From diabetes to heart disease

The Center for Diabetes, Endocrinology and Cardiometabolism was established on February 1, 2020. It is organized in a way to provide superior care to endocrinological patients with diabetes, thyroid, pituitary, adrenal glands and other associated cardiometabolic diseases. On June 15, 2020, we launched the first diabetology day hospital, which aims at group education of patients about the nature and self-control of diabetes and about possible complications. The intention is to train patients to independently control the disease and coexist with it through education. In this new normal COVID era, our education is conducted exclusively individually, up to 15 minutes with the use of protective equipment and distance. If reeducation is required, the patient is ordered for re-examination. Patients who are hospitalized are also included in our project Early Detection of Diabetes to identify these patients at an early stage of the disease, which would prevent possible complications of the disease and consequently reduce treatment costs. The first in a series is the installation of the first continuous glucose monitoring (CGM) and Holter ECG at the Cardiac Rehabilitation Department on May 28, 2020, which would detect a possible correlation of glucovariability and changes in heart rhythm in patients with diabetes. At Thalassotherapy Opatija we have the privilege to approach each patient individually in collaboration with our multidisciplinary team consisting of a Master of Nursing, nutritionist, psychologist, neurologist, cardiologist, dermatologist, physiatrists, and physiotherapists. Patients will receive a structured insight into the condition of the disease, potential complications, planned treatment and recommended physical activity, all with the aim of ensuring the highest possible quality of life for the patient. For outpatients and patients in cardiac rehabilitation, education is facilitated by Passport for Life and Life with Diabetes, designed, and written in Thalassotherapy Opatija. Nurses are perhaps the most important members of a multidisciplinary team, so continuous education in any segment of the system is crucial for quality care to increase and ensure expertise and competence, so in diabetology it is important to always be up to date with the latest guidelines on nutrition, self-control. CGM devices), insulin pumps, GLP-1 drugs, insulins, etc., so that this knowledge can be transferred to patients through individual and group therapies. (English) [ABSTRACT FROM AUTHOR] Centar za dijabetes, endokrinologiju i kardiometabolizam oformljen je 1. veljace 2020. godine. Organiziran je na nacin da omoguci vrhunsku skrb endokrinoloskim bolesnicima sa secernom bolesti, bolestima stitnjace, hipofize, nadbubrežnih žlijezda i drugim pridruženim kardiometabolickim bolestima. Dana 15. lipnja 2020. pokrenuli smo prvu dijabetolosku dnevnu bolnicu, kojoj je cilj grupna edukacija pacijenata o prirodi i samokontroli secerne bolesti te o eventualnim komplikacijama. Namjera je kroz edukaciju osposobiti bolesnika za samostalno kontroliranje bolesti i suživot s njom. U ovo novo normalno COVID doba nase edukacije provode se iskljucivo individualno, do 15 minuta uz koristenje zastitne opreme i distance. Ukoliko je potrebna reedukacija, bolesnika se narucuje za ponovni pregled. Bolesnici koji su hospitalizirani također su ukljuceni u nas projekt „Rane detekcije dijabetesa“ kako bi se prepoznali u ranoj fazi bolesti cime bi se sprijecile eventualne komplikacije bolesti te posljedicno smanjili troskovi lijecenja. Prvi u nizu navodimo postavljanje prvog kontinuiranog mjeraca glukoze (CGM) i Holter EKG-a na odjelu Kardioloske rehabilitacije 28. svibnja 2020. koji bi detektirao mogucu korelaciju glukovarijabilnosti i promjena srcanog ritma kod bolesnika sa secernom bolesti. U Thalassoterapiji Opatija imamo tu privilegiju da se svakom bolesniku pristupa individualno u suradnji sa nasim multidisciplinarnim timom koji cine magistra sestrinstva, nutricionist, psiholog, neurolog, kardiolog, dermatolog, fizijatri sa fizioterapeutima. Bolesnici ce dobiti strukturirani uvid u stanje bolesti, potencijalne komplikacije, predviđeno lijecenje te preporucenu tjelesnu aktivnost, a sve s ciljem osiguranja sto je moguce vece kvalitete života. Za ambulantne bolesnike na kardioloskoj rehabilitaciji, edukaciju nam olaksava „Putovnica za život“ i „Život sa secernom bolesti“, osmisljene i napisane u Thalassoterapiji Opatija. Medicinske sestre su možda i najvažniji clanovi multidisciplinarnog tima, stoga za kvalitetnu skrb presudna je kontinuirana edukacija u bilo kojem segmentu sustava radi povecanja i osiguranja strucnosti i kompetentnosti, stoga je u dijabetologiji bitno uvijek biti u toku sa najnovijim smjernicama o prehrani, samokontroli (prvenstveno novi CGM uređaji), inzulinske pumpe, GLP-1 lijekove, inzuline i dr., kako bi se ta saznanja mogla prenijeti na bolesnike kroz individualne i grupne terapije. (Croatian) [ABSTRACT FROM AUTHOR] Copyright of Cardiologia Croatica is the property of Croatian Cardiac Society and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)