Heart failure and the risk of hypoglycemia
Keywords:
diabetes mellitus, chronic heart failure, hypoglycemia, carvedilolAbstract
In the Recommendations of the European Society of Cardiology and the European Society for the Study of Diabetes 2007 it is emphasized that the use of angiotensin converting enzyme inhibitors (ACE inhibitors) and adrenoblockers (BAB) is the basis for the treatment of chronic heart failure (CHF) in patients with diabetes mellitus (DM). For the first time, doctors' attention is drawn to the fact that the appointment of ACE inhibitors to DM patients receiving hypoglycemic therapy may increase the risk of hypoglycemic conditions. Attention to this side of the action of ACE inhibitors is due to the fact that hypoglycemia is an independent risk factor for cardiovascular mortality. The above Recommendations emphasize the urgent need for careful monitoring of the level of glycemia when prescribing ACE inhibitors to patients with diabetes. This is especially necessary in the initial period of combined cardiac and hypoglycemic therapy. The risk of hypoglycemia depends on many factors and, apparently, varies in different contingents of patients with diabetes. According to available data, patients with CHF have an increased tendency to hypoglycemia due to a decrease in the body's tolerance to a decrease in blood glucose levels. Such functional insufficiency is largely determined by a violation of the processes of gluconeogenesis in the liver and the secretion of glucagon by the pancreas, which are normally included in the body's defense system against a pronounced decrease in blood glucose.
References
Akramovna, I. K., & Zaynobiddin o’g’li, F. J. (2023). RISK FACTORS OF EARLY DEVELOPED OSTEOARTHRITIS. BEST SCIENTIFIC RESEARCH-2023, 2(1), 28-35.
Alisherovna, K. M., Baxtiyorovich, Z. M., & Anvarovich, N. J. (2022). To Assess The Condition Of The Myocardium In Patients Chronic Heart Failure On The Background Of Rheumatoid Arthritis. Spectrum Journal of Innovation, Reforms and Development, 4, 210-215.
Alisherovna, K. M., Rustamovich, T. D., Baxtiyorovich, U. J., & Sherzodovna, M. D. (2022). KIDNEY DAMAGE IN CHRONIC HEART FAILURE. Web of Scientist: International Scientific Research Journal, 3(10), 744-752.
Alisherovna, K. M., Toshtemirovna, E. M. M., & Oybekovna, E. E. (2022). QUALITY OF LIFE OF PATIENTS WITH CIRRHOSIS OF THE LIVER. Spectrum Journal of Innovation, Reforms and Development, 4, 197-202.
Alisherovna, K. M., Toshtemirovna, E. M. M., Totlibayevich, Y. S., & Xudoyberdiyevich, G. X. (2022). EFFECTIVENESS OF STATINS IN THE PREVENTION OF ISCHEMIC HEART DISEASE. Web of Scientist: International Scientific Research Journal, 3(10), 406-413.
Alisherovna, K. M., Toshtemirovna, E. M., Jamshedovna, K. D., & Xudoyberdiyevich, G. X. (2022). Assessment of renal dysfunction in patients with chronic heart failure. Web of Scientist: International Scientific Research Journal, 3(5), 551-557.
Djamshedovna, K. D., Alisherovna, K. M., Xudoyberdiyevich, G. X., & Rustamovich, T. D. (2023). EFFECTIVENESS OF ANTIHYPERTENSIVE THERAPY IN PREGNANT WOMEN. Spectrum Journal of Innovation, Reforms and Development, 12, 137-144.
Islamova, K. A. (2022, November). SEMIZLIK BOR BEMORLARDA OSTEOARTROZ KASALLIGINING KLINIK XUSUSIYATLARI. In INTERNATIONAL CONFERENCES (Vol. 1, No. 10, pp. 299-301).
Islamova, K. A., Olimdjanova, F. J. Q., Ziyadullaev, S. K., & Kamalov, Z. S. (2022). RISK FACTORS FOR EARLY DEVELOPMENT OF OSTEOARTHROSIS.
Jamshedovna, K. D., Alisherovna, K. M., Davranovna, M. K., & Xudoyberdiyevich, G. X. (2022). Epidemiology And Features Of Essential Therapy Hypertension In Pregnant Women. Web of Scientist: International Scientific Research Journal, 3(5), 606-611.
Jamshedovna, K. D., Alisherovna, K. M., Davranovna, M. K., & Xudoyberdiyevich, G. X. (2022). Epidemiology And Features Of Essential Therapy Hypertension In Pregnant Women. Web of Scientist: International Scientific Research Journal, 3(5), 606-611.
Khabibovna, Y. S., Zhamshedovna, K. D., Davranovna, M. K., & Yusuphovich, N. F. (2022). FUNCTIONAL STATE OF THE MYOCARDIA IN DEVELOPMENTAL PATHOGENESIS CHRONIC HEART FAILURE IN PATIENTS WITH HYPERTENSION. Novateur Publications, 1-72.
Khusainova MA, Vakhidov JJ, Khayitov SM, Mamadiyorova MM. Cardiac arrhythmias in patients with rheumatoid arthritis. Science and Education. 2023;4(2):130-7.
Khusainova MA. CYSTATIN C IS AN EARLY MARKER OF DECREASED KIDNEY FUNCTION. Oriental renaissance: Innovative, educational, natural and social sciences. 2023;3(1):485-90.
Khusainova, M. A., Ergashova, M. M., Eshmamatova, F. B., & Khayitov, S. M. (2023). Features of quality of life indicators in patients with pneumonia. Science and Education, 4(2), 138-144.
Khusainova, M. A., Gafforov, X. X., Eshmamatova, F. B., & Khayitov, S. M. (2023). Assessment of the quality of life in patients with exogenous allergic alveolitis. Science and Education, 4(2), 145-152.
Khusainova, M. A., Toirov, D. R., Khaydarov, S. N., & Kamolova, D. D. (2023). MORPHOFUNCTIONAL PARAMETERS OF THE HEART IN WOMEN SUFFERING FROM ESSENTIAL ARTERIAL HYPERTENSION IN POSTMENOPAUSE AND ON THE BACKGROUND OF TREATMENT. Oriental renaissance: Innovative, educational, natural and social sciences, 3(1), 322-330.
Nizamitdinovich, K. S., & Alisherovna, K. M. (2022). Quality of Life in Patients with Chronic Heart Failure, After Cardiac Resynchronization Therapy. Texas Journal of Medical Science, 14, 168-173.
O’G’Li, F. J. Z., & Akramovna, I. K. (2022). QANDLI DIABET KASALLIGI FONIDA YURAK QON TOMIR TIZIMI KASALLIKLARINING KLINIK KECHUV XUSUSIYATLARI. Talqin va tadqiqotlar ilmiy-uslubiy jurnali, 1(1), 108-111.
Rustamovich, T. D., Alisherovna, K. M., Djamshedovna, K. D., & Nizamitdinovich, K. S. (2023). Features of the Psychoemotional Status of Patients with Rheumatoid Arthritis. Miasto Przyszłości, 32, 23-30.
Rustamovich, T. D., Alisherovna, K. M., Nizamitdinovich, K. S., & Djamshedovna, K. D. (2022). Gastrointestinal Conditions in Rheumatoid Arthritis Patients. Texas Journal of Medical Science, 15, 68-72.
Toshtemirovna, E. M. M., Alisherovna, K. M., Totlibayevich, Y. S., & Xudoyberdiyevich, G. X. (2022). Anxiety Disorders and Coronary Heart Disease. The Peerian Journal, 11, 58-63.
Toshtemirovna, E. M. M., Alisherovna, K. M., Totlibayevich, Y. S., & Duskobilovich, B. S. (2022). THE VALUE OF XANTHINE IN CHRONIC HEART FAILURE. Spectrum Journal of Innovation, Reforms and Development, 4, 24-29.
Totlibayevich, Y. S., Alisherovna, K. M., Rustamovich, T. D., & Xudoyberdiyevich, G. X. (2023). Quality of Life in the Pathology of the Cardiovascular System. Miasto Przyszłości, 33, 222-228.
Totlibayevich, Y. S., Alisherovna, K. M., Xudoyberdiyevich, G. X., & Toshtemirovna, E. M. M. (2022). Risk Factors for Kidney Damage in Rheumatoid Arthritis. Texas Journal of Medical Science, 13, 79-84.
Uzokov, J. B., Khusainova, M. A., Eshmamatova, F. B., & Mamadiyorova, M. M. (2023). Correction of violations rheology of blood in ischemic heart disease. Science and Education, 4(2), 153-159.
Xudoyberdiyevich, G. X., Alisherovna, K. M., Davranovna, M. K., & Toshtemirovna, E. M. M. (2022). FEATURES OF HEART DAMAGE IN PATIENTS WITH VIRAL CIRRHOSIS OF THE LIVER. Spectrum Journal of Innovation, Reforms and Development, 10, 127-134.
Xudoyberdiyevich, G. X., Alisherovna, K. M., Rustamovich, T. D., & Djamshedovna, K. D. (2023). QUALITY OF LIFE IN PATIENTS WITH GOUT. Spectrum Journal of Innovation, Reforms and Development, 12, 156-164.
Yarmukhamedova, S. K., & Bekmuradova, M. S. (2016). Features of diastolic dysfunction of the right ventricle in patients with arterial hypertension and heart failure. National Association of Scientists, 1, 18-18.
Yarmuxamedova, S. X., & Normatov, M. B. R. (2021). SURUNKALI GLOMERULONEFRIT BILAN KASALLANGAN BEMORLARDA SUTKALIK QON BOSIMINING XARAKTERISTIKASI. Scientific progress, 2(2), 706-710.
Yusufovich, N. F., & Khabibovna, Y. S. (2022). MEDICAL AND SOCIAL ASPECTS OF PREVENTION AMONG STUDENTS IN THE CONDITIONS OF COVID-19 PANDEMICS. Web of Scientist: International Scientific Research Journal, 3(12), 860-865.
Ибадова, О. А., & Аралов, Н. Р. (2020). Диагностические трудности и различия в терминологии идиопатической фиброзирующей болезни легких (литературный обзор). Достижения науки и образования, (2 (56)), 63-67.
Ибадова, О. А., & Шодикулова, Г. З. (2022). ОЦЕНКА ПРОГНОСТИЧЕСКОЙ ЗНАЧИМОСТИ ИНТЕНСИВНОСТИ И ЧАСТОТЫ КАШЛЯ У ПАЦИЕНТОВ С ИНТЕРСТИЦИАЛЬНЫМ ПОРАЖЕНИЕМ ЛЕГКИХ. Журнал кардиореспираторных исследований, 3(2).
Ибадова, О. А., Аралов, Н. Р., & Курбанова, З. П. (2020). Роль сурфактантного белка D (SP-D) в иммунном ответе при неспецифической интерстициальной пневмонии. Достижения науки и образования, (4 (58)), 45-49.
Исламова, К. А., & Тоиров, Э. С. (2019). Значение факторов риска на качество жизни больных остеоартрозом. In Актуальные вопросы современной медицинской науки и здравоохранения: сборник статей IV Международной научно-практической конференции молодых учёных и студентов, IV Всероссийского форума медицинских и фармацевтических вузов «За качественное образование»,(Екатеринбург, 10-12 апреля 2019): в 3-х т.-Екатеринбург: УГМУ, CD-ROM.. Федеральное государственное бюджетное образовательное учреждение высшего образования «Уральский государственный медицинский университет» Министерства здравоохранения Российской Федерации.
Ярмухамедова, С. Х., & Афмирова, Ш. А. (2022). Изменения диастолической функции правого желудочка при гипертонической болезни. Science and Education, 3(11), 270-280.
Ярмухаммедова, С., Гаффоров, Х., & Ярматов, С. (2020). Jigar Sirrozida Yurakning Sistolik Va Diastolik Disfunktsiyasining Ahamiyati. Журнал кардиореспираторных исследований, 1(2), 85-87.
