Therapie des Typ-1-Diabetes^[1]

1. Anliegen und Ziele

Diese Leitlinie richtet sich an alle Berufsgruppen, die Menschen mit Typ-1-Diabetes betreuen; dies sind vor allem niedergelassene Diabetologen, Allgemeinärzte und Internisten, im Krankenhaus tätige Ärzte (Diabetesspezialisten, Anästhesisten, Chirurgen, Radiologen), Pflegende (im OP-Bereich, auf den Stationen oder im Bereich der Diagnostik) sowie ambulant oder stationär tätige DiabetesberaterInnen. Darüber hinaus richtet sich die Leitlinie an alle Menschen mit Typ-1-Diabetes sowie an übergeordnete Institutionen wie Krankenkassen oder medizinische Dienste.

Mit der Erstellung und Aktualisierung dieser Leitlinien verfolgen die Autoren die folgenden Ziele:

• Die Rate diabetesassoziierter Komplikationen und diabetesassoziierter Folgeschäden zu senken. Dabei wird erstmals auch die Diagnostik und Behandlung von Lipodystrophien beschrieben.

• Die Lebensqualität von Menschen mit Typ-1-Diabetes zu verbessern.

• Zu einer angemessenen Versorgung von Menschen mit Typ-1-Diabetes im Krankenhaus sowohl auf Normalstationen als auch auf Intensivstationen beizutragen. Insbesondere soll die Implementierung sicherer Protokolle zum Schutz vor Hypoglykämien bei intravenöser Insulintherapie gefördert werden.

• Eine korrekte Behandlung von Akutkomplikationen sicherzustellen und damit das Risiko von Komplikationen aufgrund der Behandlung zu senken.

• Die adäquate Schulung von Menschen mit Typ-1-Diabetes besonders im ambulanten Bereich stärker zu verankern.

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