STRUCTURE AND FREQUENCY OF FATAL COMPLICATIONS OF DIABETES MELLITUS ACCORDING TO MEDICAL DEATH CERTIFICATES

Significance. Diabetes is currently the fifth leading cause of death worldwide. According to the International Diabetes Federation, every eleventh adult has diabetes mellitus (463 million people), 10% of the global health spending is spent on diabetes mellitus. In 2012, 1.5 million deaths from diabetes were registered worldwide. Purpose. To evaluate the structure and frequency of fatal complications of diabetes mellitus according to medical death certificates in the Tula region for 5 years (2015-2019). Material and methods. For this study, databases of medical death certificates of residents of the Tula region who died of diabetes mellitus in 2015-2019 were used; statistical analysis was carried out, a system of groupings was applied and an expert method was used. Results. The structure of fatal complications by four-character subcategories of the international classification of diseases and by type of diabetes mellitus has been analyzed. Two methods of analysis were used. The first method does not provide for the analysis of specific complications, while the second one is more accurate, making it possible to get a detailed structure of the causes of death from diabetes mellitus by chapter of the international classification of diseases. Conclusion. In diabetes mellitus, multiple complications top the structure of complications (72.9%), followed by other specified complications (7.5%) with neuropathies being in third place (6.2%). In the structure of complications by type of diabetes mellitus, diseases of the circulatory system prevail (54.0%), followed by diseases of the nervous system (29.4%), and diseases of the urinary system being in third place (11.1%). Scope of application. The study results can be used to organize and monitor statistical registration of fatal complications of diabetes mellitus.