Treatment strategy in patients with noninsulin-dependent diabetes mellitus: Analysis of current approaches, basic problems, and approaches to solution thereof

The shortcomings of current approaches to therapy of patients with noninsulin-dependent diabetes mellitus are discussed. A tendency to early prescription of oral sugar-reducing drugs which are prescribed to 71 % of patients during the first year of the disease was noted, as well as underevaluation of nondrug therapy. Poor efficacy of therapeutic and prophylactic care of patients with this condition is demonstrated as exemplified by quite a number of district health centers of Moscow, resulting in inadequate level of compensation, a high incidence of diabetes complications, and increase in the number of patients administered insulin therapy. The authors emphasize the importance of introducing practical training of patients as a means to improve the quality of specialized diabetological care.