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The revealed peculiarities of attitude towards the disease in patients with DM justify the need for increased attention to their psychological characteristics. The situation could be improved if the physicians are be informed, the time of outpatient care is prolonged, and psychotherapists and/or clinical psychologists are widely involved in the management of diabetic patients.

Diabetes mellitus type 2 (DM 2) is an actual interdisciplinary problem of contemporary health protection. Cardiovascular complications (CVC) and mortality risks are 2-5 times larger than population risk [1,2]. The number of DM patients is expected to reach 380 million, with at least 90% of DN 2 patients, given the same morbidity rate [3].Multi-factorial treatment tactics aimed at hyperglycemia, hypertension (HT) and dislipidemy (DL) correction decreases DM 2 complications as well as those of cardio-vascular diseases (CVD) [4]. Yet in accordance with both clinical (UKPDS and Steno II [4]) and epidemiological research [5] target levels of metabolic parameters are not attained in considerable part of patients.The aim of the study was to evaluate CVD treatment in DM 2 patients in current clinical practice.Сахарный диабет 2-го типа (СД 2) является актуальной междисциплинарной проблемой современного здравоохранения. Риск сердечно-сосудистых осложнений (ССО) и смертности при данном заболевании превышает популяционный в 2-5 раз [1,2]. Ожидается, что при сохранении имеющихся темпов роста заболеваемости к 2025 г будет насчитываться 380 миллионов больных СД, и не менее 90% из них будут составлять больные СД 2 [3]. Многофакторный подход, направленный на коррекцию гипергликемии, артериальной гипертонии (АГ) и дислипидемии (ДЛП), снижает частоту развития и прогрессирования осложнений СД 2 и сердечно-сосудистых заболеваний (ССЗ) [4]. Однако, по данным как клинических (UKPDS и Steno II [4]), так и эпидемиологических исследований [5], целевые уровни метаболических параметров не достигаются у значительной части пациентов.Aim. To evaluate cardiovascular diseases (CVD) treatment in patients with type 2 diabetes mellitus (DM 2) in current clinical practice. Material and methods. A total of 200 patients with DM 2, who consented to take part in the questionnaire, were examined. Questionnaire, clinical and laboratory examinations were conducted. Results. There was a low frequency of CVD recognized and included into clinical diagnosis -angina, history of myocardial infarction and stroke. In majority of the patients decompensated carbohydrate metabolism was observed. This was due to lack of knowledge, inadequate or absent glucose self-monitoring, low frequency of combined glucoselowering therapy. Target level of blood pressure (BP) was registered in 16% of hypertensive patients only. Basic reasons of this were: frequently prescribed mono-therapy, irrational combinations, inadequate dosage and frequent omissions of antihypertensive drugs intake and not appropriate BP self-monitoring. Low frequency of statins therapy and non-targeted cholesterol levels were also revealed in examined patients. Conclusion. Improvement of diagnostic tactics in patients with DM 2 is necessary as well as therapy correction taking into account these patients co-morbidity.