{"id":23503,"date":"2015-11-13T10:29:47","date_gmt":"2015-11-13T09:29:47","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=23503"},"modified":"2015-11-13T10:29:47","modified_gmt":"2015-11-13T09:29:47","slug":"rok-2035-v-cr-budou-zit-dva-miliony-diabetiku","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=23503","title":{"rendered":"Rok 2035. V \u010cR budou \u017e\u00edt dva miliony diabetik\u016f"},"content":{"rendered":"<p><strong>K\u00e1vu si jednapades\u00e1tilet\u00fd Pavel ze z\u00e1padn\u00edch \u010cech u\u017e neoslad\u00ed. A\u010dkoli pravideln\u011b cvi\u010dil a nadv\u00e1hu m\u011bl jen m\u00edrnou, l\u00e9ka\u0159 mu sd\u011blil nep\u0159\u00edjemnou diagn\u00f3zu. M\u00e1 glyk\u00e9mii, tedy stav p\u0159edch\u00e1zej\u00edc\u00ed cukrovce.\u00a0Glyk\u00e9mi\u00ed dnes v \u010cesku trp\u00ed p\u016fl milionu lid\u00ed.\u00a0<\/strong> <!--more--><\/p>\n<p>Praha \u2013 J\u00eddeln\u00ed\u010dek si s\u00e1m zm\u011bnil okam\u017eit\u011b, p\u0159esto v ot\u00e1zce, co d\u00e1l, aby se onemocn\u011bn\u00ed nezm\u011bnilo v diabetes, t\u00e1pal.<\/p>\n<p>&#8222;Nutri\u010dn\u00ed terapeut porad\u00ed pacientovi i s diagn\u00f3zou, je\u017e vy\u017eaduje zm\u011bnu stravy, jako je pr\u00e1v\u011b cukrovka, choroby ledvin, jater \u010di zv\u00fd\u0161en\u00fd cholesterol. Konzultace u odborn\u00edka je vhodn\u00e1 zejm\u00e9na pro pacienty, kte\u0159\u00ed se o sv\u00e9 nemoci pr\u00e1v\u011b dozv\u011bd\u011bli a pot\u0159ebuj\u00ed se nau\u010dit, jak ji zvl\u00e1dat, aby se jejich stav nezhor\u0161oval,&#8220; \u0159\u00edk\u00e1 mluv\u010d\u00ed VZP Old\u0159ich Tich\u00fd s t\u00edm, \u017ee n\u00e1v\u0161t\u011bva je ze zdravotn\u00edho poji\u0161t\u011bn\u00ed hrazena v p\u0159\u00edpad\u011b, \u017ee ji doporu\u010d\u00ed l\u00e9ka\u0159 a vyhledan\u00fd nutri\u010dn\u00ed terapeut m\u00e1 smlouvu s poji\u0161\u0165ovnou.<\/p>\n<p>Podle St\u00e1tn\u00edho zdravotn\u00edho \u00fastavu v roce 2013 v \u010cR trp\u011blo cukrovkou p\u0159es 861 tis\u00edc lid\u00ed, p\u0159i\u010dem\u017e podle odhad\u016f Diabetick\u00e9 asociace jich maj\u00ed u n\u00e1s v roce 2035 b\u00fdt ji\u017e dva miliony. P\u0159ev\u00e1\u017en\u00e1 v\u011bt\u0161ina, t\u00e9m\u011b\u0159 790 tis\u00edc z nich, trp\u00ed cukrovkou 2. typu. Pr\u00e1v\u011b t\u00e9 je na rozd\u00edl od diabetu 1. typu mo\u017eno preventivn\u011b p\u0159edch\u00e1zet. Hlavn\u00ed p\u0159\u00ed\u010dinou rostouc\u00edho po\u010dtu diabetik\u016f 2. typu je zvy\u0161uj\u00edc\u00ed se v\u00fdskyt obezity a celkov\u011b nezdrav\u00fd \u017eivotn\u00ed styl spole\u010dnosti. Celosv\u011btov\u011b pak diabetem 2. typu trp\u00ed na 387 milion\u016f lid\u00ed. Odhaduje se, \u017ee do roku 2030 bude s touto chorobou \u017e\u00edt t\u00e9m\u011b\u0159 p\u016fl bilionu lid\u00ed.<\/p>\n<p>Po\u010det diabetik\u016f za posledn\u00edch t\u0159icet let podle odborn\u00edk\u016f raketov\u011b stoup\u00e1 jak ve sv\u011bt\u011b, tak i v \u010cesku. Pro \u00fasp\u011b\u0161nou l\u00e9\u010dbu je podobn\u011b jako u dal\u0161\u00edch nebezpe\u010dn\u00fdch chorob kl\u00ed\u010dov\u00e9 v\u010das rozpoznat p\u0159\u00edznaky a za\u010d\u00edt cukrovku l\u00e9\u010dit hned od za\u010d\u00e1tku.<\/p>\n<p>Cel\u00fdch 95 procent diabetik\u016f 2. typu m\u00e1 nadv\u00e1hu. D\u016fle\u017eit\u00fdm faktorem v prevenci diabetu je pravideln\u00fd pohyb, kter\u00fd m\u00e1 nezanedbateln\u00fd vliv i na psychiku a potla\u010duje depresi a \u00fazkost. &#8222;Pohyb spolu s vyv\u00e1\u017een\u00fdm j\u00eddeln\u00ed\u010dkem tvo\u0159\u00ed pil\u00ed\u0159 l\u00e9\u010dby zejm\u00e9na u diabetik\u016f 2. typu, kde v pozad\u00ed vzniku stoj\u00ed necitlivost tk\u00e1n\u00ed v\u016f\u010di p\u016fsoben\u00ed inzul\u00ednu, na n\u00ed\u017e nejv\u00edce &#8222;plat\u00ed&#8220; redukce t\u011blesn\u00e9 hmotnosti,&#8220; uv\u00e1d\u00ed obezitolog Petr Hlavat\u00fd z Endokrinologick\u00e9ho \u00fastavu v Praze. D\u016fle\u017eit\u00e9 jsou vhodn\u00e9 stravovac\u00ed n\u00e1vyky, strava bez p\u0159idan\u00fdch cukr\u016f, soli a tuk\u016f a dostate\u010dn\u00e1 pohybov\u00e1 aktivita nejm\u00e9n\u011b 30 minut denn\u011b. Z\u00e1sadn\u00ed pro prevenci je i p\u0159estat kou\u0159it. Na v\u0161echny tyto faktory upozor\u0148uje leto\u0161n\u00ed Sv\u011btov\u00fd den diabetu, kter\u00fd p\u0159ipad\u00e1 na 14. listopadu. Dobrou zpr\u00e1vou je, \u017ee riziko \u00famrt\u00ed u pacient\u016f ve v\u011bku mezi 50 a\u017e 70 lety v\u00fdrazn\u011b kles\u00e1. &#8222;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 dva a\u017e \u010dty\u0159ikr\u00e1t vy\u0161\u0161\u00ed,&#8220; \u0159\u00edk\u00e1 Milan Kvapil, p\u0159ednosta Intern\u00ed kliniky FN Motol. D\u00edky nov\u00fdm l\u00e9k\u016fm se v\u00fdrazn\u011b sn\u00ed\u017eil po\u010det komplikac\u00ed. Za posledn\u00ed t\u0159i roky toti\u017e po\u010det diabetik\u016f l\u00e9\u010den\u00fdch t\u011bmito modern\u00edmi medikamenty, tzv. gliptiny, v\u00fdrazn\u011b narostl. V roce 2014 jich podle \u00fadaj\u016f VZP bylo o cel\u00fdch 40 procent v\u00edc ne\u017e v roce 2012.<\/p>\n<p>Podle diabetolog\u016f \u017eije v \u010cR okolo 250 tis\u00edc osob s doposud nediagnostikovan\u00fdm, a tedy nel\u00e9\u010den\u00fdm diabetem. To m\u00e1 za n\u00e1sledek masivn\u00ed n\u00e1klady na l\u00e9\u010dbu souvisej\u00edc\u00edch komplikac\u00ed. Kone\u010dn\u00fdm d\u016fsledkem cukrovky m\u016f\u017ee toti\u017e b\u00fdt c\u00e9vn\u00ed mozkov\u00e1 p\u0159\u00edhoda, srde\u010dn\u00ed infarkt, slepota, selh\u00e1n\u00ed ledvin \u010di amputace kon\u010detin.<\/p>\n<p>Z\u00e1ludnost\u00ed diabetu 2. typu, stejn\u011b jako n\u00e1sledn\u00fdch kardiovaskul\u00e1rn\u00edch komplikac\u00ed, je, \u017ee se rozv\u00edj\u00ed dlouho bezp\u0159\u00edznakov\u011b. Prvn\u00edm sign\u00e1lem m\u016f\u017ee b\u00fdt a\u017e akutn\u00ed infarkt, p\u0159i\u010dem\u017e \u00famrtnost diabetik\u016f je v tomto p\u0159\u00edpad\u011b vy\u0161\u0161\u00ed ne\u017e u ostatn\u00edch pacient\u016f. P\u0159edpokl\u00e1dan\u00e1 d\u00e9lka \u017eivota je u pacient\u016f s diabetem 2. typu ni\u017e\u0161\u00ed v pr\u016fm\u011bru o 12 let, pokud trp\u00ed zv\u00fd\u0161en\u00fdm rizikem kardiovaskul\u00e1rn\u00edch komplikac\u00ed.<\/p>\n<p>Pacienti s diabetem maj\u00ed tak\u00e9 t\u0159et\u00ed nejdra\u017e\u0161\u00ed pracovn\u00ed neschopnost, kter\u00e1 je zap\u0159\u00ed\u010din\u011bna pr\u00e1v\u011b komplikacemi. Za rok 2012 a 2013 bylo cukrovk\u00e1\u0159\u016fm vyplaceno na invalidn\u00edch d\u016fchodech 2,5 miliardy korun.<\/p>\n<p>ZDENA KOL\u00c1\u0158OV\u00c1<br \/>\nPra\u017esk\u00fd den\u00edk<br \/>\n<a href=\"http:\/\/www.prazsky.denik.cz\/\">http:\/\/www.prazsky.denik.cz\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>K\u00e1vu si jednapades\u00e1tilet\u00fd Pavel ze z\u00e1padn\u00edch \u010cech u\u017e neoslad\u00ed. A\u010dkoli pravideln\u011b cvi\u010dil a nadv\u00e1hu m\u011bl jen m\u00edrnou, l\u00e9ka\u0159 mu sd\u011blil nep\u0159\u00edjemnou diagn\u00f3zu. M\u00e1 glyk\u00e9mii, tedy <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=23503\" title=\"Rok 2035. V \u010cR budou \u017e\u00edt dva miliony diabetik\u016f\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":6331,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-23503","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\/23503","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=23503"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/23503\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/6331"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=23503"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=23503"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=23503"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}