Keywords
diabetes mellitus
socioeconomic status
access to care
new technologies
socioeconomic status
access to care
new technologies
How to Cite
Grudziąż-Sękowska, J., Pruszyński, J., Goryński, P., Jasik, A., Gumowski, P., Religioni, U., Ostrowski, J., & Kobuszewski, B. (2022). The situation of people suffering from diabetes in Poland. Needs of changes in the health care system . Wiedza Medyczna, 4(1), 53-57. https://doi.org/10.36553/wm.122
Abstract
Diabetes mellitus affects about 3 million Poles, which is almost 8% of the population. It belongs to the national health priorities defined in the regulation of the Minister of Health. If poorly controlled, it leads to the development of many serious complications, both acute and chronic. It excludes people who are often of productive age from an effective, satisfactory life, and therefore causes an increase in public costs due to health and social insurance, and a decrease in state budget revenues from production and consumption. Measures taken in the areas of: population prevention addressed to the entire population, with particular emphasis on vulnerable groups, early diagnosis of diabetes and its effective treatment, and support for patients preventing disability and exclusion, should help reduce these costs.
References
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NFZ on Health. Headquarters of the National Health Fund Department of Analyzes and Strategy, Warsaw, 2019.
Huang ES, Basu A, O’Grady M, et al. Projecting the future diabetes population size and related costs for the US. Diabetes Care 2009;32(12):2225-2229.
2021 Guidelines on the management of patients with diabetes. A position of Diabetes Poland. Clin Diabetol 2021;10,1. DOI:10.5603/DK.2021.0001.
IDF Diabetes Atlas 2nd and 8th Edition (2003, 2019).
Brzeziński M, Korzeniowska K, Szarejko K, Radziwiłł M, Myśliwiec M, Anyszek T, et al. “PoZdro!” as an example of a successful multicenter programme for obesity management and healthy lifestyle promotion in children and adolescents - programme protocol and preliminary results from the first intervention site. Pediatr Endocrinol Diabetes Metab. 2020;26(1):22–6.
Jarosz-Chobot P, Otto-Buczkowska E. Type 1 diabetes mellitus epidemiology. Przegl Pediatr. 2009;39:229–234.
Oblacińska A, Woynarowska B, Health condition of children and adolescents in Poland. The most important health problems. Studia BAS, 2014, 2: 41-64.
Grudziąż-Sękowska J, Zamarlik M, Sękowski K. Assessment of Selected Aspects of the Quality of Life of Children with Type 1 Diabetes Mellitus in Poland. Int J Environ Res Public Health. 2021 Feb 22;18(4):2107. doi: 10.3390/ijerph18042107. PMID: 33671503; PMCID: PMC7926510.
Fundacja Urszuli Jaworskiej, Report „Diabetes Here and Now - Study of the monitoring, treatment and care system for a diabetic patient from the point of view of the needs of the patient, medical staff and healthcare facilities.”, 2019.
Dyson PA, Twenefour D, Breen C, Duncan A, Elvin E, Goff L, Hill A, Kalsi P, Marsland N, McArdle P, Mellor D, Oliver L, Watson K. Diabetes UK evidence-based nutrition guidelines for the prevention and management of diabetes. Diabet. Med. 35, 541– 547 (2018).
Martin D, Lange K, Sima A, Kownatka D, Skovlund S, Danne T, Robert JJ; SWEET group. Recommendations for age-appropriate education of children and adolescents with diabetes and their parents in the European Union. Pediatr Diabetes. 2012 Sep;13 Suppl 16:20-8. doi: 10.1111/j.1399-5448.2012.00909.x.
Zatorska-Zoła A, Małgorzata B. Challenges for parents of children with diabetes. Pielęgniarstwo (2018): 129.
Rosenfeld L. Insulin: Discovery and Controversy.Clinical Chemistry 2002;(48): 2270-2288.
Khan R, Chua Z, Chi Tan J. From Pre- diabetes to Diabetes: Diagnosis, Treatments and Translational Research. Medicina 2019,55,546. DOI: 10.3390/medicina55090546.
Giorgino F, Vora J, Fenici P. Renoprotection with SGLT2 inhibitors in type 2 diabetes over a spectrum of cardiovascular and renal risk. Cardiovasc Diabetol 2020 (19):196.
Schnell O, Standl E, Cos X et al. Report from the 5th Cardiovascular outcome trial (CVOT) summit. Cardiovasc Diabetol 2020(19):47. Doi.org/10.1186/s12933-020-01022-7.
Długaszek M, Gumprecht J, Berdzik-Kalarus S, Chodkowski A, Nabrdalik K. Telemedicine in response to the challenges of modern diabetes, Practical Diabetology 2016;2(1):26-30.
Towpik I, et al. Diabetes epidemiology in Poland in 2014–2017. Practical Diabetology 6.5 (2020): 284-291.
Cianciara D. Health inequalities as a political challenge . Hygeia Public Health 2015, 50(3): 441-448.
Grudziąż-Sekowska J. Inequalities in health. In: How to live, Doctor? Soma. Pod red. D. Śliża i A. Mamcarza, Medicaal Educaton 2020, s. 191-203.
Sarlio-Lähteenkorva S, Winkler JT. Could a sugar tax help combat obesity? BMJ 2015;351:h404, doi: https://doi.org/10.1136/bmj.h4047.
Grudziąż-Sękowska J. The role of the state in shaping health. In: How to live, Doctor? Soma. Pod red. D. Śliża i A. Mamcarza, Medicaal Educaton 2020, s. 113-125.
Dereń K, Weghuber D, Caroli M, Koletzko B, Thivel D, Frelut M, -L, Socha P, Grossman Z, Hadjipanayis A, Wyszyńska J, Mazur A: Consumption of Sugar-Sweetened Beverages in Paediatric Age: A Position Paper of the European Academy of Paediatrics and the European Childhood Obesity Group. Ann Nutr Metab 2019;74:296-302. doi: 10.1159/000499828
Zapaśnik A, Skłucki J, Tumasz J, Szynkiewicz P, Jędrzejczyk T, Popowski P. Concept of Coordinated Outpatient Healthcare, Polish Society for Health Programs, Gdańsk 2016, s. 8.
Zdrojewski T, Ignaszewska-Wyrzykowska A, Czerniawska- Badtke E et al. Project of establishing a network of diabetes centers in the Pomeranian Voivodeship. Clin Diabetol 2015; 4[5]: 210-217.
Małgorzata B. Zatorska-Zoła M. Chronic disease of a child as a challenge for parents on the example of children with diabetes. Piel Zdr Publ. 2018;8(2):129–133.
Hofer SE, Schwandt A, Holl RW. Austrian/German DPV Initiative. Standardized Documentation in Pediatric Diabetology: Experience From Austria and Germany. J Diabetes Sci Technol. 2016 Aug 22;10(5):1042-9. doi: 10.1177/1932296816658057. PMID: 27381028; PMCID: PMC5032966.
Klamann M, Majkowska L. New technologies and the control of type 1 diabetes. Practical Diabetology 3.3 (2017): 123-127.
Waldemar W, et al. Innovative treatment of diabetes in Poland - methods and costs. General Medicine and Health Sciences 25.4 (2019): 200.
NFZ on Health. Headquarters of the National Health Fund Department of Analyzes and Strategy, Warsaw, 2019.
Huang ES, Basu A, O’Grady M, et al. Projecting the future diabetes population size and related costs for the US. Diabetes Care 2009;32(12):2225-2229.
2021 Guidelines on the management of patients with diabetes. A position of Diabetes Poland. Clin Diabetol 2021;10,1. DOI:10.5603/DK.2021.0001.
IDF Diabetes Atlas 2nd and 8th Edition (2003, 2019).
Brzeziński M, Korzeniowska K, Szarejko K, Radziwiłł M, Myśliwiec M, Anyszek T, et al. “PoZdro!” as an example of a successful multicenter programme for obesity management and healthy lifestyle promotion in children and adolescents - programme protocol and preliminary results from the first intervention site. Pediatr Endocrinol Diabetes Metab. 2020;26(1):22–6.
Jarosz-Chobot P, Otto-Buczkowska E. Type 1 diabetes mellitus epidemiology. Przegl Pediatr. 2009;39:229–234.
Oblacińska A, Woynarowska B, Health condition of children and adolescents in Poland. The most important health problems. Studia BAS, 2014, 2: 41-64.
Grudziąż-Sękowska J, Zamarlik M, Sękowski K. Assessment of Selected Aspects of the Quality of Life of Children with Type 1 Diabetes Mellitus in Poland. Int J Environ Res Public Health. 2021 Feb 22;18(4):2107. doi: 10.3390/ijerph18042107. PMID: 33671503; PMCID: PMC7926510.
Fundacja Urszuli Jaworskiej, Report „Diabetes Here and Now - Study of the monitoring, treatment and care system for a diabetic patient from the point of view of the needs of the patient, medical staff and healthcare facilities.”, 2019.
Dyson PA, Twenefour D, Breen C, Duncan A, Elvin E, Goff L, Hill A, Kalsi P, Marsland N, McArdle P, Mellor D, Oliver L, Watson K. Diabetes UK evidence-based nutrition guidelines for the prevention and management of diabetes. Diabet. Med. 35, 541– 547 (2018).
Martin D, Lange K, Sima A, Kownatka D, Skovlund S, Danne T, Robert JJ; SWEET group. Recommendations for age-appropriate education of children and adolescents with diabetes and their parents in the European Union. Pediatr Diabetes. 2012 Sep;13 Suppl 16:20-8. doi: 10.1111/j.1399-5448.2012.00909.x.
Zatorska-Zoła A, Małgorzata B. Challenges for parents of children with diabetes. Pielęgniarstwo (2018): 129.
Rosenfeld L. Insulin: Discovery and Controversy.Clinical Chemistry 2002;(48): 2270-2288.
Khan R, Chua Z, Chi Tan J. From Pre- diabetes to Diabetes: Diagnosis, Treatments and Translational Research. Medicina 2019,55,546. DOI: 10.3390/medicina55090546.
Giorgino F, Vora J, Fenici P. Renoprotection with SGLT2 inhibitors in type 2 diabetes over a spectrum of cardiovascular and renal risk. Cardiovasc Diabetol 2020 (19):196.
Schnell O, Standl E, Cos X et al. Report from the 5th Cardiovascular outcome trial (CVOT) summit. Cardiovasc Diabetol 2020(19):47. Doi.org/10.1186/s12933-020-01022-7.
Długaszek M, Gumprecht J, Berdzik-Kalarus S, Chodkowski A, Nabrdalik K. Telemedicine in response to the challenges of modern diabetes, Practical Diabetology 2016;2(1):26-30.
Towpik I, et al. Diabetes epidemiology in Poland in 2014–2017. Practical Diabetology 6.5 (2020): 284-291.
Cianciara D. Health inequalities as a political challenge . Hygeia Public Health 2015, 50(3): 441-448.
Grudziąż-Sekowska J. Inequalities in health. In: How to live, Doctor? Soma. Pod red. D. Śliża i A. Mamcarza, Medicaal Educaton 2020, s. 191-203.
Sarlio-Lähteenkorva S, Winkler JT. Could a sugar tax help combat obesity? BMJ 2015;351:h404, doi: https://doi.org/10.1136/bmj.h4047.
Grudziąż-Sękowska J. The role of the state in shaping health. In: How to live, Doctor? Soma. Pod red. D. Śliża i A. Mamcarza, Medicaal Educaton 2020, s. 113-125.
Dereń K, Weghuber D, Caroli M, Koletzko B, Thivel D, Frelut M, -L, Socha P, Grossman Z, Hadjipanayis A, Wyszyńska J, Mazur A: Consumption of Sugar-Sweetened Beverages in Paediatric Age: A Position Paper of the European Academy of Paediatrics and the European Childhood Obesity Group. Ann Nutr Metab 2019;74:296-302. doi: 10.1159/000499828
Zapaśnik A, Skłucki J, Tumasz J, Szynkiewicz P, Jędrzejczyk T, Popowski P. Concept of Coordinated Outpatient Healthcare, Polish Society for Health Programs, Gdańsk 2016, s. 8.
Zdrojewski T, Ignaszewska-Wyrzykowska A, Czerniawska- Badtke E et al. Project of establishing a network of diabetes centers in the Pomeranian Voivodeship. Clin Diabetol 2015; 4[5]: 210-217.
Małgorzata B. Zatorska-Zoła M. Chronic disease of a child as a challenge for parents on the example of children with diabetes. Piel Zdr Publ. 2018;8(2):129–133.
Hofer SE, Schwandt A, Holl RW. Austrian/German DPV Initiative. Standardized Documentation in Pediatric Diabetology: Experience From Austria and Germany. J Diabetes Sci Technol. 2016 Aug 22;10(5):1042-9. doi: 10.1177/1932296816658057. PMID: 27381028; PMCID: PMC5032966.
Klamann M, Majkowska L. New technologies and the control of type 1 diabetes. Practical Diabetology 3.3 (2017): 123-127.
Waldemar W, et al. Innovative treatment of diabetes in Poland - methods and costs. General Medicine and Health Sciences 25.4 (2019): 200.
This work is licensed under a Creative Commons Attribution 4.0 International License.
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