Die DiabetologiePub Date : 2023-06-30DOI: 10.1007/s11428-023-01065-w
Bernd Hagen, Sabine Groos
{"title":"Quality of care in disease management programs for type 2 and type 1 diabetes","authors":"Bernd Hagen, Sabine Groos","doi":"10.1007/s11428-023-01065-w","DOIUrl":"https://doi.org/10.1007/s11428-023-01065-w","url":null,"abstract":"In Deutschland sind aktuell vermutlich zwischen 7 und 9 % der Bevölkerung im Alter von 18–79 Jahren an Diabetes mellitus erkrankt. In den Jahren 2002 und 2004 wurden für die an Diabetes leidenden und gesetzlich Krankenversicherten bundesweit strukturierte Versorgungsprogramme (Disease-Management-Programme, DMP) eingerichtet. Im Jahr 2022 wurden innerhalb derselben 4,4 Mio. (Typ-2-Diabetes) bzw. 0,3 Mio. (Typ-1-Diabetes) Betroffene betreut, was unter Berücksichtigung des Alters und Geschlechts sowie der regional unterschiedlichen Diabetesprävalenz einer Quote von ungefähr 82 % entspricht. Anhand der aktuell geltenden und vertraglich vereinbarten Qualitätsindikatoren besteht im DMP Typ-2-Diabetes in vielen Bereichen eine gute bis sehr gute Versorgungsqualität. Im DMP Typ-1-Diabetes ist diese nur in einem kleineren Teilbereich als gut zu bewerten. Parallel hierzu ist festzustellen, dass zwischen den Praxen z. T. deutliche Unterschiede bei der Höhe der erreichten Qualitätszielquoten existieren. Ebenso lassen sich im Zeitverlauf verschiedene Trends beschreiben, bei denen es sowohl zu Verbesserungen als auch zu Verschlechterungen gekommen ist. Als besonders positive Teilbefunde sind insbesondere festzuhalten: (1) die sehr gute Stoffwechseleinstellung der Patientinnen und Patienten im DMP Typ-2-Diabetes; (2) der kontinuierliche Rückgang des Auftretens schwerer Hypoglykämien im DMP Typ-1-Diabetes sowie (3) die sehr hohen Quoten für das Wahrnehmen von Patientenschulungen in den letzten Jahren.","PeriodicalId":167120,"journal":{"name":"Die Diabetologie","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135857659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Die DiabetologiePub Date : 2023-06-13DOI: 10.1007/s11428-023-01060-1
Imke Schamarek
{"title":"Dapagliflozin reduces the risk for hospitalization in patients with type 2 diabetes","authors":"Imke Schamarek","doi":"10.1007/s11428-023-01060-1","DOIUrl":"https://doi.org/10.1007/s11428-023-01060-1","url":null,"abstract":"","PeriodicalId":167120,"journal":{"name":"Die Diabetologie","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136101736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Die DiabetologiePub Date : 2023-05-12DOI: 10.1007/s11428-023-01044-1
Andrej Zeyfang, Jürgen Wernecke, Anke Bahrmann
{"title":"Diabetes mellitus in old age","authors":"Andrej Zeyfang, Jürgen Wernecke, Anke Bahrmann","doi":"10.1007/s11428-023-01044-1","DOIUrl":"https://doi.org/10.1007/s11428-023-01044-1","url":null,"abstract":"","PeriodicalId":167120,"journal":{"name":"Die Diabetologie","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135286821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Die DiabetologiePub Date : 2023-05-08DOI: 10.1007/s11428-023-01043-2
Bernd Balletshofer, Dittmar Böckler, Holger Diener, Jörg Heckenkamp, Wulf Ito, Marcus Katoh, Holger Lawall, Nasser Malyar, Hui Jing Qui, Peter Reimer, Kilian Rittig, Markus Zähringer
{"title":"Position paper on the diagnostics and treatment of peripheral arterial occlusive disease (PAOD) in people with diabetes mellitus","authors":"Bernd Balletshofer, Dittmar Böckler, Holger Diener, Jörg Heckenkamp, Wulf Ito, Marcus Katoh, Holger Lawall, Nasser Malyar, Hui Jing Qui, Peter Reimer, Kilian Rittig, Markus Zähringer","doi":"10.1007/s11428-023-01043-2","DOIUrl":"https://doi.org/10.1007/s11428-023-01043-2","url":null,"abstract":"","PeriodicalId":167120,"journal":{"name":"Die Diabetologie","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135917275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Die DiabetologiePub Date : 2023-04-30DOI: 10.1007/s11428-023-01051-2
Michael Jecht
{"title":"Effect of verapamil on pancreatic beta cell function in newly diagnosed type 1 diabetes in children","authors":"Michael Jecht","doi":"10.1007/s11428-023-01051-2","DOIUrl":"https://doi.org/10.1007/s11428-023-01051-2","url":null,"abstract":"","PeriodicalId":167120,"journal":{"name":"Die Diabetologie","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135603966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Die DiabetologiePub Date : 2023-04-27DOI: 10.1007/s11428-023-01047-y
Rüdiger Landgraf, Jens Aberle, Andreas L. Birkenfeld, Baptist Gallwitz, Monika Kellerer, Harald H. Klein, Dirk Müller-Wieland, Michael A. Nauck, Tobias Wiesner, Erhard Siegel
{"title":"Treatment of type 2 diabetes","authors":"Rüdiger Landgraf, Jens Aberle, Andreas L. Birkenfeld, Baptist Gallwitz, Monika Kellerer, Harald H. Klein, Dirk Müller-Wieland, Michael A. Nauck, Tobias Wiesner, Erhard Siegel","doi":"10.1007/s11428-023-01047-y","DOIUrl":"https://doi.org/10.1007/s11428-023-01047-y","url":null,"abstract":"","PeriodicalId":167120,"journal":{"name":"Die Diabetologie","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136222735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Die DiabetologiePub Date : 2023-03-07DOI: 10.1007/s11428-023-01019-2
Susanne Spranger
{"title":"Chronic kidney disease worsens prognosis in patients with type 1 diabetes after first-ever myocardial infarction","authors":"Susanne Spranger","doi":"10.1007/s11428-023-01019-2","DOIUrl":"https://doi.org/10.1007/s11428-023-01019-2","url":null,"abstract":"","PeriodicalId":167120,"journal":{"name":"Die Diabetologie","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135000750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}