{"id":25143,"date":"2016-04-06T09:49:31","date_gmt":"2016-04-06T07:49:31","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=25143"},"modified":"2016-04-06T09:49:31","modified_gmt":"2016-04-06T07:49:31","slug":"ke-komu-jit-s-cukrovkou","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=25143","title":{"rendered":"Ke komu j\u00edt s cukrovkou?"},"content":{"rendered":"

OT\u00c1ZKA: M\u00e1 pacienta s cukrovkou o\u0161et\u0159ovat jeho praktick\u00fd l\u00e9ka\u0159, nebo v\u017edy diabetolog? Doj\u00ed\u017ed\u00edm st\u00e1le na kontroly na diabetologii, i kdy\u017e u\u017e jsem prakticky bez probl\u00e9m\u016f a m\u00e1m jen n\u011bkdy m\u00edrn\u011b zv\u00fd\u0161enou glyk\u00e9mii.<\/strong><\/p>\n

ODPOV\u011a\u010e:<\/p>\n

Pacienta s diabetem 2. typu, kter\u00fd nem\u00e1 \u017e\u00e1dn\u00e9 komplikace, by m\u011bl sledovat jeho praktick\u00fd l\u00e9ka\u0159. VZP podporuje to, aby v ordinac\u00edch praktick\u00fdch l\u00e9ka\u0159\u016f byla \u2013 v r\u00e1mci komplexn\u00ed p\u00e9\u010de o registrovan\u00e9 poji\u0161t\u011bnce \u2013 zaji\u0161t\u011bna t\u00e9\u017e p\u00e9\u010de o nekomplikovan\u00e9 diabetiky 2. typu. Pak mohou m\u00edt specialist\u00e9 v\u011bt\u0161\u00ed prostor a \u010das v\u011bnovat se l\u00e9\u010db\u011b diabetik\u016f 1. typu a t\u011b\u017e\u0161\u00edch p\u0159\u00edpad\u016f diabetik\u016f 2. typu. V\u00fdkon pro p\u00e9\u010di o nekomplikovan\u00e9ho diabetika 2. typu proto VZP praktick\u00fdm l\u00e9ka\u0159\u016fm hrad\u00ed nad r\u00e1mec kapita\u010dn\u00ed platby a maj\u00ed tak\u00e9 mo\u017enost prov\u00e1d\u011bt sledov\u00e1n\u00ed hladiny glykovan\u00e9ho hemoglobinu p\u0159\u00edmo ve sv\u00e9 ordinaci bez nutnosti odes\u00edlat pacienta na vy\u0161et\u0159en\u00ed do laborato\u0159e.<\/p>\n

Praktick\u00fd l\u00e9ka\u0159 m\u00e1 samoz\u0159ejm\u011b nav\u00edc mo\u017enost kdykoli b\u011bhem p\u00e9\u010de o nekomplikovan\u00e9ho diabetika 2. typu dan\u00e9ho pacienta odeslat ke konzultaci nebo kontroln\u00edmu vy\u0161et\u0159en\u00ed ke specialistovi \u2013diabetologovi.<\/p>\n

VZP vn\u00edm\u00e1 p\u00e9\u010di o diabetick\u00e9 pacienty jako jednu ze sv\u00fdch priorit, p\u0159edev\u0161\u00edm s d\u016frazem na prim\u00e1rn\u00ed a sekund\u00e1rn\u00ed prevenci onemocn\u011bn\u00ed. Z\u00e1kladem jsou preventivn\u00ed prohl\u00eddky u praktick\u00fdch l\u00e9ka\u0159\u016f, p\u0159i nich\u017e je v 18 letech a n\u00e1sledn\u011b pak po 40. roce v\u011bku ve dvoulet\u00fdch intervalech prov\u00e1d\u011bno zji\u0161\u0165ov\u00e1n\u00ed glyk\u00e9mie (hladiny cukru v krvi); u t\u011bhotn\u00fdch \u017een je povinnou sou\u010d\u00e1st\u00ed doporu\u010den\u00fdch postup\u016f proveden\u00ed or\u00e1ln\u00edho gluk\u00f3zov\u00e9ho testu. Na spr\u00e1vn\u00e9 prov\u00e1d\u011bn\u00ed preventivn\u00edch prohl\u00eddek klade VZP velk\u00fd d\u016fraz \u2013 nejen, \u017ee jsou hrazeny praktick\u00fdm l\u00e9ka\u0159\u016fm nad r\u00e1mec kombinovan\u00e9 kapita\u010dn\u011b-v\u00fdkonov\u00e9 platby, ale jsou i bonifikov\u00e1ny.<\/p>\n

VZP samoz\u0159ejm\u011b pln\u011b hrad\u00ed v\u0161echna pot\u0159ebn\u00e1 indikovan\u00e1 vy\u0161et\u0159en\u00ed i l\u00e9\u010dbu diabetick\u00fdch pacient\u016f v ordinac\u00edch specialist\u016f \u2013 oftalmolog\u016f, nefrolog\u016f, internist\u016f, kardiolog\u016f a dal\u0161\u00edch, a tuto l\u00e9\u010dbu nijak nelimituje. V\u0161echny pot\u0159ebn\u00e9 l\u00e9\u010div\u00e9 p\u0159\u00edpravky jsou v syst\u00e9mu ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed p\u0159i dodr\u017een\u00ed pravidel pro jejich \u00fahradu dostupn\u00e9 jak specialist\u016fm \u2013 diabetolog\u016fm, tak i praktick\u00fdm l\u00e9ka\u0159\u016fm. Jenom zdravotnick\u00e9 prost\u0159edky jako glukometry, diagnostick\u00e9 prou\u017eky na stanoven\u00ed gluk\u00f3zy, aplik\u00e1tory inzul\u00ednu, injek\u010dn\u00ed st\u0159\u00edka\u010dky a jehly, inzul\u00ednov\u00e9 pumpy a dal\u0161\u00ed pom\u016fcky mus\u00ed p\u0159edepisovat diabetolog, a ten tak\u00e9 m\u00e1 pacienty, kte\u0159\u00ed je pot\u0159ebuj\u00ed, ve sv\u00e9 p\u00e9\u010di.<\/p>\n

P\u0159ipomenut m\u016f\u017eeme, \u017ee v leto\u0161n\u00edm roce op\u011bt mohou diabetici, kte\u0159\u00ed jsou klienty VZP, z\u00edskat finan\u010dn\u00ed p\u0159\u00edsp\u011bvek nap\u0159. na prost\u0159edky k dezinfekci k\u016f\u017ee, na n\u00e1kup diagnostick\u00fdch \u010di testovac\u00edch prou\u017ek\u016f aj. Tento p\u0159\u00edsp\u011bvek mohou \u010derpat jak d\u011bti, tak dosp\u011bl\u00ed \u2013 v\u00edce informac\u00ed najdete na www.klubpevbehozdravi.cz.<\/p>\n

Mgr. Old\u0159ich Tich\u00fd vedouc\u00ed tiskov\u00e9ho odd\u011blen\u00ed a tiskov\u00fd mluv\u010d\u00ed<\/p>\n","protected":false},"excerpt":{"rendered":"

OT\u00c1ZKA: M\u00e1 pacienta s cukrovkou o\u0161et\u0159ovat jeho praktick\u00fd l\u00e9ka\u0159, nebo v\u017edy diabetolog? Doj\u00ed\u017ed\u00edm st\u00e1le na kontroly na diabetologii, i kdy\u017e u\u017e jsem prakticky bez probl\u00e9m\u016f […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":15420,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[],"class_list":["post-25143","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\/25143","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=25143"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/25143\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/15420"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=25143"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=25143"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=25143"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}