Endocrine Abstracts

Diabetes mellitus is a global social and medical problem. In the world, there are 463 million diabetic patients, and in 2045 it is expected to be 700 million (IDF DIABETES ATLAS, Ninth edition 2019). In Ukraine, diabetes affects 7.6% of the Ukrainian population, which is 2.5 million people. According to changes in the public health system, we have separate registration of people with diabetes who receive insulin, but it does not include all diabetic patients. Previous years we used special diabetic register SYNADIAB (2001, Tronko M.D.), but nowadays, in the absence of adequate financing, this project can not answer all epidemiological questions. In the context of reforming medical care, visits to a doctor are registered in the system #helsi.me. The problem is that this information is usually received mainly from governmental clinics and rarely involves private medical centers.

Results: We retrospectively analyzed 522 visits to the endocrinologist in one private medical center in Kyiv to find out the structure of visits (primary/secondary, state of compensation of diabetes, a complication of diabetes, age, and gender of the patients). All information was received from the database of the clinic, and all patients signed an agreement on using their personal information. No personal data (including name and others) was published. Some of the patients visited the clinic out patiently, and endocrinologist consulted others during hospitalization to the in-patient department and the stroke department. Few of them were diagnosed as diabetic patients after severe complications, such as stroke or myocardial infarction. We analyzed visits not only to an endocrinologist, but also results of laboratory tests or instrumental findings, or consultations by other colleagues (including cardiologist, neurologist, ophthalmologist). There was a retrospective observational analysis that was focused on important information about the compensation of diabetes, its complication, and the quality of life. We tried to answer whether our data from the private medical center can be useful for providing a special national diabetic register, which will help us to improve the quality of medical care in the national context. This information is necessary, especially nowadays (COVID-19 in the world, changes in the financing of medical care in our country, etc.).

Conclusion: We propose to recreate a diabetic register for the improvement of communication between different medical facilities.