Can Periodical Examinations of Employees Be Useful in Detection of Glycaemia Impairment and Improving Patients' Adherence to Medical Recommendations?
| Autor: | Andrzej Marcinkiewicz, Jolanta Walusiak-Skorupa, Agnieszka Lipińska-Ojrzanowska, Paweł Kałużny, Wojciech Hanke, Marta Wiszniewska |
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| Přispěvatelé: | Nofer Institute of Occupational Medicine, Lodz, Poland |
| Rok vydání: | 2018 |
| Předmět: |
Adult
Blood Glucose Male medicine.medical_specialty Medical surveillance Health Toxicology and Mutagenesis Population Mandatory Testing Occupational Health Services lcsh:Medicine 030209 endocrinology & metabolism compliance Occupational safety and health Article Occupational medicine 03 medical and health sciences 0302 clinical medicine impaired fasting glucose Epidemiology medicine Diabetes Mellitus Humans occupational health diabetes glycaemia impairment adherence Prediabetes glycaemia impairmen Intensive care medicine education Aged education.field_of_study business.industry Public health lcsh:R Public Health Environmental and Occupational Health Middle Aged Impaired fasting glucose medicine.disease 030210 environmental & occupational health Patient Compliance Female Poland business Biomarkers |
| Zdroj: | International Journal of Environmental Research and Public Health International Journal of Environmental Research and Public Health, Vol 15, Iss 4, p 638 (2018) International Journal of Environmental Research and Public Health; Volume 15; Issue 4; Pages: 638 |
| ISSN: | 1660-4601 |
| Popis: | Worldwide epidemiological data indicates insufficient diagnosis of diabetes as an increasing public health problem. In the search for solutions to this disadvantageous situation, occupational medicine health services seem to open up a unique opportunity to recognize some abnormalities in the early stages, especially among the asymptomatic working-age population. 316 workers underwent obligatory prophylactic examinations. In patients with twice assayed FGL ≥ 126 mg/dL (7.0 mmol/L) an additional intervention was implemented, including further diagnostic processes and therapy in General Practice (GP), followed by examination by an occupational health specialist within 3 months. The diagnosis of previously unknown diabetes was established among 2.5% of examined workers. All patients referred to the GP due to detected glycaemia impairment visited their doctor and finished the diagnostic process, took up therapy constrained by the occupational health physician to show the effects of intervention within 3 months. Prophylactic medical check-ups allow improved compliance and medical surveillance over glycaemia impairment in patients with prediabetes states, unknown diabetes or uncontrolled clinical course of diabetes. Considering fasting glucose level during mandatory prophylactic examination helps effective prevention of diabetes and its complications and thus provides public health system benefits. The study was conducted as part of the Nofer Institute of Occupational Medicine project IMP 12.24 entitled “Elaboration of standards of secondary prevention in hypertension and diabetes during prophylactic examinations of workers” financed with the resources granted by the Ministry of Science and Higher Education. Project manager: Andrzej Marcinkiewicz. |
| Databáze: | OpenAIRE |
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