Criteria for the compensation of diabetes are: a constantly maintained level of normoglycemia (analysis: glycated hemoglobin) and normalization of metabolic processes in the body (complex assessment of immunity and carbohydrate metabolism). To achieve sustainable compensation, a thorough analysis of the lifestyle, nutrition, motor activity, the patient’s insulin regimen and timely correction is necessary. If a complex case of decompensation is detected, the presence of concomitant diseases, the detection of early complications, after receiving the preliminary consultation and recommendations, it is necessary to apply again (free of charge) including remotely (email) for monitoring the condition and determining further tactics after 28 days. In light cases this isn’t required.
What does the primary consultation involve?
- Achieve fasting glycemia and before meals: 5,1-6,5 mmol/l.
- Glycemic level after meals (after 2 hours): 7,6-8,0 mmol/l.
- Glycemic level before bedtime: 6.0-7.5 mmol/l. The level of glycated hemoglobin from 5 to 7. Prevention of complications (neuropathy, etc.).
During the initial consultation on the basis of a survey, an examination of the patient, an analysis of self-monitoring diaries and medical documentation, the possible errors leading to decompensation will be explained in detail and ways of solving these problems will be indicated. Additional assignments leading to a stable compensation. In fact, this is an intensive course of the «school of diabetes» on a concrete example (a patient), this is done because most parents after passing the «school of diabetes» at the place of primary observation (hospitalization) either did not pass it, or have unresolved issues preventing the achievement of normal indices of compensation. During the initial reception, this problem will be fixed. If necessary,* an additional consultation with an endocrinologist (pediatrician, adult), ultrasound of the abdominal cavity, thyroid gland, an examination for early complications from the cardiovascular system, an ECG (not paid additionally, but an additional contract for the provision of medical services with a possible deduction of VAT).
Primary reception includes consultation Zakharov Yury. A. The duration of the consultation is not less than 60 minutes, depending on the severity of the disease and the need for additional studies for early complications of diabetes mellitus. As a result of the consultation, written recommendations are issued and an act of execution of the contract for the initial reception is signed.
New programs for the therapy of type 1 and type 2 diabetes have been opened with the help of cell therapy with autologous stem cells separately for the age period up to 18 years and after 18 years, with different algorithms for the introduction of culture: once a year – three years and once every 30/90 days (4 main introductions). At the primary reception the question of expediency of carrying out of similar technologies is solved.
We are in contractual relations with three hospitals that have a valid license for the right of medical activity: for children and adults. The adult hospital has permits for providing high-tech care to the population (stem cell cell therapy) within the framework of certain scientific programs. If necessary, as well as the absence of primary hospitalization, you will be offered to be hospitalized in a hospital. But, in this case, hospitalization is paid. Of the free (OMS) hospitals in Russia, the best RCCH (Leninsky Prospekt) is recommended!
* Medical services are provided in some countries with restrictions