Russian Medical Academy of Continuing Professional Education. Alexander Ametov: “People themselves must want to be healthy Department of Endocrinology RMAPO Ametov

Why is this happening? What is stopping you from curbing the growth of this disease, which has become an epidemic?

The floor goes to the leading endocrinologist of our country, member of the presidium of the All-Russian Society of Endocrinologists, head of the Department of Endocrinology of the Russian Medical Academy of Postgraduate Education, Doctor of Medical Sciences, Professor Alexander Ametov.

Where are we lagging behind?

Tatyana Guryanova, “AiF.Zdorovye”: Alexander Sergeevich, lately all they have been talking about is the increase in the incidence of diabetes mellitus. What prevents it from being contained in our country?

Alexander Ametov: The lack of a system aimed at early detection of this disease, in the fight against which we are 10-15 years late, detecting it only when a person has developed serious complications, when his kidneys, liver, nervous system, blood vessels of the legs (up to amputation), retina of the eye (up to blindness).

There are also other serious complications of diabetes that may be asymptomatic. And this is their greatest deceit. A person may feel normal and not suspect that he is at the point of death. Until he ends up, for example, on the operating table and is faced with a poorly healing surgical wound.

- But many of us from time to time take a fasting blood glucose test...

— This analysis is not always adequately assessed. Including primary care doctors, to whom our patients most often turn. It is believed that normally blood sugar should be less than 6-6.5 mmol/l. But in fact, this is already evidence that a person is in the prediabetes zone, when a state of glucose toxicity is already developing in his body, which leads to a whole trail of hormonal and metabolic disorders.

But, instead of stopping this process, we begin to put out the fire when almost everything has already been lost, when the disease has no way back. It is not surprising that, even when receiving insulin, most patients do not compensate well for their illness.

Don't waste time

— And if you start treating diabetes at the prediabetes stage, can you stop the disease?

— It’s unlikely to stop, but to slow down its development, and most importantly, the development of diabetes complications — yes.

- And what needs to be done for this?

— The principles of managing prediabetes are simple: weight control, adequate physical activity (at least 10 thousand steps per day), balanced nutrition (limiting fats, easily digestible carbohydrates and increasing the amount of plant foods) and taking glucose-lowering medications.

- Drugs?

-  Yes. Today in many developed countries the world has adopted the ideology of their early use, which has proven highly effective in combating the development of diabetes. And, in order to convey this to the leadership of our medical industry, we have created an initiative group that is preparing appropriate recommendations for the Ministry of Health of the Russian Federation.

— Do you think the state will agree to this? After all, this will require colossal additional costs...

—In fact, the state spends much more money on the treatment of complications of diabetes, which can and should be prevented as early as possible.

We need change

- And yet there are some signs by which you can calculate prediabetes?

-  Eat. These are weakness, thirst, dry mouth, frequent urination, sudden weight loss, itching in the perineum, in the abdominal area, unexplained acne on the body. These are the first signs of increased blood sugar.

Hidden carbohydrate metabolism disorders can also occur in those who suffer from obesity, hypertension and other cardiovascular diseases.

— Do these people need to be examined regularly?

- That's exactly right. And also to all persons over 45 years of age and those whose parents and other close relatives suffered from diabetes. At least once a year (and preferably more often), they need to check their fasting and postprandial blood glucose levels. And if the values ​​​​exceed above 6.1 mmol/l on an empty stomach and above 11.1 mmol/l two hours after eating, you need to urgently run to an endocrinologist.

- Maybe see a diabetologist?

— There is no such specialty now. Last year, it was abolished in our country, having decided that diabetes should be dealt with by therapists, many of whom have little understanding of this disease. And until early prevention of diabetes becomes our national policy, we will not be able to stop the epidemic of this disease.

In Germany, for example, every citizen, when he turns forty, receives an envelope containing a blood sugar test strip - a reminder that he is at risk. Why not introduce this practice here too?

Risk factors for type 2 diabetes

1. Overweight and obesity (body mass index - more than 25 kg/m2).
2. Having close relatives (parents, grandparents or brothers/sisters) with type 2 diabetes mellitus).
3. Gestational diabetes mellitus, which occurs during pregnancy or at the birth of a large baby (more than 4 kg).
4. Low physical activity.
5. Arterial hypertension (pressure more than 140/90 mm Hg).
6. High-density cholesterol (“good”) in the blood is less than 0.9 mmol/l and/or the level of tri-glycerides is more than 2.82 mmol/l.
7. Polycystic ovary syndrome (in women).

Head of the department

Honored Scientist Russian Federation, Doctor of Medical Sciences, Professor

Ametov Alexander Sergeevich

Head of Education

Candidate of Medical Sciences, Associate Professor

Ivanova Lyudmila Pavlovna

125315, Moscow, st. Chasovaya, 20, Scientific Clinical Center of JSC Russian Railways, bldg. 7

The Department of Endocrinology of the Central Institute for Advanced Medical Studies was organized in 1933 on the basis of State Institute experimental endocrinology of the People's Commissariat of Health of the RSFSR (GIEE). Its founder was Professor Vasily Dmitrievich Shervinsky (1850-1941) - at that time the director of the GIEE, an outstanding therapist, the founder of domestic endocrinology. In 1933, in the clinical department of the GIEE, on the initiative of Professor N.A. Shereshevsky began to operate training courses for doctors (therapists) in endocrinology, which became the basis for the Department of Endocrinology of the Central Research University.

The first head of the department was the Honored Scientist of the RSFSR, Professor Nikolai Adolfovich Shereshevsky, who headed it for 20 years and created the school of domestic endocrinology. The outstanding scientist N.A. Shereshevsky was the author of more than 100 scientific works, 3 textbooks and 3 monographs on endocrinology, trained 40 candidates and 20 doctors of medical sciences.

From 1962 to 1981, the Department of Endocrinology was headed by Professor Ekaterina Alekseevna Vasyukova (1905-1986). Under her leadership, 16 doctors and 63 candidates of medical sciences defended their dissertations. The teachers of the department were the cream of Soviet endocrinology; doctors from all over the country studied with them. G.S. Zefirova, A.M. Granovskaya-Tsvetkova, N.S. Kazei, I.V. Pisarskaya, V.F. Shakhnovskaya created the traditions of domestic clinical endocrinology and teaching endocrinology in the postgraduate education system.

Since 1988, the department has been headed by Doctor of Medical Sciences, Professor, Honored Scientist of the Russian Federation Alexander Sergeevich Ametov, one of the leading scientists and endocrinologists in the country. On his initiative, it was allocated medical specialty"diabetology".

Under the leadership and with the direct participation of Professor A.S. Ametov developed and created 23 kits for microanalysis of protein, steroid and thyroid hormones, developed a methodology for radioimmunological analysis, and introduced a unified program of clinical and laboratory testing of radioimmunological kits into healthcare practice. The main scientific and clinical studies of the recent period are aimed at the problems of diabetes mellitus and obesity, the introduction of new technologies in the diagnosis and treatment of diabetes mellitus and its complications.

The training of doctors at the department is carried out according to postgraduate and additional programs vocational education in the areas of “endocrinology” and “diabetology”, developed by the staff of the department in accordance with modern requirements.

The main forms of postgraduate education at the department are:
- residency in endocrinology
- postgraduate study in scientific specialty 01/14/02 Endocrinology
- professional retraining and advanced training in the specialties of “endocrinology” and “diabetology”.

Every year, more than 300 endocrinologists improve their qualifications at the department. The department actively cooperates with the regions of the Russian Federation - conducts on-site training courses under the 144-hour program. Every five years, endocrinologists from Krasnodar and Stavropol Territory, Rostov, Astrakhan and Ulyanovsk regions, Kabardino-Balkaria, North Ossetia-Alania, etc.

The main form of training for highly qualified doctors is clinical residency and postgraduate study. Currently, 23 clinical residents and 13 graduate students are studying in the specialty “endocrinology”. In 2014-2015 28 medical specialists completed clinical residency.

Research topics:

• development of new approaches to the diagnosis and treatment of diabetes mellitus
• optimization of diagnosis and treatment of thyroid diseases

The department has a lecture hall equipped with multimedia equipment and telecommunications capabilities, classrooms and offices. IN educational process lectures, seminars and practical lessons, interactive teaching methods are used.

In 2014-2015 in accordance with the new requirements, professional postgraduate and additional education doctors:

• basic professional educational program higher education– training program for higher education personnel in residency in the specialty 08/31/53 Endocrinology;
• the main professional educational program of higher education is a training program for higher education personnel in residency in the specialty 08/31/33 Diabetology;
• the main professional educational program of higher education is the program for training scientific and pedagogical personnel in graduate school in the scientific specialty 01/14/02 Endocrinology;
• additional professional program professional retraining doctors in the specialty “Endocrinology” (training period is 576 academic hours);
• additional professional training program for doctors in the specialty “Endocrinology” (training period 144 academic hours);
• additional professional program for professional retraining of doctors in the specialty “Diabetology” (training period 576 academic hours);
• additional professional training program for doctors in the specialty “Diabetology” (training period 144 academic hours).

Main literature

1. Algorithms for specialized medical care for patients with diabetes mellitus / Edited by I.I. Dedova, M.V. Shestakova. Sixth edition, expanded. - Moscow, 2013. – 120 p.
2. Ametov A.S. Diabetes mellitus type 2. Problems and solutions: tutorial– 3rd edition, revised and expanded. - M.: GEOTAR-Media, 2015. – T. 1.- 352 pp.: ill.
3. Ametov A.S. Diabetes mellitus type 2. Problems and solutions: study guide – 3rd edition, revised and expanded. - M.: GEOTAR-Media, 2015. – T. 2.- 280 pp.: ill.
4. Ametov A.S. Diabetes mellitus type 2. Problems and solutions: study guide – 3rd edition, revised and expanded. - M.: GEOTAR-Media, 2015. – T. 3.- 256 pp.: ill.
5. Ametov A.S. Diabetes mellitus type 2. Problems and solutions: study guide – 3rd edition, revised and expanded. - M.: GEOTAR-Media, 2015. – T. 1.- 312 pp.: ill.
6. Ametov A.S. Selected lectures on endocrinology. - M: Medical Information Agency LLC, 2011. - 544 p.
7. Dedov I.I., Melnichenko G.A., Fadeev V.V. Endocrinology: textbook. - 2nd ed. reworked and additional - M.: GEOTAR-Media, - 2009. - 432 p.
8. Cardiology: national guide / ed. Yu.N. Belenkova, R.G. Oganova. - M.: GEOTAR-Media, 2011. - 864 p.
9. Kronenberg G.M., Melmed S., K.S., Laursen P.R. Diseases of the adrenal cortex and endocrine arterial hypertension / trans. from English edited by I.I. Dedova, G. A. Melnichenko. - M.: GEOTAR-Media, 2010. - 208 p.
10. Cronenberg G.M., Melmed S., Polonsky K.S., Larsen P.R. Neuroendocrinology /trans. from English edited by I.I. Dedova, G.A. Melnichenko. - M.: GEOTAR-Media, 2010. - 472 p.
11. Marie R., Grenner D, Mayes P., Rodwell V. Human biochemistry. In 2 volumes. - Mir Publishing House, M.: BINOM. - 2009. - T. 1. - 386 p., T. 2. - 414 p.
12. Mayorov A.Yu., Melnikova O.G. National recommendations for health care workers on injection techniques in the treatment of diabetes mellitus. – M., 2012. - 43 p.
13. Petunina N.A., Trukhina L.V. Thyroid diseases. - GEOTAR-Media, 2011. - 216 p.
14. Potemkin V.V., Starostina E.G. Emergency endocrinology: A guide for doctors. - M.: Medical Information Agency LLC, 2008. - 400 p.
15. Diabetes. Diagnostics, treatment, prevention / Ed. I.I. Dedova, M.V. Shestakova. - M: LLC Publishing House "Medical Information Agency", 2011. - 808 p.
16. Diabetes. Acute and chronic complications /Ed. I.I. Dedova, M.V. Shestakova. - M: LLC Publishing House “Medical Information Agency”, 2011. - 480 p.
17. Physiology of the endocrine system / Ed. J. Griffin, S. Ojeda. - M.: BINOM. Knowledge Laboratory, 2008. - 496 p.
18. Endocrinology. National leadership /Ed. I.I. Dedova, G.A. Melnichenko. - M.: GEOTAR-Media, 2009. - 1072 p.
19. Endocrinology. Clinical recommendations /Ed. I.I. Dedova, G.A. Melnichenko. - 2nd ed. corr. and additional - M.: Litterra, 2012. - 320 p.

1. Ametov A.S., Doskina E.V. Acromegaly and gigantism. - M.: GEOTAR-Media, 2010. - 152 p.
2. Balabolkin M.I. Differential diagnosis of endocrine diseases. - M.: Medicine, 2005. - 300 p.
3. Brovkina A.F. Endocrine ophthalmopathy. - M.: GEOTAR-MED, 2004. - 176 p.
4. Gardner D., Shobek D. Basic and clinical endocrinology. Book 1 /Trans. from English edited by G.A. Melnichenko.- M.: BINOM, 2010.- 464 p.
5. Gardner D., Shobek D. Basic and clinical endocrinology. Book 2 /Trans. from English edited by G.A. Melnichenko. - M.: BINOM, 2011. - 696 p.
6. Goncharov N.P., Katsiya G.V., Kolesnikova G.S., Dobracheva A.D. Hormonal analysis in the diagnosis of diseases of the endocrine glands. - M: Adamant Publishing Company, 2009. - 332 p.
7. Grigoryan O.R., Sheremetyeva E.V., Andreeva E.N. Diabetes mellitus and pregnancy: scientific and practical guide / ed. I.I. Dedova.- Moscow: Vidar Publishing House. – M., 2011. - 152 p.
8. Grigoryan O.R., Andreeva E.N., Dedov I.I. Menopausal syndrome in women with carbohydrate metabolism disorders: Scientific and practical recommendations. - M: Vidar-M Publishing House, 2014. - 64 p.
9. Dedov I.I., Beltsevich D.G. and others. Pheochromatocytoma. - M.: Practical Medicine, 2005. - 216 p.
10. Dedov I.I., Kalinchenko S.Yu. Age-related androgen deficiency in men. - M.: Practical Medicine, 2006. - 240 p.
11. Dedov I.I., Shestakova M.V. Diabetes mellitus and arterial hypertension. - M.: Medical Information Agency, 2006. - 344 p.
12. Dedov I.I., Shestakova M.V. Diabetes mellitus and chronic kidney disease. - M.: Medical Information Agency, 2009. – 482 p.
13. Diabetic neuropathy (pathogenesis, diagnosis, treatment) / Chernyshova T.E., Guryeva I.V., Altunbaev R.A. and others - M.: ID MEDPRACTIKA-M, 2006. - 108 p.
14. Dyslipidemia and atherosclerosis. Biomarkers, diagnosis and treatment: a guide / ed. R.G. Oganova. - M.: GEOTAR-Media, 2009. - 160 p.
15. Cronenberg G.M., Melmed S., Polonsky K.S., Larsen P.R. Diseases of the thyroid gland /trans. from English edited by I.I. Dedova, G.A. Melnichenko. - M.: GEOTAR-Media, 2010. - 392 p.
16. Cronenberg G.M., Melmed S., Polonsky K.S., Larsen P.R. Diabetes mellitus and carbohydrate metabolism disorders /trans. from English edited by I.I. Dedova, G.A. Melnichenko. - M.: GEOTAR-Media, 2010. - 448 p.
17. Cronenberg G.M., Melmed S., Polonsky K.S., Larsen P.R. Obesity and lipid metabolism disorders /trans. from English edited by I.I. Dedova. G.A. Melnichenko. - M.: GEOTAR-Media, 2010. - 264 p.
18. Cronenberg G.M., Melmed S., Polonsky K.S., Larsen P.R. Reproductive endocrinology /trans. from English edited by I.I. Dedova, G.A. Melnichenko. - M.: GEOTAR-Media, 2011. - 416 p.
19. Lyusov V.A., Volov N.A., Gordeev I.G. Myocardial infarction. - M.: Litterra, 2010. - 240 p.
20. International statistical classification of diseases and related health problems. 10th revision.T. 1.- Geneva, 1995.- 634 p.
21. Neuroendocrinology. Clinical essays /Edited by Professor E.I. Marova. - Yaroslavl, 1999. - 506 p.
22. Neuroendocrine tumors: A guide for doctors: (translated from English) / Ed. M. Caplin, L. Kvolsa. - M.: Practical Medicine, 2010. - 224 p.
23. Oganov R.G., Shalnova S.A., Kalinina A.M. Prevention of cardiovascular diseases: a guide. - M.: GEOTAR-Media, 2009. - 216 p.
24. Obesity: etiology, pathogenesis, clinical aspects / Ed. I.I. Dedova, G.A. Melnichenko. – M.: Medical Information Agency, 2004. – 456 p.
25. Petunina N.A., Trukhina L.V. Thyroid diseases. - GEOTAR-Media, 2011.- 216 p.
26. Rational pharmacotherapy of diseases of the endocrine system and metabolic disorders: A guide for practicing doctors / Dedov I.I., Melnichenko G.A., Andreeva E.N. and others - M.: Litterra, 2006. - 1080 p.
27. Rational pharmacotherapy of cardiovascular diseases: A guide for the practitioner / Ed. Chazova E.I., Belenkova Yu.N. - M.: Litterra, 2004. - 975 p.
28. Polycystic ovary syndrome: a guide for doctors / ed. I.I. Dedova, G.A. Melnichenko.- M.: MIA, 2007.- 368 p.
29. Polycystic ovary syndrome: etiology, pathogenesis, diagnosis and treatment: Scientific and practical guide / Andreeva E.N., Sheremetyeva E.V., Dedov I.I. - M.: Viadar Publishing House. - M. 2014. - 56 p.
30. Smirnov A.N. Elements of endocrine regulation: scientific publication /pod. ed. V.A. Tkachuk. - M.: GEOTAR-Media, 2008. - 352 p.
31. Treatment regimens. Endocrinology /under general. ed. I.I. Dedova, G.A. Melnichenko. - M.: Litterra, 2007. - 304 p.
32. Troshina E.A. Goiter. - M: LLC Publishing House "Medical Information Agency", 2012. - 336 p.
33. Cytological diagnosis of thyroid diseases. Colored satin. A manual for doctors. / Shapiro N.A., Kamneva T.N. – M.: Reprocentr, 2003. - 172 p. 320 ill.
34. Endocrinology according to Williams. Obesity and lipid metabolism disorders /trans. from English edited by I.I. Dedova, G.A. Melnichenko. - M., 2010. - 384 p.
35. Endocrinology according to Williams. Diabetes mellitus and carbohydrate metabolism disorders /trans. from English edited by I.I. Dedova, G.A. Melnichenko. - M., 2010. - 640 p.
36. Endocrine surgery /Edited by I.I. Dedova, N.S. Kuznetsova, G.A. Melnichenko. - M.: Litterra, 2011. - 352 p. (Series “Practical Guides”).

1. Constitution of the Russian Federation (taking into account amendments introduced by the Laws of the Russian Federation on amendments to the Constitution of the Russian Federation dated December 30, 2008 No. 7-FKZ).
2. Civil Procedure Code of the Russian Federation (as amended by Federal Laws of July 24, 2008 No. 161-FZ (part one) (with amendments and additions).
3. Federal Law of the Russian Federation of November 21, 2011 N 323-FZ “On the fundamentals of protecting the health of citizens in the Russian Federation”
4. Federal Law of the Russian Federation dated November 29, 2010 N326-FZ “On compulsory health insurance in the Russian Federation” (as amended by Federal Laws dated June 14, 2011 No. 136-FZ, dated November 30, 2011 No. 369-FZ, dated December 3, 2011 No. 379-FZ)
5. Law of the Russian Federation (as amended by Federal Laws of October 25, 2007 No. 234-FZ) “On the Protection of Consumer Rights.”
6. Order of the Ministry of Health and Social Development of the Russian Federation dated April 23, 2009 No. 210n “On the nomenclature of specialties of specialists with higher and postgraduate medical and pharmaceutical education in the field of healthcare of the Russian Federation.”
7. Order of the Ministry of Health and Social Development of the Russian Federation dated July 23, 2010 No. 514n “On approval of a unified qualification reference book for positions of managers, specialists and employees, section “Qualification characteristics of positions of workers in the field of healthcare.”
8. Decree of the President of the Russian Federation of May 8, 1996 No. 676 “On measures of state support for persons suffering from diabetes.”
9. Decree of the Government of the Russian Federation of June 1, 1996 No. 647 “On measures of state support for persons suffering from diabetes.”
10. Order of the Ministry of Health of Russia dated November 12, 2012 No. 899n “On approval of the Procedure for providing medical care to the adult population in the field of endocrinology” (registered with the Ministry of Justice of the Russian Federation on October 28, 2014, registration No. 26368);
11. Order of the Ministry of Health of Russia dated November 9, 2012 No. 858n “On approval of the standard of specialized medical care for non-insulin-dependent diabetes mellitus” (registered with the Ministry of Justice of the Russian Federation on February 25, 2013, registration No. 27296);
12. Order of the Ministry of Health of Russia dated December 28, 2012 No. 1581n “On approval of the standard of primary health care for non-insulin-dependent diabetes mellitus” (registered with the Ministry of Justice of the Russian Federation on March 15, 2013, registration No. 27719);
13. Order of the Ministry of Health of Russia dated December 24, 2012 No. 1552n “On approval of the standard of specialized medical care for insulin-dependent diabetes mellitus” (registered with the Ministry of Justice of the Russian Federation on March 5, 2013, registration No. 27478);
14. Order of the Ministry of Health of Russia dated November 9, 2012 No. 751n “On approval of the standard of primary health care for diabetes mellitus with diabetic foot syndrome” (registered with the Ministry of Justice of the Russian Federation on March 7, 2013, registration No. 27548);
15. Order of the Ministry of Health of Russia dated December 28, 2012 No. 1620n “On approval of the standard of specialized medical care for diabetes mellitus with diabetic foot syndrome (critical ischemia)” (registered with the Ministry of Justice of the Russian Federation on March 7, 2013, registration No. 27560).

director – V.F. Pfaff
chief physician – T.F. Tamgina
Address: Volokolamskoe highway, 84
NUZ NCC JSC Russian Railways is a medical institution of the federal railway transport, which has the status of a scientific, practical and educational medical center. Within the walls of the medical center, the latest, high-tech techniques are constantly being developed and put into practice, making it possible to quickly and most effectively diagnose and treat many diseases, including severe and combined pathologies. The Endocrinology Center of the NCC, which includes an endocrinology department with 35 beds, is the clinical base of the department. Clinical residents, students of professional retraining cycles study here, and department staff conduct medical work.

Non-governmental healthcare institution "Scientific Clinical Center of JSC Russian Railways"
director – V.F. Pfaff
chief physician – T.F. Tamgina
Address: st. Chasovaya, 20
NCC solves industry problems in developing methods for extending professional longevity and protecting the health of people working in transport in specific natural and man-made conditions. This is an institution where applied scientific medical research is carried out. NCC works in clinical, scientific and educational areas. The clinical center consists of a hospital with 210 beds and diagnostic departments that provide examination of patients at the most modern level. The Department of Endocrinology and Women's Health conducts medical work and trains clinical residents. The scientific department includes centers for occupational psychophysiology, meteopathology and magnetobiology, and an ultra-modern telemedicine laboratory. The auditoriums of the academic building of the NCC are the venue for training courses for doctors and scientific and practical conferences.

Federal state-financed organization"Central clinical Hospital civil aviation"
chief physician – N.B. Zabrodina
Address: Ivankovskoe highway, 7
Central Clinical Hospital of the Civil Aviation is a multidisciplinary medical institution that provides medical care for medical and surgical diseases.
in the scope of primary, specialized and high-tech medical care.
The hospital includes a polyclinic, diagnostic departments equipped with the most modern equipment, and a multidisciplinary hospital. The endocrinology department with 40 beds is the base of the department. Clinical residents and graduate students study here, department staff conduct medical work, and undergo clinical research.

Professor A.S. Ametov	Professor I.V. Guryev
Professor T.Yu. Demidova	Associate Professor E.V. Doskina
Associate Professor I.I. Kochergina	Associate Professor L.V. Kondratieva
Associate Professor L.P. Ivanova	Associate Professor N.A. Chernikova
Art. laboratory assistant I.V. Galenina	Art. laboratory assistant N.N. Zubovich
Department of Endocrinology and Diabetology

Education

In 1965 he graduated from Kaunas State Medical Institute.

In 1970, he entered graduate school at the Department of Endocrinology of the Central Institute for Advanced Medical Studies, which he successfully completed, having defended his thesis in 1972 on the topic: “Growth hormone and thyroid hormones in acromegaly.”

In 1980 he defended his doctoral dissertation - “The clinical significance of radioisotope research methods in the diagnosis of diseases of the hypothalamus-pituitary-adrenal cortex system.”

Main achievements

Development of a comprehensive program and algorithms for diagnosing diseases of the hypothalamus-pituitary-adrenal cortex system.

Development, creation and introduction into production of 23 diagnostic kits for medical microanalysis of protein, steroid and thyroid hormones.

Justification and development of regulations on new specialty- Diabetology.

Trained a galaxy of endocrinologists: under the leadership of A. S. Ametov, 129 were protected dissertations- 118 candidate and 11 doctoral dissertations

Main works:

Selected lectures on endocrinology. - Moscow. - Medical Information Agency LLC, 2012.

Diabetes mellitus type 2: problems and solutions. - Moscow. - GEOTAR-Media, 2012.

Diabetes mellitus type 2. Problems and solutions. 2nd edition, revised and expanded. - Moscow. - GEOTAR-Media, 2013

Diabetes mellitus type 2. Problems and solutions: textbook. village - 2nd edition, revised and expanded. - Moscow. - GEOTAR-Media, 2014.

Participation in public organizations

Member of the Presidium of the All-Russian Society of Endocrinologists,

Chairman of the Education Committee of the Russian Association of Endocrinologists,

Member of the Council of Experts of the Analytical Center for the Government of the Russian Federation, President of the International Public Organization "International Diabetes Program", European Association for the Study of Diabetes (EASD),

World Diabetes Federation (IDF), American Diabetes Association 9ADA, American Association of Clinical Endocrinologists.

Chairman of the Dissertation Council.

Editor-in-Chief of the international journals “Endocrinology: news, opinions, training”, “Diabetes. Lifestyle" and "Diabetography",

Member of the editorial boards and editorial boards of the journals “Osteoporosis and Osteopathy”, “Consilium Medicum”, “Diabetes Mellitus”, “Russian Medical Journal”, “Obesity and Metabolic Syndrome”. President of the Non-Profit Partnership “Diabetes Mellitus and Obesity”.

Main awards

State Prize of the Byelorussian SSR (1988) for the creation of 23 kits for medical microanalysis of hormones

Medal "In memory of the 850th anniversary of Moscow"

Honorary title “Honored Scientist of the Russian Federation.”

We are talking about this with the head of the Department of Endocrinology and Diabetology with the course of endocrine surgery of the Russian Medical Academy of Postgraduate Education, Doctor of Medical Sciences, Professor Alexander Ametov.

Non-contagious epidemic

« AiF ": - Alexander Sergeevich, why do we get diabetes? Are we eating wrong? Not taking care of ourselves at all?

A.A.:– That’s partly why. In 1985–1986 Diabetes mellitus was recognized by WHO experts as the first non-infectious epidemic. When in 1995 World Organization Health care, a special department was created to combat diabetes; it turned out that the number of patients worldwide has doubled in 10 years.

The first reason for the rapid spread of the disease is genetic. The second reason is obesity.

The basis of diabetes mellitus may be a personal set of genes, which, under certain conditions, causes the development of the disease. And provoking factors are poor nutrition, obesity, sedentary lifestyle, and old age. As the body ages, the functioning of the beta cells of the pancreas, which produce insulin, deteriorates. If all the inhabitants of our planet lived to 85 years of age, the percentage of patients with type 2 diabetes could reach 20–23%.

« AiF ": - What time now?

A.A.:– Now it’s 5–6%.

Everyone is at risk

« AiF ": - Let's remind our readers how type 1 diabetes differs from type 2.

A.A.:– Type 1 diabetes mellitus usually develops in childhood. Genetic predisposition for it is a prerequisite, but not sufficient. For example, a viral infection should join. During epidemics of influenza, mumps, measles... the incidence of type 1 diabetes increases. Although there is no evidence that these viruses directly infect pancreatic beta cells. Other mechanisms are involved here, autoimmune, when the body begins to produce antibodies against its own cells. Viral infection, puberty (the role of sex hormones in this process has been established, for example, their excessive concentration), stress - all this can trigger the development of the disease if there is a genetic predisposition to it.

« AiF »: – You can’t cure patients with type 1 diabetes?

A.A.:– Today there is no cure, but we can control the process. Mimic the glucose metabolism of a healthy person using insulin injections. Here is a modern approach to treatment.

« AiF »: – What about type 2 diabetes?

A.A.:– As a rule, adults suffer from it. The disease develops extremely slowly, over 15–20 years. A person may not know that his sugar has been elevated for a long time; he does not feel it. After 40–45 years, it is imperative to check your blood glucose levels.

"AiF": - How often?

- At least once a year.

« AiF »: – Doctors name such risk factors for developing type 2 diabetes as high-calorie foods, age over 50–60 years, stress, lack of sleep, hypertension, excess weight, pregnancy... It turns out that almost everyone can get sick?

A.A.:- Yes. The risk increases up to six times if a family member has diabetes. Obesity of the first degree increases the risk by 2 times, the second degree – by 5 times, the third – by 10 times. The Chinese conducted the following studies: they radically changed the lifestyle of risk groups. And we received data that the incidence can actually be reduced without a single pill. But this should be government policy. You can’t just say, “Let’s all play sports.” We need to create conditions: build stadiums, swimming pools... This is much more expensive than prescribing a pill.

Experience of other countries

A.A.:– Diabetes can be an excellent model for how the state should treat people with a chronic, incurable disease. And there are more than one hundred and twenty diseases that require a similar approach.
Europe has experience in operating prevention centers. For example, a million residents are assigned to such a center in Switzerland. The center is served by only 22 people. Of these, four are doctors, the rest are mid-level or junior medical personnel. A person knows a year in advance when he should come for a preventive examination. They will check whether there is a metabolic disorder, how the cardiovascular system works, women will definitely be examined by a gynecologist, men by a urologist... The examination data will be placed on a magnetic card. And the person will know that in a year, for example, on November 15 at 9 am, he will have to come again. All survey parameters are compared. Let's say the doctor saw that recommendations on diet were needed. And they will be given to the patient. Someone will be diagnosed with high blood pressure, and he will also receive his recommendations. And those who are diagnosed with diabetes will be prescribed treatment and its results will be monitored. The patient will undergo mandatory training at school and learn how to live with an incurable chronic disease. A full and absolutely free life.

But with us, if you don’t go yourself, don’t pay money, don’t ask, no one will be interested in your health. There must be government policy here. And the plus is that people themselves must want to be healthy.

State approach

« AiF »: – Is type 2 diabetes, when it’s already caught too late, incurable?

A.A.:- Yes. But chronic disease can be managed. And control its main parameters. Glucose levels on an empty stomach and after meals... I insist that glycated hemoglobin should be determined once every three months, an indicator that indicates whether we have achieved the goal of therapy or not. Moreover, it is an indicator of how our healthcare system works. If all our patients have glycated hemoglobin above 7%, it means that all the money that the state spent on the program to provide free medications to diabetes patients is being used ineffectively.

« AiF ": – Does a person who constantly needs drugs that regulate carbohydrate metabolism receive them for free?

A.A.:– We have a confusing system of federal and territorial beneficiaries. Some will receive it, others will not. There is nothing like this anywhere in the world. If you have diabetes and are a citizen of the country, then you should get everything you are entitled to.

« AiF »: – And now the effectiveness is not monitored at all?

A.A.:- Selectively. But this is not law, but must be enshrined in law. If the treatment is ineffective, we must reconsider the program, and after 3-6 months, not after 15 years, when complications have already appeared and nothing can be done to help the person.

« AiF ": - It’s even surprising that no one is doing this. After all, the consequences of not treating this disease are also disadvantageous for the state.

A.A.:– Consequences – blindness, amputation of feet. 45–50% of all non-traumatic lower limb amputations are due to diabetes. After amputation, patients live for a very short time. A big disaster has already happened, the disease will progress.

To begin with, we could take some regions, launch this system in them and see how it works within a year. We would create a register of patients to manage the process. Because if I don’t know what type of diabetes my patients have, what treatment they’re on, how can I evaluate the effectiveness of government spending and understand what it takes to improve the situation?

« AiF “: – But such an approach should be developed by scientists together with officials.

A.A.:- That's right, there should be a state order. If I know that in most of my patients, glycated hemoglobin has decreased and is at the level of the target values ​​​​that are accepted throughout the world, then the program to combat diabetes makes sense. And if the state spent the money, and then it is not interested in what will happen with all this, I don’t see anything here except populism.

"Themes"

"News"

To the anniversary of Professor Alexander Sergeevich Ametov

In September 2006, Alexander Sergeevich Ametov, a famous endocrinologist, Doctor of Medical Sciences, Professor, Head of the Department of Endocrinology, Diabetology and Endocrine Surgery of the State Educational Institution of Additional Professional Education of the Russian Medical Academy of Postgraduate Education of Roszdrav Federal agency for Health and Social Development of the Russian Federation, turned 65 years old.

After graduating from Kaunas State medical institute A.S. Ametov entered full-time graduate school at the State Medical University of the USSR Ministry of Health, which he successfully completed, defending his thesis on the topic: “Growth hormone and thyroid hormones in acromegaly.”
link: http://www.rmj.ru/articles_ 4328.htm

Russia celebrated the first Anti-Obesity Day

Presentations were made by:
Ametov Alexander Sergeevich, President of the International Organization “International Program “Diabetes””, Doctor of Medical Sciences, Professor, Head of the Department of Endocrinology and Diabetology of the State Educational Institution of Further Professional Education of the Russian Medical Academy of Postgraduate Education of the Ministry of Health of the Russian Federation;

Romantsova Tatyana Ivanovna, Doctor of Medical Sciences, Professor, Head of the Academic Department of the Department of Endocrinology, Moscow State Medical University named after. Sechenov.
link: http://www.endokrinolog.med. cap.ru/News.aspx?id=788342

Alexander Ametov: “People themselves should want to be healthy”

We are talking about this with the head of the Department of Endocrinology and Diabetology with the course of endocrine surgery of the Russian Medical Academy of Postgraduate Education, Doctor of Medical Sciences, Professor Alexander Ametov.
link: http://www.aif.ru/health/article/39618

“Russians need special programs for chronically ill people”

Facts: Alexander Sergeevich Ametov - Doctor of Medical Sciences, Head of the Department of Endocrinology and Diabetology of the Russian Medical Academy of Postgraduate Education
link: http://www.km.ru/glavnoe

Diabetes mellitus - a disease or a way of life?

Doctor of Medical Sciences, Professor, Head of the Department of Endocrinology and Diabetology with a Course of Endocrine Surgery of the Russian Medical Academy of Postgraduate Education of the Federal Agency for Health and Social Development Alexander Sergeevich Ametov.
link: http://www.uniklinika.az/index-data.php?news=1996

NEW QUALITY OF LIFE FOR A PATIENT WITH DIABETES MELLITUS

Diabetes mellitus ranks third in the world in terms of mortality in developed countries. Today, there are about 150 million people worldwide suffering from this disease, and, according to World Health Organization forecasts, by 2025 this figure could rise to 300 million. While diabetes mellitus is incurable, modern medical science is able to improve the quality of life of patients, to ensure that they can live and work normally.

Doctor of Medical Sciences, Head of the Department of Endocrinology and Diabetology of the Russian Medical Academy of Postgraduate Education of the Ministry of Health of the Russian Federation, Professor Alexander Sergeevich Ametov talks about the problems of this area of ​​medicine and healthcare. New methods of control and treatment of diabetes, discussed in the article, will be presented at the International specialized exhibition of goods and services “Life without the power of diabetes”, which will be held in April this year in Moscow at the All-Russian Exhibition Center.
link: http://www.nkj.ru/archive/articles/7756/

Looking for the perfect remedy

Despite the progress made in the fight against diabetes, experts are still concerned about the rate of spread of the disease, which is increasing every year. This is especially true for Russia. Today, our country ranks first among European countries in terms of the prevalence of diabetes, ahead of Poland, Ukraine, Turkey and 5 other EU countries. According to the head of the Department of Endocrinology and Diabetology of the State Educational Institution of Further Professional Education of the Russian Medical Academy of Postgraduate Education of Roszdrav, Professor Alexander AMETOV, there are more than 9 million patients in Russia. Only 2,823,524 people are registered in the official register. This means that for every identified case, there are at least 3 undetected cases of the disease.
link: http://www.prozdor.ru/2010-12-06/1453-v-poiskah-idealnogo-sredstva.html

EVENTS: The pharmaceutical company MSD, together with the Association of Endocrinologists of St. Petersburg, held a scientific conference “Type 2 Diabetes Mellitus - New Opportunities for Pharmacotherapy”

The head of the Department of Endocrinology and Diabetology with a course of endocrine surgery at the Russian Medical Academy of Postgraduate Education, Professor Alexander Sergeevich Ametov, emphasized that type 2 diabetes mellitus has an almost 100% genetic basis, and therefore, soon, in application to the disease, it will be possible to talk about such a direction as pharmacogenetics . “Modern approaches to the treatment of diabetes mellitus are aimed, first of all, at preventing further depletion of pancreatic function, as well as ensuring disease control. Of particular note new class drugs called "incretins".

With their help, we can restore normal functional relationships between alpha and beta cells that regulate carbohydrate metabolism and achieve comprehensive glycemic control. In addition, the non-glycemic effects of drugs in this group are also being studied. Thus, taking these drugs is accompanied by a low risk of developing hypoglycemia - a sharp drop in sugar levels, a neutral effect or a decrease in body weight; non-glycemic effects include a decrease in cholesterol levels, as well as a reduction in the area of ​​myocardial infarction,” said Alexander Sergeevich.
link: http://medportal.ru/mednovosti/corp/2011/05/30/saharnyj_diabet_konferencija/

Diabetes: looking beyond

The sensation of the recent Congress “Citizen and Medicine” is a breakthrough in the recovery and prevention of diabetes. What fundamentally new science advises? explains Doctor of Medical Sciences, Head of the Department of Endocrinology and Diabetology of the Russian Medical Academy of Postgraduate Education of the Ministry of Health of the Russian Federation, Professor Alexander Sergeevich Ametov.
link: http://www.tourbof.ru/ Wc960b4b357eb3.php

Educational seminar for endocrinologists of the republic

In her welcoming speech to the participants of the educational seminar, the chief freelance endocrinologist of the Ministry of Health of the Republic of Belarus, Tatyana Morugova, noted the importance and relevance of the School. During his speech, the head of the Department of Endocrinology and Diabetology of the Russian Medical Academy of Postgraduate Education, Doctor of Medical Sciences, Professor Alexander Ametov emphasized that the goal of treating diabetes is to normalize the level of glycemia and reduce the risk of developing macro- and microvascular complications.

Igor Strokov, Associate Professor of the Department of Nervous Diseases of the I.M. Sechenov Moscow Medical Academy, Candidate of Medical Sciences, spoke about the possibilities of pathogenetic therapy for diabetic polyneuropathy and encephalopathy. Head of the endocrinology sector of the Federal Bureau of Medical and Social Expertise, Doctor of Medical Sciences Irina Guryeva drew the attention of the seminar participants to modern approaches to the treatment and prevention of diabetic foot syndrome.
link: