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Специалист занимается диагностикой, лечением и профилактикой этих заболеваний, а также консультирует по питанию и физической активности [1](https://premium-clinic.ru/chto-lechit-diabetologiya/)[3](https://postupi.online/professiya/diabetolog/)[6](https://www.profguide.io/professions/diabetolog.html).\n\n## Заболевания\nДиабетолог лечит: \n* **Сахарный диабет 1 типа** (аутоиммунное заболевание, при котором иммунная система атакует клетки поджелудочной железы, производящие инсулин) [1](https://premium-clinic.ru/chto-lechit-diabetologiya/)[4](https://doct.ru/articles/diabetolog.html). \n* **Сахарный диабет 2 типа** (метаболическое заболевание, характеризующееся инсулинорезистентностью и нарушением секреции инсулина) [1](https://premium-clinic.ru/chto-lechit-diabetologiya/). \n* **Гестационный диабет** — форму диабета, которая развивается у женщин во время беременности [1](https://premium-clinic.ru/chto-lechit-diabetologiya/)[5](https://www.ldck.ru/treatment/endocrinology/priem-endokrinologa-diabetologa). \n* **Осложнения диабета**, такие как ретинопатия, нефропатия, невропатия и диабетическая стопа [1](https://premium-clinic.ru/chto-lechit-diabetologiya/). \n\nТакже диабетолог консультирует других специалистов по поводу особенностей ведения их профильных пациентов с сопутствующим сахарным диабетом [6](https://www.profguide.io/professions/diabetolog.html).\n\n## Диагностика\nДля диагностики диабета и осложнений диабетолог может назначить: \n* **Анализ крови на уровень глюкозы** — помогает диагностировать диабет и контролировать эффективность лечения [1](https://premium-clinic.ru/chto-lechit-diabetologiya/). \n* **Тест на толерантность к глюкозе** — используется для диагностики гестационного диабета и преддиабета, оценивает реакцию организма на введение глюкозы [1](https://premium-clinic.ru/chto-lechit-diabetologiya/). \n* **Анализ на гликированный гемоглобин (HbA1c)** — показывает средний уровень сахара в крови за последние 2–3 месяца и используется для мониторинга контроля диабета [1](https://premium-clinic.ru/chto-lechit-diabetologiya/). \n* **Анализ мочи на наличие глюкозы и кетонов** — помогает выявить нарушение обмена углеводов и оценить состояние почек при диабете [1](https://premium-clinic.ru/chto-lechit-diabetologiya/).\n\n## Лечение\nПо результатам обследования врач подбирает персональную программу лечения, которая зависит от типа и степени тяжести сахарного диабета [9](https://id-clinic.ru/uslugi/test/diabetolog/). Терапевтическая схема может включать: \n* коррекцию диеты и снижение веса [9](https://id-clinic.ru/uslugi/test/diabetolog/); \n* заместительную инсулинотерапию [9](https://id-clinic.ru/uslugi/test/diabetolog/); \n* применение гипогликемических препаратов в таблетках [9](https://id-clinic.ru/uslugi/test/diabetolog/). \n\nВ некоторых случаях инсулинотерапия назначается временно, на короткие периоды, например, перед операцией или в периоды декомпенсации, когда уровень глюкозы становится высоким [12](https://www.emcmos.ru/articles/sovremennye-metody-lecheniya-saharnogo-diabeta/).\n\n## Рекомендации\nДиабетолог обучает принципам самоконтроля уровня глюкозы, правилам инъекций инсулина и другим важным навыкам для людей, живущих с сахарным диабетом [9](https://id-clinic.ru/uslugi/test/diabetolog/). 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