fiber.

Which doctors does a diabetes doctor work closely with?

How does an appointment with a diabetologist go and what tests does the doctor prescribe?

When you have diabetes, it is very important to maintain control over your health related to recovery. Therefore, the diabetologist advises you to consult a nutritionist and endocrinologist.

In what situations should you contact a diabetologist?

In the early stages of diabetes mellitus, there are well-known symptoms. You should visit a diabetes doctor if you notice the following signs:

  • Problems related to the function of the feet.
  • Rapid fatigue.
  • Very strong permanent thirst.
  • Frequent and painful urination.
  • Reduced performance.
  • Weight changes for no apparent reason.

You need to visit a doctor as quickly as possible, without delaying your trip to the clinic. The sooner the disease is detected, the lower the risk of developing negative consequences and complications.

Stages of an appointment with a diabetologist

At the appointment, first of all, the doctor conducts a survey of the patient (complaints, symptoms). After this, blood glucose levels are measured, as well as a recommendation for laboratory tests, which includes a urine test for ketone bodies and daily monitoring of blood glucose levels.

Based on the laboratory tests obtained, the doctor prescribes the necessary treatment, which boils down not only to taking medications, but also to the diet, lifestyle, rest and work schedule, as well as physical activity. The key element of working with patients is monitoring the course of the disease and preventing possible complications.

Laboratory tests and diagnostics that a diabetes doctor may prescribe

How does an appointment with a diabetologist go and what tests does the doctor prescribe?

To establish an accurate diagnosis, it is necessary to undergo a detailed examination, which includes:

  • Blood and urine analysis for the ratio of ketone bodies.
  • Samples of stool and waste products may be needed.
  • The presence or absence of diabetes mellitus is determined by the ratio of glucose in the blood.
  • Sometimes daily monitoring of blood glucose is carried out with further data analysis.
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Blood tests for glucose ratio should be taken in the morning on an empty stomach. The data, in this case, is the most reliable. For a complete picture of diabetes and proper treatment, you should monitor the blood sugar ratio 2-3 times a week and record it in the form of records. In addition, the doctor will advise you to undergo the following doctors:

  • An endocrinologist to check the functioning of the thyroid gland, as well as the presence of nodules or enlargement of the organ.
  • For women, see a gynecologist, and for men, a urologist, to exclude pathologies from the reproductive system.
  • A nutritionist and gastroenterologist who can identify the causes of sudden weight loss or gain.

How often should you visit a diabetologist?

If you have diabetes, you should visit your doctor as often as possible. This will allow you to quickly cope with the disease and control the situation. A visit to the doctor should be at least once every 1.5 months.

By following a diet, monitoring the ratio of glucose and ketone bodies, using medications and maintaining a stable condition, visits to the doctor can be reduced. But it should be remembered that improvement occurs, often at the initial stage of the disease without the presence of significant concomitant pathologies and diseases.

Physical examinations that monitor the feet, skin, and upper extremities should be performed periodically.

By controlling glucose levels, monitoring the function of the kidneys, liver, pancreas and cardiac activity and following the doctor’s recommendations, a patient with diabetes can remain active, go to work, and be socially adapted.

Skills and abilities of a diabetologist

In residency, diabetology is studied face-to-face for 2 years, with attendance at lectures, seminars and practical training in general and private diabetology. The training is aimed at studying the mechanism of development of diabetes mellitus, its course, features of diagnosis and treatment. A diabetes specialist must be able to:

  • Prescribe diagnostics, establish a diagnosis and select effective treatment.
  • Identify the prerequisites for the development of diabetes mellitus.
  • Be able to determine the severity of pathology and, based on this, prescribe therapy.
  • Depending on the body's reaction, adjust the treatment.
  • Competently and clearly explain to the patient the rules of lifestyle for diabetes.
  • Diagnose emergency conditions and be able to eliminate them in case of hypoglycemia and hyperglycemia.
  • Diagnose diabetes mellitus of the gestational type, as well as in newborns.
  • Properly treat diabetes in pregnant women.
  • Counsel children with diabetes about norms and rules of behavior.

Maintain a documentary record.

Source: https://SimptomyInfo.ru/spetsializatsiya/79-diabetolog.html

Diabetologist

A diabetologist is a highly specialized doctor who specializes in the diagnosis, treatment and prevention of diabetes.

Leave a request and within a few minutes we will find you a trusted doctor and help you make an appointment with him. Or select a doctor yourself by clicking on the “Find a Doctor” button. Find a doctor How does an appointment with a diabetologist go and what tests does the doctor prescribe?

Diabetology is a narrow section of endocrinology, which was separated into a separate specialty due to the diversity and clinical complexity of the manifestations of diabetes mellitus.

Diabetes mellitus is a group of chronic endocrine diseases that are associated with impaired absorption of glucose in the body and the subsequent development of relative or absolute insulin deficiency. With insulin deficiency, a persistent increase in blood glucose levels is observed and all types of metabolism in the body are disrupted.

The areas of activity of a diabetes doctor include:

  • studying the causes of pathology;
  • development of productive methods for treating and preventing the disease;
  • studying the complex effects of high blood sugar on the body;
  • development of methods that prevent the development of ophthalmological and neurological complications of diabetes mellitus;
  • carrying out comprehensive measures to control glycemia (blood glucose levels);
  • selection of an individual dietary program and insulin use regimen;
  • drawing up a plan of physical activity suitable for the patient;
  • teaching the patient methods of self-monitoring and providing first independent emergency care, which is necessary for ketoacidosis and other acute complications of diabetes;
  • identification of risk groups and the degree of risk of developing blood glucose disorders in close relatives of the patient.

A diabetes doctor treats:

  • Type 1 diabetes mellitus. This disease develops when beta cells, which are located in the pancreas and produce the hormone insulin, are destroyed. Destruction of beta cells leads to the development of absolute insulin deficiency. This form of the disease can be autoimmune and idiopathic (develops for an unknown reason). The disease is more common in children and is therefore classified as “juvenile diabetes,” but a person can develop this type of diabetes at any age.
  • Diabetes mellitus type 2. With this disease, there is a chronic increase in blood glucose levels, which occurs due to a disruption in the interaction of insulin with tissue cells (non-insulin-dependent diabetes). The development of pathology is caused by a combination of external and genetic factors. Most patients with type 2 diabetes are overweight (obesity is a risk factor for developing the disease).
  • Adult type diabetes mellitus in young people (MODY diabetes). These forms of the disease are inherited in an autosomal dominant manner, are detected at an early age, but occur in a mild form, similar to type 2 diabetes. With this disease, there is often no decrease in insulin sensitivity.
  • Diabetes mellitus with severe insulin resistance. Caused by genetic defects in insulin action. This type includes leprechaunism, insulin resistance type A, Robson-Mendenhall syndrome and lipoatrophic diabetes.
  • Diabetes mellitus caused by diseases that cause damage to the endocrine part of the pancreas (acute and chronic pancreatitis, pancreatic cancer, cirrhosis of the liver).
  • Diabetes mellitus associated with endocrine diseases. Acromegaly, pheochromocytoma, Itsenko-Cushing syndrome, diffuse toxic goiter, etc. can provoke the development of diabetes mellitus.
  • Drug-induced diabetic syndrome. It is provoked by saluretic drugs, which have a diuretic effect and are used for renal pathologies, heart diseases, arterial hypertension and cirrhosis of the liver.
  • Diabetes mellitus, which is caused by infectious diseases (rubella, chicken pox, etc.).
  • Unusual forms of immune-mediated diabetes mellitus.
  • Genetic syndromes that are combined with diabetes mellitus (Rogers syndrome, Wolfram syndrome, Turner syndrome, etc.).
  • Gestational diabetes mellitus. This pathological condition is characterized by the development of hyperglycemia during pregnancy, which in most cases disappears spontaneously after childbirth.

Consultation with an endocrinologist-diabetologist is necessary for people who:

  • there is a strong, regularly occurring thirst;
  • frequent and copious urination appeared, which is observed at any time of the day;
  • there is a constant feeling of hunger;
  • weight loss is observed with increased appetite (more often observed in type 1 diabetes mellitus);
  • there is increased fatigue, muscle weakness, decreased performance;
  • headaches occur frequently;
  • inflammatory skin diseases that are difficult to treat occur, itching of the skin and mucous membranes is present;
  • there is dryness in the mouth;
  • visual impairment appeared;
  • Acetone was detected in the urine (characteristic of type 1 diabetes).
  • Also, consultation with a diabetologist is indicated for obese people, relatives of patients with genetically determined forms of the disease and other people who are at risk.
  • Since not every clinic can find this specialist, if you suspect diabetes mellitus, you can consult an endocrinologist, a specialist with a broader profile.
  • Initial consultation with a diabetologist includes:
  • studying the medical history (including family history) and daily diet, clarifying the patient’s complaints;
  • measuring blood sugar levels;
  • appointment of additional examinations.

Based on the results of the examination, an individual treatment regimen is selected.

If you have diabetes, you should visit a diabetes doctor once every 1.5 months. If the patient's condition is stable and the doctor's recommendations are followed, the frequency of visits can be reduced.

The main diagnostic criterion for the disease is measuring blood glucose levels. To measure glucose levels, patients with diabetes are recommended to purchase an individual glucometer, which can be photometric or electrochemical (more modern).

Patients may also be prescribed:

  • daily monitoring of glucose levels in urine;
  • daily blood glucose monitoring;
  • urine test for ketone bodies;
  • consultation with an ophthalmologist to assess the condition of the fundus and timely detection of diabetic retinopathy;
  • consultation with a surgeon if the patient has diabetic foot and trophic ulcers;
  • venography to assess the vessels of the lower extremities and exclude their structural changes due to hyperglycemia.

Treatment methods for diabetes are aimed at normalizing blood glucose levels.
In the treatment of type 1 diabetes mellitus:

  • reduce glucose levels using insulin replacement therapy;
  • prescribe a diet;
  • train the patient in the skills of administering insulin and measuring glucose levels using a glucometer.

Insulin replacement therapy is prescribed based on following as closely as possible the natural rhythm of production of this hormone in the body.

Typically, the treatment regimen includes 2 injections of medium duration per day (administered in the morning and evening) and 1 injection of prolonged action. Additionally, a short-acting injection is also administered before each meal (the dose depends on the expected consumption of carbohydrates and glucose levels at that moment).

An alternative method is to use an insulin pump, which connects to the bloodstream and delivers insulin in small, frequent doses. When using this method, there is no danger of fluctuations in glucose levels due to prolonged absorption of prolonged types of hormone.

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Treatment for type 2 diabetes, depending on the severity of the disease, includes:

  • low-carbohydrate diet;
  • low-carbohydrate diet and exercise;
  • a low-carbohydrate diet, exercise and taking medications that increase tissue sensitivity to insulin (metformin, rosiglitazone, pioglitazone).
  • a low-carbohydrate diet, exercise and insulin injections (simultaneous use of drugs that increase tissue sensitivity to insulin is also possible).

Drugs that enhance insulin secretion (sitagliptin, etc.) can also be used.

Gestational diabetes mellitus can be treated with or without insulin therapy, depending on the severity of the disease.

Found a mistake? Select it and press Ctrl + Enter How does an appointment with a diabetologist go and what tests does the doctor prescribe?

An endocrinologist is a doctor who diagnoses, treats and prevents diseases related to the functioning of the endocrine system.

Source: https://liqmed.ru/doctor/diabetolog/

Which doctor should I see for diabetes treatment?

How does an appointment with a diabetologist go and what tests does the doctor prescribe?

Which doctor to contact for diabetes worries people who first suspected symptoms of sugar intolerance in themselves and, having done a blood test for glucose, found out that this indicator is much higher than the norm. In this situation, the main thing is not to hesitate and go to the clinic.

  Which doctor should I contact if I have high blood sugar?

Do not try to deal with the symptoms on your own to avoid harm to your health. You need to find out what caused your glucose to rise. And if the worst fears are confirmed, only a doctor can determine the type of disease and prescribe the correct treatment.

Who should I contact in the hospital with this problem?

In case of any disturbance in the body, we first turn to the local therapist. He will give directions for tests, ultrasound of the pancreas and thyroid gland, and based on the results obtained, he will make a diagnosis. Many people do not know which doctor treats diabetes, and who to contact first if the examination confirms the symptoms of the disease.

If the tests confirm the initial diagnosis, the therapist will advise you to contact a specialist called an endocrinologist. This diabetes doctor will monitor the further course of the disease and prescribe treatment. He will also inform the patient about what diet he needs to follow and what physical activity he is allowed to do. Will tell you how to act in case of hypoglycemia.

If a child gets sick, parents are concerned about which doctor treats diabetes in their children. In this case, parents need to contact an endocrinologist who has a narrower specialization. For example, a pediatric endocrinologist treats young patients. Let's take a closer look at what types of specialization endocrinologists have.

Specialization of endocrinologists

He specializes in thyroid diseases.

https://youtube.com/watch?v=A5XhKZrb2gw

This doctor will be needed if the baby has a pathology of the endocrine glands, as well as various abnormalities in growth and development. He also treats diabetes in children. If you notice signs of this disease in your child, you can directly contact a pediatric endocrinologist.

He himself will prescribe the necessary tests and make the correct diagnosis. Do not delay examining your child, because this disease develops rapidly in childhood. Its complications also appear very quickly, so it is better to be on the safe side than to miss precious time.

Timely prescribed therapy will help maintain the child’s health.

He advises those who have hereditary diseases in their family, and also carries out activities aimed at preventing these diseases.

If symptoms of genetic diseases appear, he registers the patient and treats him. For example, this doctor studies the course of such pathologies as gigantism and dwarfism.

Sugar disease can also be treated by this doctor.

This specialist deals with the treatment of female and male infertility, as well as pathologies of the ovaries and testicles.

This doctor deals with cases that require surgery. It determines the extent of surgical care.

This is an endocrinologist who specializes in the treatment of diabetes types 1 and 2, as well as diabetes insipidus. He knows all the intricacies of nutrition for these diseases, will help you choose medications and create a dietary menu.

How can an endocrinologist help?

If a person is confirmed to have type 1 or type 2 diabetes, the endocrinologist registers him. From this moment on, he becomes the patient’s mentor. The attending physician will select a treatment regimen, medications, and teach you how to adhere to the correct diet for diabetes.

Those who have recently learned that they have this disease do not initially understand that they need to change their lifestyle completely. It is difficult for them to get used to a strict regimen and constant monitoring of glucose levels. They need to learn to understand how they feel when their glucose levels rise and fall.

At the first stage, the inpatient department will help you establish a diet and select medications. An endocrinologist will teach you how to use glycemic index tables for foods and how to count the amount of carbohydrates.

Consultation with an endocrinologist will be necessary for any health problems in a person with diabetes. Only with the permission of the endocrinologist will other doctors prescribe medications so that a sharp increase in glucose in diabetes mellitus does not worsen the patient’s condition.

Source: https://diabetik.guru/modern/kakoj-vrac-lecit-diabet.html

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8.4 2 reviews

Diabetologist

Kazachkova Ekaterina Vladimirovna
Experience 3 years

Medical Center Capital on Leninsky, 90 Moscow, Leninsky Prospekt, 90

Vernadsky Avenue 1.5 km

8 (495) 185-01-01

8.9 4 reviews

Diabetologist

Ivannikova Ekaterina Vladimirovna
Experience 11 years Doctor of the highest category Ph.D.

Osteopolyclinic on Tatarskaya, Moscow, st. Bolshaya Tatarskaya, 7, bldg. 4

Novokuznetskaya 580 m Tretyakovskaya 780 m Tretyakovskaya 820 m

8 (495) 185-01-01

5

Diabetologist

Mamedova Sevinj Rasimovna
Experience 11 years Doctor of the highest category

Euromedklinik Moscow, Sirenevy Boulevard, 32a

Pervomayskaya 1.1 km Shchelkovskaya 1.1 km

8 (495) 185-01-01

8

Diabetologist

Belyaeva Elina Nailievna
Experience 4 years

Medical Center Capital on Leninsky, 90 Moscow, Leninsky Prospekt, 90

Vernadsky Avenue 1.5 km

8 (495) 185-01-01

8.6

Diabetologist

Shachina Yaroslava Anatolyevna
Experience 13 years Doctor of the second category

EmmaClinic Moscow, st. Shchukinskaya, 2

8 (499) 116-77-12

1 2 Specialist physician who cares for patients diagnosed with diabetes. Together with an endocrinologist, this specialist develops a treatment program and studies the causes of the development of pathology.

Note! The information on the page is provided for informational purposes only. To prescribe treatment, consult your doctor.

The doctor is a very attentive and professional person, I think she knows her business. She answered all my questions thoroughly and clearly. So far I have just passed the tests and will go for a follow-up appointment tomorrow. The doctor, of course, listened to me carefully, looked at my tests, prescribed a bunch of tests for 5,500 rubles, then I came to her with the results and I was prescribed long-term treatment for more than 10,000 rubles. Subsequently, as it turned out, after visiting other doctors of the same profile, everyone unanimously said that this treatment, so to speak, was far-fetched to my problem, that is, in no way related to the treatment of my problem. But the most important tests and medications were not prescribed. In this regard, I doubt the qualifications of this 'doctor'. Do not go to her and waste your time, money and even worse health. Alisa Alexandrovna is a competent and responsive doctor. She listened to me, ordered tests and prescribed medications. This was not the first time I visited this specialist. Very nice doctor. She listened to me, advised me, reassured me, gave the right recommendations and issued a conclusion to prepare for IVF. I trusted the doctor’s opinion, although I was worried! A good, attentive, friendly and smiling doctor. She treated my problem very professionally, asked everything meticulously and found out. She conducted an examination, did not make hasty conclusions, and ordered tests. She gave instructions for prescriptions, gave advice, prescribed pills and warned that the treatment would take a certain time. I have already recommended this doctor to my sister and mother-in-law! Tactful and polite doctor. The doctor analyzed the results of my previous studies, expressed her opinion about it and prescribed a course of treatment. She also answered all my questions. Nice, pleasant and competent doctor. She was in no hurry, unlike other doctors. She asked me everything, did an examination and prescribed me pills. I was satisfied and will go to this doctor again in the near future! Show 10 reviews out of 544

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