{"id":12931,"date":"2013-11-11T19:51:15","date_gmt":"2013-11-11T18:51:15","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=12931"},"modified":"2013-11-20T21:49:32","modified_gmt":"2013-11-20T20:49:32","slug":"moderni-lek-na-cukrovku-dostane-vice-diabetiku","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=12931","title":{"rendered":"Modern\u00ed l\u00e9k na cukrovku dostane v\u00edce diabetik\u016f"},"content":{"rendered":"

Modern\u00ed l\u00e9k na cukrovku dostane v \u010cR od listopadu v\u00edce diabetik\u016f. VZP uhrad\u00ed\u00a0 tzv. gliptiny dal\u0161\u00edm p\u011bti tis\u00edc\u016fm pacient\u016f.<\/strong><\/p>\n

Tzv. gliptiny hrad\u00ed poji\u0161\u0165ovny zhruba 50 tis\u00edc\u016fm lid\u00ed, z toho 30 tis\u00edci V\u0161eobecn\u00e1 zdravotn\u00ed poji\u0161\u0165ovna (VZP). N\u00e1m\u011bstek \u0159editele VZP Petr Hon\u011bk dnes \u0159ekl, \u017ee z \u00faspor, kter\u00fdch dos\u00e1hli diabetologov\u00e9 p\u0159edepisov\u00e1n\u00edm levn\u011bj\u0161\u00edch l\u00e9k\u016f na sn\u00ed\u017een\u00ed cholesterolu u diabetik\u016f, uhrad\u00ed VZP gliptiny dal\u0161\u00edm p\u011bti tis\u00edc\u016fm pacient\u016f. \u010cesk\u00e1 diabetologick\u00e1 spole\u010dnost chce vyjednat nav\u00fd\u0161en\u00ed tak\u00e9 s ostatn\u00edmi poji\u0161\u0165ovnami.<\/p>\n

\u00daspor dos\u00e1hla VZP podle Ho\u0148ka d\u00edky pozitivn\u00edmu listu, tedy seznamu l\u00e9k\u016f, kter\u00e9 nakoupila levn\u011bji a doporu\u010duje je l\u00e9ka\u0159\u016fm k p\u0159edepisov\u00e1n\u00ed. Pozitivn\u00ed listy maj\u00ed i zam\u011bstnaneck\u00e9 poji\u0161\u0165ovny, i ony tedy dos\u00e1hly \u00faspor. Zpr\u00e1vu o zlep\u0161en\u00ed p\u00e9\u010de zve\u0159ejnila VZP p\u0159i p\u0159\u00edle\u017eitosti Sv\u011btov\u00e9ho dne diabetu, kter\u00fd je 14. listopadu.<\/p>\n

Hon\u011bk up\u0159esnil, \u017ee nyn\u00ed vyd\u00e1 VZP ro\u010dn\u011b za gliptiny 450 milion\u016f korun, d\u00edky \u00faspor\u00e1m m\u016f\u017ee \u010d\u00e1stku nav\u00fd\u0161it o 60 milion\u016f, po\u010dty l\u00e9\u010den\u00fdch tak stoupnou o 15 procent. Gliptiny v\u00fdrazn\u011b prodlu\u017euj\u00ed dobu, kdy nemus\u00ed b\u00fdt diabetikovi nasazen inzul\u00edn, a omezuj\u00ed riziko prudk\u00e9ho poklesu hladiny cukru v krvi. O n\u011bkolik let oddaluj\u00ed rozvoj komplikac\u00ed, kter\u00e9 hroz\u00ed ka\u017ed\u00e9mu diabetikovi. K nejv\u00e1\u017en\u011bj\u0161\u00edm pat\u0159\u00ed infarkt, po\u0161kozen\u00ed zraku \u010di amputace nohy.<\/p>\n

M\u00edstop\u0159edseda \u010cesk\u00e9 diabetologick\u00e9 spole\u010dnosti profesor Milan Kvapil \u0159ekl, \u017ee gliptiny se u\u017e\u00edvaj\u00ed u\u017e sedm let a jejich bezpe\u010dnost a \u00fa\u010dinnost potvrdily rozs\u00e1hl\u00e9 studie. L\u00e9k se d\u00e1v\u00e1 mlad\u00fdm diabetik\u016fm, kte\u0159\u00ed jsou v po\u010d\u00e1tc\u00edch l\u00e9\u010dby. Dost\u00e1vaj\u00ed ho tak\u00e9 diabetici, u nich\u017e by pokles cukru v krvi spojen\u00fd s t\u0159esem, zmatenost\u00ed a mdlobou mohl zp\u016fsobit z\u00e1sadn\u00ed ohro\u017een\u00ed, tedy t\u0159eba \u0159idi\u010di z povol\u00e1n\u00ed a lid\u00e9 pracuj\u00edc\u00ed u stroj\u016f.<\/p>\n

Dal\u0161\u00ed v\u00fdhodou podle profesora je, \u017ee p\u0159i u\u017e\u00edv\u00e1n\u00ed gliptin\u016f pacient hubne a \u00fabytek v\u00e1hy je dlouhodob\u00fd. L\u00e9k sni\u017euje chu\u0165 k j\u00eddlu, co\u017e je u diabetik\u016f v\u00fdhoda. V\u011bt\u0161ina se toti\u017e ke sv\u00e9 nemoci dopracovala nezdrav\u00fdm \u017eivotn\u00edm stylem a maj\u00ed kilogramy nav\u00edc.<\/p>\n

V \u010cR se l\u00e9\u010d\u00ed s cukrovkou 841.000 lid\u00ed, dal\u0161\u00edch asi 200.000 o n\u00ed nev\u00ed. Nemoc se dlouho neprojevuje, od po\u010d\u00e1tku ale naru\u0161uje c\u00e9vy. Zhruba polovina pacient\u016f se dostane k diabetologovi a\u017e s komplikacemi.<\/p>\n

V pr\u016fm\u011bru p\u011bt a\u017e osm let \u017eij\u00ed diabetici se svou nemoc\u00ed, ani\u017e o n\u00ed v\u011bd\u011bli.<\/p>\n

Profesor Kvapil vyzval v\u0161echny lidi, aby chodili pravideln\u011b na kontroly k praktick\u00e9mu l\u00e9ka\u0159i. Pokud se cukrovka odhal\u00ed v\u010das, maj\u00ed nad\u011bji na \u017eivot stejn\u011b kvalitn\u00ed a zhruba stejn\u011b dlouh\u00fd jako zdrav\u00ed lid\u00e9.<\/p>\n

Mluv\u010d\u00ed VZP Old\u0159ich Tich\u00fd doplnil, \u017ee loni vydala VZP za l\u00e9ky na cukrovku a inzul\u00edn 2,384 miliardy korun, celkem na l\u00e9\u010den\u00ed cukrovky dala t\u00e9m\u011b\u0159 4,5 miliardy. Klient\u016f s cukrovkou m\u011bla VZP loni p\u0159es 530.000, pr\u016fm\u011brn\u00e9 ro\u010dn\u00ed v\u00fddaje na jednoho diabetika dos\u00e1hly t\u00e9m\u011b\u0159 8400 korun.
\n\u00a0\u00a0\u00a0\u00a0Po\u010det klient\u016f VZP s diabetem a n\u00e1klady na p\u00e9\u010di v milionech korun<\/strong><\/p>\n\n\n\n\n\n\n\n
<\/td>\npacienti<\/td>\nn\u00e1klady celkem<\/td>\nv\u00fdkony<\/td>\n na cukrovku a inzul\u00edn<\/td>\nzdravotnick\u00e9 prost\u0159edky<\/td>\n<\/tr>\n
2009<\/td>\n507.085<\/td>\n4063,6<\/td>\n1479,6<\/td>\n1944<\/td>\n640<\/td>\n<\/tr>\n
2010<\/td>\n517.879<\/td>\n4194,4<\/td>\n1499,4<\/td>\n2010<\/td>\n685<\/td>\n<\/tr>\n
2011<\/td>\n532.754<\/td>\n4382,9<\/td>\n1512,9<\/td>\n2147<\/td>\n723<\/td>\n<\/tr>\n
2012<\/td>\n530.584<\/td>\n4447,3<\/td>\n1491,3<\/td>\n2384<\/td>\n572<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

Zdroj: VZP<\/p>\n","protected":false},"excerpt":{"rendered":"

Modern\u00ed l\u00e9k na cukrovku dostane v \u010cR od listopadu v\u00edce diabetik\u016f. VZP uhrad\u00ed\u00a0 tzv. gliptiny dal\u0161\u00edm p\u011bti tis\u00edc\u016fm pacient\u016f.<\/p>\n<\/div>","protected":false},"author":1,"featured_media":12932,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-12931","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/12931","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=12931"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/12931\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/12932"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=12931"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=12931"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=12931"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}