Treatment of uncomplicated non-insulin-dependent diabetes mellitus (lecture)

Abstract

Type II diabetes mellitus, or non-insulin-dependent diabetes mellitus (NIDDM) is a common endocrine disease, it affects up to 5-10% of the population aged 60-70 years, the frequency of NIDDM increases rapidly in individuals over 40, although it can occur at an earlier age. Mortality among patients with NIDDM is approximately 2 times higher than among people without diabetes. In particular, in patients with NIDDM under the age of 50 years, life expectancy is reduced by 5-10 years. Moreover, the life expectancy of women is less than that of men, but this difference disappears with age. The main cause of death with NIDDM is cardiovascular and cerebrovascular diseases. However, the prognosis of the disease depends not only on the degree of normalization of metabolism, but also on the effectiveness of the treatment of such often concomitant NIDDM conditions as hypertension, obesity, hyperlipidemia, as well as the elimination of bad habits, in particular smoking.