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The Incidence of Complications in Patients with Diabetes Mellitus
Korytenská, Kristýna ; Pavlíková, Pavla (advisor) ; Hrdličková, Renáta (referee)
1 Abstract This thesis deals with the occurrence of complications in patients with diabetes mellitus. The aim of this bachelor thesis is determine which acute and chronic complications prevail in relation to gender, type of diabetes and duration of diabetes. The thesis is divided into theoretical and practical part. In the theoretical part of the thesis I described themselves diabetes mellitus, types of diabetes mellitus, acute complications and chronic complications. Among the acute complications include hyperglycemia and hypoglycemia. Chronic complications are divided into specific and nonspecific. In the empirical part, I followed the incidence of complications. I realized quantitative research using questionnaires. The questionnaire was own of design. Participated in this research 78 respondents who were acquired in diabetes clinics. I divided respondents into subsequent categories: women with type I diabetes, women with type II diabetes, men with type I diabetes and men with type II diabetes. The thesis results that, overall acute and chronic complications suffered total 41 % of respondents. The most common complication of acute hyperglycemia reported 25.6 % of respondents. The most common complications were chronic diabetic neuropathy and diabetic retinopathy, each with 6.5% of respondents. Keywords:...
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Prevention of complications of 2nd type insulin-dependent diabetes mellitus
Fabianová, Monika ; Eislerová, Iva (advisor) ; Kvasnička, Tomáš (referee)
Bachelor thesis is focused at preventing complications in patients with 2nd type insulin-dependent diabetes mellitus. The aim of the final work was to determine complications associated with the basic disease, prevention of complications, patient education and awareness about diabetes and regime measures. Research was conducted in outpatient clinics for diabetics and subjects of research were 100 adult patients with 2nd type insulin-dependent diabetes mellitus. Research conducted on the basis of a questionnaire survey. The theoretical part focused on basic information about diabetes mellitus in particular classification, diagnosis, treatment, complications, prevention and treatment of disease complications. The practical part was focused on patients with diabetes and activity based on the questionnaire the data were analyzed and graphically processed using tables and graphs. The work showed the results of many research deficiencies in patient awareness and proper education. Many patients do not realize the severity of the disease and the consequences of underestimating the preventive measures. Key words: 2nd type diabetes mellitus, diabetic complications, hypoglycaemia, diabetic foot, prevention of complications, treatment of diabetes, risk factors, insulin treatment.
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Connections of compliance and blood glucose levels of patients with diabetes mellitus I. type
ŠTROBLOVÁ, Petra
The point of my bachelor work about context compliance and level of glukose in the blood of patients with Diabetes mellitus 1. type, was an effort to show, how are exessive glykemy values in context with the actual menu of the patient, his physical activity or any other said fact and with accepted inzulin shots. (in a timescale of five months and three respondents with this disease). The theoretical part of work is built from all around information about diabetes as well as description of its history and appearance worldwide and in czech republic. As next are said specifics about the 1st type of this disease definition, charakteristic, prevention, appearance and diagnostics. Text informs about curing of this type as well as possible complications in hang with wrong way of curing of a person with diabetes. Researchpart is made of three case studies. The method of aquiring the data was anamnestic questionnaire and a diary, in which the respondents weekly wrote important informations conected with the disease. Informations were given by three young adults (up too 25 years) with diabetes mellitus 1. type. The whole time of diary entries took 5 months and 21 complex week entries were chosen. All of the entries containing informations about feeding and optimal energy values were processed in program "Nutriservis Professional". Data including information about glykemy and inzulin input were compared with actuall menus and physical activity of the respondents afterwards. The results of the research are presented in written form, including diagramms of level of glucose in the blood. The first respondent is fullfilling her medical principles (as said). Shes following her diet regime and selfmonitoring and shes aplicating her inzulin properly. The plan of the second respondent was compensated a lot as well. All this given, all of his levels of glykemy arent coliding too much. He follows the curing plan as well. The results of the third respondent show that she is compensating her disease properly. Two last mentioned respondents were not working together very well.
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Hypoglycaemic conditions requiring rapid arrival of emergency services in South Bohemia
VACKOVÁ, Zuzana
This bachelor thesis deals with the hypoglycaemic states that is not only a complication for diabetes mellitus disease but there are other diseases such as Adisson's disease or congenital hyperinsulinism. Hypoglycaemia can be for some people life endangered state, mainly if the state is not recognized in time or if an effective therapy is not started. The rapid therapy is crucial and should be started within the first speared symptoms to prevent the state get worse. The thesis acquaints the reader with the major gland's anatomy that influences the glycaemia, then the pancreas and its function and its hormones function. The major hormones are insulin and glucagon. The both hormones have the main influence on the controlling of glycaemia in the body. However, they are not the only ones factors that influence the blood sugar level. In various literature sources, the different glycaemia values can be found. That is the reason why it is difficult to define the level of hypoglycaemic stat. The thesis includes several definitions of the hypoglycaemia that differ according to the physiological values mentioned in various sources. An important part of the thesis is the chapter about the clinical symptoms. In the chapter, most sources concur. The clinical symptoms can be varied, sometimes not enough specified. After a few first vegetative symptoms (unrecognized hypoglycaemia syndrome can missed them), disorders of consciousness from the conscious to the coma usually appears. The coma is a state when a patient does not react on the surrounding. The following chapter describes the process of hypoglycaemic diagnoses. The process is described both in health institutions and during the pre-hospital urgent care where the possibilities are restricted. The care is a necessary part of the state. If the patient is conscious and is able to cooperate, some sweet drink and some chocolate are the best opportunity for the first help. The ideal tool that could be used during the light type of hypoglycaemia is Glukopur. Glukopur is the pure powder glucose that helps to the body that do not have to split disaccharides as within the sweet drinks and bars. Another topic is the dangers of hypoglycaemia. The dangers include the development of dementia that is often connected with hypoglycaemic states, the brain's damage or the dangerous of the heart arrhythmia. The most serious danger that can appear is the death. The thesis describes the summary of medicaments that can cause hypoglycaemia. Hypoglycaemia can appear as a child inherited metabolic disorder or as hyperinsulinism. One of the chapters deals with this topic. The quantitative method data collection was used for the practical part of the thesis. The departures of The Emergency medical service in South Bohemian Region to the hypoglycaemic states during the year 2014 were searched. From the whole set of cases eight of them were randomly chosen and were described case interpretations that show the way of the emergency service intervention within the hypoglycaemic states. The case interpretations depict the patient's state before the arrival of the emergency service, the way of treatment and the patient's state after it. The evaluated indication by health operation centre is depicted in the following section. These indications do not have to be identical to real patient's state. One of the aims of the thesis was to map the most common factors of chosen hypoglycaemic states that were measured according to the NACA scale, grades IV.-VI. The data were gotten by the crew of The Emergency medical service in South Bohemian Region. The next one aim was to map the indications of the health operation centre and the following patient´s state according to the NACA scale.
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Diabetes mellitus type 1 as a health, nutriotial and social problem for children up to 18 years of age.
FRIDRICHOVSKÁ, Pavlína
Work specifies the problems of children with diabetes mellitus type 1 - of site for health, in nutrition and social problems. The theoretical part is characterized by diabetes mellitus type 1, its causes, symptoms, treatment with diet and takes into account the specific problems arising from this condition for age. The practical part comprises the results of the questionnaire survey, which focuses on the problems of diabetes mellitus type 1 in childhood, and the level of knowledge about diabetes. The survey was performed in 40 families with a child that has been diagnosed with diabetes mellitus type 1. The results showed that diabetes mellitus type 1 affects the lives of families in the area of catering, sports, travel, school teaching, but also the future development of the child itself and its involvement in other activities.
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