DIABETIC COMAS IN THE STRUCTURE OF MORTALITY IN PATIENTS WITH DIABETES MELLITUS

Background. Statistics on the causes of death of patients with diabetes mellitus (DM) do not correspond to real indicators due to the insufficient level of diagnosis at the postmortem stage of research in most regions of the country. Aims. The aim of the study was a statistical analysis of the mortality of patients with diabetes as a result of diabetic comas for 2017-2020. Material and methods. The objects of the study were the blood and vitreous body of the eye (VB) from 4444 patients with diabetes who were registered with this disease during their lifetime. The content of glycohemoglobin in the blood, glucose, lactate and acetoacetate in the VB was determined. The diagnosis of diabetic coms was carried out taking into account previously developed criteria. Results. When analyzing the structure of mortality in patients with DM, it was found that 692 people died as a result of diabetic comas, which was 15.6%. In the structure of mortality of patients with DM, diabetic comas occupy a much larger percentage of cases than is available in statistical data. This situation is due to the insufficient implementation of laboratory tests at the postmortem stage of diagnosis, as well as the restriction of coding the cause of death of patients with DM as a result of diabetic comas. The developed methods for diagnosing diabetic comas are easy to perform, guarantee high accuracy and reliability of the result, and are available for any specialized laboratory. Conclusion. The most common hyperosmolar non-ketoacidotic coma. In recent years, there has been a tendency to reduce mortality as a result of diabetic comas.