{"id":23484,"date":"2015-11-12T14:58:02","date_gmt":"2015-11-12T13:58:02","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=23484"},"modified":"2015-11-12T14:58:02","modified_gmt":"2015-11-12T13:58:02","slug":"stale-vice-diabetiku-ma-moderni-leky-riziko-umrti-je-u-nich-srovnatelne-s-beznou-populaci","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=23484","title":{"rendered":"St\u00e1le v\u00edce diabetik\u016f m\u00e1 modern\u00ed l\u00e9ky, riziko \u00famrt\u00ed je u nich srovnateln\u00e9 s b\u011b\u017enou populac\u00ed"},"content":{"rendered":"

Za posledn\u00ed t\u0159i roky se prudce zv\u00fd\u0161il po\u010det klient\u016f VZP s\u00a0cukrovkou, kte\u0159\u00ed jsou <\/b><\/span><\/span>l\u00e9\u010deni modern\u00edmi l\u00e9ky \u2013 tzv. gliptiny. V\u00a0roce 2014 jich bylo t\u00e9m\u011b\u0159 o 40 % v\u00edce ne\u017e v\u00a0roce 2012. <\/b><\/span><\/span><\/span><\/span><\/p>\n

ilustra\u010dn\u00ed foto: Karen Barefoot \/ sxc.hu<\/b><\/span><\/span><\/span><\/span><\/p>\n

Tak\u00e9 d\u00edky tomu je riziko \u00famrt\u00ed u pacient\u016f s\u00a0cukrovkou ve v\u011bku mezi 50 a 70 lety, kte\u0159\u00ed u\u017e\u00edvaj\u00ed peror\u00e1ln\u00ed antidiabetika, t\u00e9m\u011b\u0159 stejn\u00e9 jako u b\u011b\u017en\u00e9 populace. Podle odborn\u00edk\u016f jde o unik\u00e1tn\u00ed v\u00fdsledky.<\/b><\/span><\/span><\/span><\/span><\/p>\n

Mimo\u0159\u00e1dn\u011b p\u0159\u00edzniv\u00e9 zji\u0161t\u011bn\u00ed vyplynulo z\u00a0anal\u00fdzy, kterou provedla Diabetick\u00e1 asociace \u010cR na datech klient\u016f VZP. \u201eNa 200 tis\u00edc\u00edch pacient\u016f s\u00a0diabetem ve v\u011bku 50 a\u017e 59 a 60 a\u017e 69 let se k\u0159ivky \u00famrtnosti v\u00a0podstat\u011b p\u0159ekr\u00fdvaj\u00ed s\u00a0b\u011b\u017enou populac\u00ed. Jin\u00fdmi slovy minim\u00e1ln\u011b \u010dtvrtina diabetik\u016f u n\u00e1s m\u00e1 stejnou nad\u011bji do\u017eit\u00ed jako ostatn\u00ed populace. To je neobvykle dobr\u00fd v\u00fdsledek, proto\u017ee v\u0161ude ve sv\u011bt\u011b se ud\u00e1v\u00e1 riziko \u00famrt\u00ed u diabetik\u016f dva a\u017e \u010dty\u0159ikr\u00e1t vy\u0161\u0161\u00ed,\u201c uvedl prezident asociace prof. Milan Kvapil, kter\u00fd je p\u0159ednostou Intern\u00ed kliniky FN Motol.<\/span><\/span><\/span><\/span><\/p>\n

V\u0161eobecn\u00e1 zdravotn\u00ed poji\u0161\u0165ovna m\u011bla v\u00a0lo\u0148sk\u00e9m roce 534\u00a0537 klient\u016f s\u00a0diabetem a za jejich l\u00e9\u010dbu vydala 6,182 miliardy korun. Podrobn\u011b to ukazuje n\u00e1sleduj\u00edc\u00ed tabulka, kter\u00e1 zahrnuje i\u00a0rozd\u011blen\u00ed po kraj\u00edch a srovn\u00e1n\u00ed s\u00a0rokem 2013.<\/span><\/span><\/span><\/span><\/p>\n\n\n\n\n\n\n\n\n<\/colgroup>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
<\/td>\n\n

Po\u010det klient\u016f s diabetem<\/b><\/span><\/span><\/span><\/p>\n<\/td>\n

\n

N\u00e1klady na p\u00e9\u010di o n\u011b (v K\u010d)<\/b><\/span><\/span><\/span><\/p>\n<\/td>\n<\/tr>\n

<\/td>\n\n

Rok 2013<\/b><\/span><\/span><\/p>\n<\/td>\n

\n

Rok 2014<\/b><\/span><\/span><\/p>\n<\/td>\n

\n

2013\/2014<\/b><\/span><\/span><\/p>\n<\/td>\n

\n

Rok 2013<\/b><\/span><\/span><\/p>\n<\/td>\n

\n

Rok 2014<\/b><\/span><\/span><\/p>\n<\/td>\n

\n

2013\/2014<\/b><\/span><\/span><\/p>\n<\/td>\n<\/tr>\n

\n

Praha<\/b><\/span><\/span><\/span><\/p>\n<\/td>\n

\n

53 351<\/span><\/span><\/p>\n<\/td>\n

\n

54 313<\/span><\/span><\/p>\n<\/td>\n

\n

+1,8 %<\/span><\/span><\/p>\n<\/td>\n

\n

687\u00a0329 000<\/span><\/span><\/p>\n<\/td>\n

\n

717\u00a0536 000<\/span><\/span><\/p>\n<\/td>\n

\n

+4,4<\/span><\/span><\/p>\n<\/td>\n<\/tr>\n

\n

St\u0159edo\u010desk\u00fd kraj<\/b><\/span><\/span><\/span><\/p>\n<\/td>\n

\n

58 950<\/span><\/span><\/p>\n<\/td>\n

\n

59 615<\/span><\/span><\/p>\n<\/td>\n

\n

+1,1 %<\/span><\/span><\/p>\n<\/td>\n

\n

717\u00a0171 000<\/span><\/span><\/p>\n<\/td>\n

\n

724\u00a0995 000<\/span><\/span><\/p>\n<\/td>\n

\n

+1,1<\/span><\/span><\/p>\n<\/td>\n<\/tr>\n

\n

Jiho\u010desk\u00fd kraj<\/b><\/span><\/span><\/span><\/p>\n<\/td>\n

\n

34 830<\/span><\/span><\/span><\/p>\n<\/td>\n

\n

35 352<\/span><\/span><\/p>\n<\/td>\n

\n

+1,5 %<\/span><\/span><\/p>\n<\/td>\n

\n

388\u00a0909 000<\/span><\/span><\/p>\n<\/td>\n

\n

396\u00a0917 000<\/span><\/span><\/p>\n<\/td>\n

\n

+2,1<\/span><\/span><\/p>\n<\/td>\n<\/tr>\n

\n

Plze\u0148sk\u00fd kraj<\/b><\/span><\/span><\/span><\/p>\n<\/td>\n

\n

29 402<\/span><\/span><\/p>\n<\/td>\n

\n

29 793<\/span><\/span><\/p>\n<\/td>\n

\n

+1,3 %<\/span><\/span><\/p>\n<\/td>\n

\n

313\u00a0216 000<\/span><\/span><\/p>\n<\/td>\n

\n

318\u00a0173 000<\/span><\/span><\/p>\n<\/td>\n

\n

+1,6<\/span><\/span><\/p>\n<\/td>\n<\/tr>\n

\n

Karlovarsk\u00fd kraj<\/b><\/span><\/span><\/span><\/p>\n<\/td>\n

\n

16 834<\/span><\/span><\/p>\n<\/td>\n

\n

17 232<\/span><\/span><\/p>\n<\/td>\n

\n

+2,4 %<\/span><\/span><\/p>\n<\/td>\n

\n

207\u00a0906 000<\/span><\/span><\/p>\n<\/td>\n

\n

216\u00a0989 000<\/span><\/span><\/p>\n<\/td>\n

\n

+4,4<\/span><\/span><\/p>\n<\/td>\n<\/tr>\n

\n

\u00dasteck\u00fd kraj<\/b><\/span><\/span><\/span><\/p>\n<\/td>\n

\n

51 024<\/span><\/span><\/p>\n<\/td>\n

\n

51 080<\/span><\/span><\/p>\n<\/td>\n

\n

+0,1 %<\/span><\/span><\/p>\n<\/td>\n

\n

547\u00a0566 000<\/span><\/span><\/p>\n<\/td>\n

\n

564\u00a0278 000<\/span><\/span><\/p>\n<\/td>\n

\n

+3,1<\/span><\/span><\/p>\n<\/td>\n<\/tr>\n

\n

Libereck\u00fd kraj<\/b><\/span><\/span><\/span><\/p>\n<\/td>\n

\n

23 846<\/span><\/span><\/p>\n<\/td>\n

\n

25 038<\/span><\/span><\/p>\n<\/td>\n

\n

+4,9 %<\/span><\/span><\/p>\n<\/td>\n

\n

266\u00a0094 000<\/span><\/span><\/p>\n<\/td>\n

\n

273\u00a0319 000<\/span><\/span><\/p>\n<\/td>\n

\n

+2,7<\/span><\/span><\/p>\n<\/td>\n<\/tr>\n

\n

Kr\u00e1lov\u00e9hradeck\u00fd kraj<\/b><\/span><\/span><\/span><\/p>\n<\/td>\n

\n

29 297<\/span><\/span><\/p>\n<\/td>\n

\n

29 745<\/span><\/span><\/p>\n<\/td>\n

\n

+1,5 %<\/span><\/span><\/p>\n<\/td>\n

\n

337\u00a0085 000<\/span><\/span><\/p>\n<\/td>\n

\n

346\u00a0101 000<\/span><\/span><\/p>\n<\/td>\n

\n

+2,7<\/span><\/span><\/p>\n<\/td>\n<\/tr>\n

\n

Pardubick\u00fd kraj<\/b><\/span><\/span><\/span><\/p>\n<\/td>\n

\n

32 617<\/span><\/span><\/p>\n<\/td>\n

\n

32 667<\/span><\/span><\/p>\n<\/td>\n

\n

+0,2 %<\/span><\/span><\/p>\n<\/td>\n

\n

375\u00a0532 000<\/span><\/span><\/p>\n<\/td>\n

\n

381\u00a0652 000<\/span><\/span><\/p>\n<\/td>\n

\n

+1,6<\/span><\/span><\/p>\n<\/td>\n<\/tr>\n

\n

Kraj Vyso\u010dina<\/b><\/span><\/span><\/span><\/p>\n<\/td>\n

\n

33 957<\/span><\/span><\/p>\n<\/td>\n

\n

34 615<\/span><\/span><\/p>\n<\/td>\n

\n

+1,9 %<\/span><\/span><\/p>\n<\/td>\n

\n

374\u00a0364 000<\/span><\/span><\/p>\n<\/td>\n

\n

387\u00a0929 000<\/span><\/span><\/p>\n<\/td>\n

\n

+3,6<\/span><\/span><\/p>\n<\/td>\n<\/tr>\n

\n

Jihomoravsk\u00fd kraj<\/b><\/span><\/span><\/span><\/p>\n<\/td>\n

\n

56 313<\/span><\/span><\/p>\n<\/td>\n

\n

56 213<\/span><\/span><\/p>\n<\/td>\n

\n

-0,2 %<\/span><\/span><\/p>\n<\/td>\n

\n

619\u00a0481 000<\/span><\/span><\/p>\n<\/td>\n

\n

630\u00a0487 000<\/span><\/span><\/p>\n<\/td>\n

\n

+1,8<\/span><\/span><\/p>\n<\/td>\n<\/tr>\n

\n

Olomouck\u00fd kraj<\/b><\/span><\/span><\/span><\/p>\n<\/td>\n

\n

28 610<\/span><\/span><\/p>\n<\/td>\n

\n

28 599<\/span><\/span><\/p>\n<\/td>\n

\n

-0,1 %<\/span><\/span><\/p>\n<\/td>\n

\n

315\u00a0677 000<\/span><\/span><\/p>\n<\/td>\n

\n

318\u00a0601 000<\/span><\/span><\/p>\n<\/td>\n

\n

+0,9<\/span><\/span><\/p>\n<\/td>\n<\/tr>\n

\n

Moravskoslezsk\u00fd kraj<\/b><\/span><\/span><\/span><\/span><\/p>\n<\/td>\n

\n

44 813<\/span><\/span><\/p>\n<\/td>\n

\n

43 851<\/span><\/span><\/p>\n<\/td>\n

\n

-2,1 %<\/span><\/span><\/p>\n<\/td>\n

\n

525\u00a0770 000<\/span><\/span><\/p>\n<\/td>\n

\n

521\u00a0847 000<\/span><\/span><\/p>\n<\/td>\n

\n

-0,7<\/span><\/span><\/p>\n<\/td>\n<\/tr>\n

\n

Zl\u00ednsk\u00fd kraj<\/b><\/span><\/span><\/span><\/p>\n<\/td>\n

\n

36 572<\/span><\/span><\/p>\n<\/td>\n

\n

36 424<\/span><\/span><\/p>\n<\/td>\n

\n

-0,4 %<\/span><\/span><\/p>\n<\/td>\n

\n

383\u00a0264 000<\/span><\/span><\/p>\n<\/td>\n

\n

383\u00a0986 000<\/span><\/span><\/p>\n<\/td>\n

\n

+0,2<\/span><\/span><\/p>\n<\/td>\n<\/tr>\n

\n

CELKEM<\/b><\/span><\/span><\/span><\/p>\n<\/td>\n

\n

530 416<\/b><\/span><\/span><\/p>\n<\/td>\n

\n

534 537<\/b><\/span><\/span><\/p>\n<\/td>\n

\n

+0,8 %<\/b><\/span><\/span><\/p>\n<\/td>\n

\n

6\u00a0059\u00a0364 000<\/b><\/span><\/span><\/p>\n<\/td>\n

\n

6\u00a0182\u00a0811 000<\/b><\/span><\/span><\/p>\n<\/td>\n

\n

+2,0<\/b><\/span><\/span><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

V\u00edce ne\u017e 40 % diabetik\u016f u\u017e\u00edv\u00e1 jako z\u00e1kladn\u00ed p\u0159\u00edpravek metformin. Rychle ale roste po\u010det pacient\u016f u\u017e\u00edvaj\u00edc\u00edch gliptiny. Loni jich bylo p\u0159es 25 tis\u00edc a n\u00e1klady na tyto p\u0159\u00edpravky dos\u00e1hly bezm\u00e1la 265 milion\u016f korun.<\/span><\/span><\/p>\n

\u201eN\u00e1r\u016fst pacient\u016f l\u00e9\u010den\u00fdch gliptiny je meziro\u010dn\u011b okolo dvaceti procent. Metformin stoj\u00ed kolem \u010dty\u0159 korun za den, zat\u00edmco modern\u00ed antidiabetika se pohybuj\u00ed n\u011bkde pod 50 korunami. N\u00e1klady na metformin ale klesaj\u00ed, proto\u017ee se n\u00e1m tlakem na cenu poda\u0159ilo sn\u00ed\u017eit jednotkovou cenu. R\u016fst v\u00fddaj\u016f souvisej\u00edc\u00ed s\u00a0v\u011bt\u0161\u00edm roz\u0161\u00ed\u0159en\u00edm modern\u00edch antidiabetik n\u00e1m se tak \u010d\u00e1ste\u010dn\u011b da\u0159\u00ed kompenzovat,\u201c konstatoval n\u00e1m\u011bstek \u0159editele VZP pro zdravotn\u00ed p\u00e9\u010di Petr Hon\u011bk.<\/span><\/span><\/span><\/span><\/p>\n

\"\"<\/span><\/p>\n

Dal\u0161\u00edm modern\u00edm p\u0159\u00edpravkem pro diabetiky jsou i tzv. glifloziny. Ty jsou dostupn\u00e9 od konce lo\u0148sk\u00e9ho roku a u\u017e je pou\u017e\u00edv\u00e1 \u0161est tis\u00edc pacient\u016f. <\/span><\/span><\/span><\/span><\/p>\n

\"\"<\/span><\/p>\n

Cukrovka (diabetes mellitus) je souhrnn\u00fd n\u00e1zev pro skupinu chronick\u00fdch onemocn\u011bn\u00ed, kter\u00e1 se projevuj\u00ed poruchou metabolismu cukr\u016f. Prevence diabetu je mo\u017en\u00e1 jen \u010d\u00e1ste\u010dn\u011b. Spo\u010d\u00edv\u00e1 ve zdrav\u00e9m stravov\u00e1n\u00ed, udr\u017eov\u00e1n\u00ed norm\u00e1ln\u00ed v\u00e1hy a dostatku pohybu.<\/span><\/span><\/span><\/span><\/p>\n

Pr\u016fzkum, kter\u00fd pro VZP provedla agentura STEM\/MARK, uk\u00e1zal, \u017ee lid\u00e9 jsou si v\u011bdomi v\u00fdznamu racion\u00e1ln\u00edho stravov\u00e1n\u00ed p\u0159i prevenci diabetu \u2013 za velmi d\u016fle\u017eit\u00e9 to pova\u017euje 72 % dot\u00e1zan\u00fdch. Je\u0161t\u011b o 4 % v\u00edce (76 %) uv\u00e1d\u00ed jako velmi d\u016fle\u017eit\u00fd prvek prevence pravideln\u00e9 kontroly u l\u00e9ka\u0159e. Pravideln\u00e9 pohybov\u00e9 aktivity u\u017e ale za velmi d\u016fle\u017eit\u00e9 pro p\u0159edch\u00e1zen\u00ed cukrovce pova\u017euje jen 57 % respondent\u016f. O 3 % m\u00e9n\u011b (54 %) ozna\u010dilo jako velmi d\u016fle\u017eit\u00e9 omezov\u00e1n\u00ed sladk\u00e9ho a 50 % omezen\u00ed alkoholu, p\u0159\u00edpadn\u011b \u00faplnou abstinenci.<\/span><\/span><\/p>\n

Co lid\u00e9 pova\u017euj\u00ed za d\u016fle\u017eit\u00e9 pro prevenci diabetu (v %)<\/b><\/span><\/span><\/p>\n

\"\"<\/p>\n

Pokud u\u017e cukrovka u \u010dlov\u011bka propukne, lze vhodnou \u017eivotospr\u00e1vou a spoluprac\u00ed s l\u00e9ka\u0159i p\u0159edej\u00edt jej\u00edm z\u00e1va\u017en\u00fdm komplikac\u00edm. Naopak p\u0159i nedodr\u017eov\u00e1n\u00ed stanoven\u00fdch pravidel hroz\u00ed vznik z\u00e1va\u017en\u00fdch chorob srdce a c\u00e9v, sn\u00ed\u017een\u00ed obranyschopnosti a z\u00a0toho plynouc\u00ed \u010dast\u011bj\u0161\u00ed infek\u010dn\u00ed nemoci, po\u0161kozen\u00ed nerv\u016f v cel\u00e9m t\u011ble, po\u0161kozen\u00ed ledvin a\u017e selh\u00e1n\u00ed ledvin, po\u0161kozen\u00ed o\u010dn\u00ed s\u00edtnice vedouc\u00ed k oslepnut\u00ed \u010di amputace doln\u00edch kon\u010detin.<\/span><\/span><\/p>\n

Mgr. Old\u0159ich Tich\u00fd<\/b><\/span><\/span><\/span><\/p>\n

vedouc\u00ed tiskov\u00e9ho odd\u011blen\u00ed a tiskov\u00fd mluv\u010d\u00ed<\/span><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Za posledn\u00ed t\u0159i roky se prudce zv\u00fd\u0161il po\u010det klient\u016f VZP s\u00a0cukrovkou, kte\u0159\u00ed jsou l\u00e9\u010deni modern\u00edmi l\u00e9ky \u2013 tzv. gliptiny. V\u00a0roce 2014 jich bylo t\u00e9m\u011b\u0159 o […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14132,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-23484","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\/23484","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=23484"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/23484\/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=23484"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=23484"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=23484"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}