{"id":22152,"date":"2015-07-16T12:21:22","date_gmt":"2015-07-16T10:21:22","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=22152"},"modified":"2015-07-16T12:21:22","modified_gmt":"2015-07-16T10:21:22","slug":"nove-leky-na-cukrovku-odvrati-komplikace","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=22152","title":{"rendered":"Nov\u00e9 l\u00e9ky na cukrovku odvr\u00e1t\u00ed komplikace"},"content":{"rendered":"<p><strong>\u010cesk\u00e1 republika pat\u0159\u00ed mezi zem\u011b s nejv\u011bt\u0161\u00edm po\u010dtem diabetik\u016f v Evrop\u011b.<\/strong> <!--more--><\/p>\n<p>S cukrovkou 2. typu, kter\u00e1 je spojena s nezdrav\u00fdm \u017eivotn\u00edm stylem, se u n\u00e1s l\u00e9\u010d\u00ed p\u0159es 860 tis\u00edc lid\u00ed, dal\u0161\u00edch asi 250 tis\u00edc o sv\u00e9 nemoci zat\u00edm nev\u00ed.<\/p>\n<p>\u00bbCukrovka nebol\u00ed, o to z\u00e1ke\u0159n\u011bj\u0161\u00ed je pozd\u011bji,\u00ab \u0159ekl novin\u00e1\u0159\u016fm prezident Diabetick\u00e9 asociace \u010cR Milan Kvapil. K z\u00e1va\u017en\u011bj\u0161\u00edm komplikac\u00edm, jako jsou po\u0161kozen\u00ed srdce a c\u00e9v, zraku, ledvin \u010di nerv\u016f, by ale podle n\u011bj nemuselo doj\u00edt, pokud by se lid\u00e9 za\u010dali l\u00e9\u010dit v\u010das a nenechali doj\u00edt nemoc za bod, odkud u\u017e nen\u00ed n\u00e1vratu. \u00bbV astrofyzice se takov\u00e9mu bodu \u0159\u00edk\u00e1 horizont ud\u00e1lost\u00ed,\u00ab dodal Kvapil.<\/p>\n<p>Celkov\u00e9 n\u00e1klady na l\u00e9\u010dbu diabetu v \u010cR tvo\u0159\u00ed podle Tom\u00e1\u0161e Dole\u017eala z Institutu pro zdravotn\u00ed ekonomiku minim\u00e1ln\u011b deset procent celkov\u00fdch n\u00e1klad\u016f na zdravotn\u00ed p\u00e9\u010di. \u00bbV\u011bt\u0161ina pen\u011bz jde na l\u00e9\u010dbu komplikac\u00ed diabetu. St\u00e1le roste po\u010det pacient\u016f s posti\u017een\u00edm ledvin, d\u00e1le p\u0159ib\u00fdv\u00e1 amputac\u00ed diabetick\u00e9 nohy. Zvy\u0161uje se po\u010det pacient\u016f a kardiovaskul\u00e1rn\u00edmi komplikacemi, kter\u00e9 maj\u00ed na sv\u011bdom\u00ed p\u0159ibli\u017en\u011b sedmdes\u00e1t procent \u00famrt\u00ed diabetik\u016f,\u00ab uvedl.<\/p>\n<p>Nad\u011bj\u00ed pro nemocn\u00e9 jsou nov\u00e9 l\u00e9ky, kter\u00e9 komplikace odvr\u00e1t\u00ed, u\u0161et\u0159\u00ed i zdravotn\u00ed poji\u0161\u0165ovny. P\u0159\u00ednos nov\u00e9 l\u00e9\u010dby potvrdila tzv. farmakoekonomick\u00e1 studie. Sledovala 324 pacient\u016f s diabetem 2. typu. V dob\u011b nasazen\u00ed l\u00e9\u010dby byli v pr\u016fm\u011bru dev\u011bt let od diagn\u00f3zy a m\u011bli vysok\u00e9 hodnoty tzv. glykovan\u00e9ho hemoglobinu. Ten ur\u010duje, jak dob\u0159e, \u010di \u0161patn\u011b pacient cukrovku zvl\u00e1d\u00e1. P\u0159i l\u00e9\u010db\u011b jim v\u00fdrazn\u011b klesl glykovan\u00fd hemoglobin, tlak, cholesterol a sn\u00ed\u017eila se jejich nadv\u00e1ha. Z nov\u00fdch l\u00e9k\u016f neroz\u0161\u00ed\u0159en\u011bj\u0161\u00ed jsou gliptiny, kter\u00e9 zvy\u0161uj\u00ed u diabetika p\u0159irozenou cestou tvorbu inzul\u00ednu. Nejnov\u011bj\u0161\u00ed jsou glifloziny, p\u0159i kter\u00fdch diabetici vylu\u010duju p\u0159ebyte\u010dn\u00fd cukr mo\u010d\u00ed. A\u010dkoli je podle Kvapila l\u00e9\u010dba na za\u010d\u00e1tku trochu dra\u017e\u0161\u00ed, dlouhodob\u011b spo\u0159\u00ed n\u00e1klady t\u00edm, \u017ee klesnou v\u00fddaje na l\u00e9\u010dbu komplikac\u00ed. \u00bbV p\u0159epo\u010dtu na tis\u00edc l\u00e9\u010den\u00fdch pacient\u016f by v pr\u016fb\u011bhu 20 let st\u00e1t u\u0161et\u0159il ze zdravotn\u00edho poji\u0161t\u011bn\u00ed kolem p\u011bti milion\u016f korun p\u0159\u00edm\u00fdch n\u00e1klad\u016f na kardiovaskul\u00e1rn\u00ed komplikace, a\u017e 25 milion\u016f na ren\u00e1ln\u00ed komplikace a a\u017e 14 milion\u016f korun na diabetickou nohu,\u00ab shrnul Kvapil.<\/p>\n<p>Podle n\u00e1m\u011bstka \u0159editele V\u0161eobecn\u00e9 zdravotn\u00ed poji\u0161\u0165ovny (VZP) Petra Ho\u0148ka loni vydala VZP na akutn\u00ed l\u00e9\u010dbu diabetu t\u00e9m\u011b\u0159 3,5 miliardy korun, dal\u0161\u00edch 3,5 mld. K\u010d \u010din\u00ed dlouhodob\u00e9 n\u00e1klady. \u00bbSpole\u010dn\u011b s ostatn\u00edmi zdravotn\u00edmi poji\u0161\u0165ovnami odhaduji celkovou \u010d\u00e1stku vynalo\u017eenou na l\u00e9\u010dbu diabetu a n\u00e1vazn\u00fdch komplikac\u00ed na 11,5 miliardy korun,\u00ab \u0159ekl. P\u0159es 100 600 \u010desk\u00fdch diabetik\u016f m\u00e1 kv\u016fli sv\u00e9 nemoci posti\u017een\u00fd zrak, 2200 osleplo, v\u00fdskyt infarktu myokardu je u nich a\u017e p\u011btin\u00e1sobn\u011b vy\u0161\u0161\u00ed ne\u017e v b\u011b\u017en\u00e9 populaci. P\u0159es 97 100 diabetik\u016f m\u00e1 chronick\u00e9 posti\u017een\u00ed ledvin, v\u00edce ne\u017e 40 000 trp\u00ed syndromem diabetikc\u00e9 nohy a p\u0159ibli\u017en\u011b deset tis\u00edc muselo podstoupit amputaci doln\u00ed kon\u010detiny.<\/p>\n<p>Cukrovka vede k invalidit\u011b, t\u0159i procenta nov\u011b p\u0159iznan\u00fdch d\u016fchod\u016f dost\u00e1vaj\u00ed diabetici. \u00bbNejv\u00edce ohro\u017eenou skupinou, co se p\u0159iznan\u00fdch d\u016fchod\u016f pro diabetes t\u00fd\u010de, jsou lid\u00e9 mezi 55 a\u017e 59 lety,\u00ab podotkla Iva Merhautov\u00e1, n\u00e1m\u011bstkyn\u011b ministerstva pr\u00e1ce a soci\u00e1ln\u00edch v\u011bc\u00ed \u010cR.<\/p>\n<p>Hal\u00f3 noviny<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>\u010cesk\u00e1 republika pat\u0159\u00ed mezi zem\u011b s nejv\u011bt\u0161\u00edm po\u010dtem diabetik\u016f v Evrop\u011b.<\/p>\n<\/div>","protected":false},"author":1,"featured_media":14132,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-22152","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/22152","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=22152"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/22152\/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=22152"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=22152"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=22152"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}