OT\u00c1ZKA: M\u00e1 ka\u017ed\u00fd diabetik n\u00e1rok na glukometr a\u00a0diagnostick\u00e9 prou\u017eky? V jak\u00e9m mno\u017estv\u00ed? Odpov\u00edd\u00e1 V\u0161eobecn\u00e1 zdravotn\u00ed poji\u0161\u0165ovna.
\n<\/b>
\nODPOV\u011a\u010e:<\/b><\/p>\n
Glukometr a\u00a0diagnostick\u00e9 prou\u017eky na stanoven\u00ed gluk\u00f3zy v\u00a0krvi mus\u00ed pacientovi v\u017edy p\u0159edepsat odborn\u00fd l\u00e9ka\u0159 \u2013 diabetolog,<\/b> kter\u00fd m\u00e1 smlouvu s\u00a0jeho zdravotn\u00ed poji\u0161\u0165ovnou.<\/p>\n
Glukometry<\/b> jsou z\u00a0ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed hrazeny, pokud jsou spln\u011bna indika\u010dn\u00ed krit\u00e9ria, a\u00a0\u00fahrada je v\u00e1z\u00e1na i na schv\u00e1len\u00ed revizn\u00edm l\u00e9ka\u0159em.<\/b> Hrazeny mohou b\u00fdt diabetik\u016fm, kte\u0159\u00ed jsou l\u00e9\u010deni intenzifikovan\u00fdm inzul\u00ednov\u00fdm re\u017eimem <\/b>(aplikuj\u00ed si 3\u00a0d\u00e1vky inzul\u00ednu denn\u011b nebo u\u017e\u00edvaj\u00ed inzul\u00ednovou pumpu) a\u00a0diabetik\u016fm s\u00a0labiln\u00ed cukrovkou<\/b>, kte\u0159\u00ed pot\u0159ebuj\u00ed alespo\u0148 2\u00a0d\u00e1vky inzul\u00ednu denn\u011b.<\/p>\n
Glukometr p\u0159edepisuje l\u00e9ka\u0159 na poukaz. Po p\u0159edlo\u017een\u00ed revizn\u00edm l\u00e9ka\u0159em schv\u00e1len\u00e9ho poukazu pacientovi glukometr vydaj\u00ed ve v\u00fddejn\u011b zdravotnick\u00fdch prost\u0159edk\u016f (regula\u010dn\u00ed poplatek se nehrad\u00ed, na poukazy se nevztahuje). Glukometry jsou ze zdravotn\u00edho poji\u0161t\u011bn\u00ed hrazeny do v\u00fd\u0161e 1\u00a0000\u00a0K\u010d, v\u00a0mno\u017estv\u00ed 1\u00a0kus za 10\u00a0let.<\/p>\n
Diagnostick\u00e9 prou\u017eky na stanoven\u00ed gluk\u00f3zy v\u00a0krvi<\/b> poji\u0161\u0165ovna hrad\u00ed v\u00a0mno\u017estv\u00ed, kter\u00e9 z\u00e1le\u017e\u00ed na z\u00e1va\u017enosti zdravotn\u00edho stavu. Na z\u00e1klad\u011b indikace diabetologem<\/b> je hrazeno pacient\u016fm l\u00e9\u010den\u00fdm peror\u00e1ln\u00edmi antidiabetiky mno\u017estv\u00ed do 100\u00a0kus\u016f prou\u017ek\u016f za rok (do celkov\u00e9 v\u00fd\u0161e 800\u00a0K\u010d), mno\u017estv\u00ed do 400\u00a0kus\u016f za rok (do celkov\u00e9 v\u00fd\u0161e 3\u00a0200\u00a0K\u010d) pacient\u016fm l\u00e9\u010den\u00fdm inzul\u00ednem, kte\u0159\u00ed si ho aplikuj\u00ed jednou \u010di dvakr\u00e1t denn\u011b.<\/p>\n
Pacienti l\u00e9\u010den\u00ed intenzifikovan\u00fdm inzul\u00ednov\u00fdm re\u017eimem (t\u0159i a\u00a0v\u00edce aplikac\u00ed inzul\u00ednu denn\u011b) a\u00a0pacienti l\u00e9\u010den\u00ed inzul\u00ednovou pumpou mohou m\u00edt uhrazeno na z\u00e1klad\u011b indikace diabetologem a\u00a0po schv\u00e1len\u00ed revizn\u00edm l\u00e9ka\u0159em<\/b> od 400 kus\u016f do 1\u00a0000 kus\u016f prou\u017ek\u016f za rok.<\/p>\n
Nejv\u011bt\u0161\u00ed mno\u017estv\u00ed inzulinov\u00fdch prou\u017ek\u016f mohou m\u00edt hrazeno (op\u011bt na z\u00e1klad\u011b indikace diabetologem a\u00a0se schv\u00e1len\u00edm revizn\u00edho l\u00e9ka\u0159e) pacienti do 18\u00a0let a t\u011bhotn\u00e9 diabeti\u010dky: od 1\u00a0000 kus\u016f do 1\u00a0800 kus\u016f za rok. V\u017edy z\u00e1le\u017e\u00ed na zdravotn\u00edm stavu diabetika a z\u00a0n\u011bj vypl\u00fdvaj\u00edc\u00ed pot\u0159eby testov\u00e1n\u00ed prou\u017eky \u2013 s\u00a0ohledem na to tak\u00e9 o\u0161et\u0159uj\u00edc\u00ed l\u00e9ka\u0159 p\u0159edepisuje jejich pot\u0159ebn\u00e9 mno\u017estv\u00ed.<\/p>\n
Pacient s\u00a0diabetem 2.\u00a0typu, kter\u00fd je ve stabilizovan\u00e9m stavu a nem\u00e1 \u017e\u00e1dn\u00e9 v\u011bt\u0161\u00ed komplikace, je dnes b\u011b\u017en\u011b v\u00a0p\u00e9\u010di sv\u00e9ho registruj\u00edc\u00edho praktick\u00e9ho l\u00e9ka\u0159e. Takov\u00fd pacient nepot\u0159ebuje pr\u016fb\u011b\u017en\u00e9 sledov\u00e1n\u00ed hladiny gluk\u00f3zy v krvi. Praktick\u00fd l\u00e9ka\u0159 m\u016f\u017ee sledovat kompenzaci cukrovky pomoc\u00ed vy\u0161et\u0159en\u00ed glykovan\u00e9ho hemoglobinu p\u0159\u00edmo v\u00a0ordinaci, bez nutnosti odes\u00edlat pacienta na vy\u0161et\u0159en\u00ed do laborato\u0159e.<\/p>\n
Stejn\u011b tak m\u016f\u017ee orienta\u010dn\u011b, pomoc\u00ed glukometru, vy\u0161et\u0159it aktu\u00e1ln\u00ed hladinu cukru v\u00a0krvi, pokud si pot\u0159ebuje ov\u011b\u0159it, jestli nen\u00ed zhor\u0161en\u00ed zdravotn\u00edho stavu z\u00a0d\u016fvodu p\u0159\u00edli\u0161 n\u00edzk\u00e9 nebo naopak vysok\u00e9 hladiny cukru. P\u00e9\u010di o\u00a0nekomplikovan\u00e9 diabetiky 2.\u00a0typu hrad\u00ed praktick\u00fdm l\u00e9ka\u0159\u016fm poji\u0161\u0165ovna nad r\u00e1mec tzv.\u00a0kapita\u010dn\u00ed platby.<\/p>\n
Mgr. Old\u0159ich Tich\u00fd
\n<\/b>vedouc\u00ed tiskov\u00e9ho odd\u011blen\u00ed a tiskov\u00fd mluv\u010d\u00ed VZP<\/p>\n
ilustra\u010dn\u00ed foto: Karen Barefoot sxc.hu<\/p>\n","protected":false},"excerpt":{"rendered":"
OT\u00c1ZKA: M\u00e1 ka\u017ed\u00fd diabetik n\u00e1rok na glukometr a\u00a0diagnostick\u00e9 prou\u017eky? V jak\u00e9m mno\u017estv\u00ed? Odpov\u00edd\u00e1 V\u0161eobecn\u00e1 zdravotn\u00ed poji\u0161\u0165ovna.<\/p>\n<\/div>","protected":false},"author":1,"featured_media":14132,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[],"class_list":["post-15885","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-poradna"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/15885","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=15885"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/15885\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14132"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=15885"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=15885"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=15885"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}