The aim of this work was to study the effect of glikverin based on voglibose and quercetin on lipid metabolism in experimental metabolic syndrome. Materials. The metabolic syndrome model was reproduced by keeping rats on a hypercaloric diet (containing 20 % fatty food and fructose ad libitum (1 g per day per 100 g of body weight as a 10 % aqueous solution) for 8 weeks. The content of complex carbohydrates in the daily diet of animals was 60 %. The following groups of rats were used: group 1 — intact control; group 2 — rats receiving a hypercaloric diet; group 3 — animals that were administered glikverin at a dose of 50 mg/kg on the background of hypercaloric diet, groups 4–6 — animals that were administered comparison drugs on the background of hypercalorie diet: quercetin substance at a dose of 50 mg/kg, the voglibose substance at a dose of 0.06 mg/kg and standard drug — metformin at a dose of 60 mg/kg. The study drugs were administered simultaneously with the hypercaloric diet intragastrically for 8 weeks. Lipid metabolism was assessed by body weight gain, total cholesterol, triacylglycerols, low- and highdensity lipoprotein cholesterol, and serum TNF-α levels. Results. It was found that the combined product glikverin reduces body weight gain by 66%, which is probably specified by the action of its component component voglibose, which slows down the breakdown and absorption of carbohydrates in the intestine. The results of the study of lipid metabolism in blood serum showed that the combination of voglibose and quercetin in the combined agent leads to the summation of their pharmacological effects. Under the influence of glikverin, the content of total cholesterol decreased by 1.7 times, LDL-C and TAG - by 1.6 and 2.2 times, respectively, the level of HDL-C increased by 46%. Comparative analysis showed that the pronounced antiatherogenic effect of the combined agent is due to the effect of both components, with a predominant effect on the lipid metabolism of quercetin. The revealed hypocholesterolemic and hypolipidemic action provide an antiatherogenic effect. The severity of this effect, which provided glikverin, significantly exceeded the comparison agents quercetin, voglibose and metformin. The combination of voglibose and quercetin also reduced by 38% the content of TNF-α - an inductor of insulin resistance in obesity. The obtained results substantiate the expediency of further pharmacological study of the antidiabetic properties of glikverin as a promising tool for the treatment of metabolic syndrome and type 2 diabetes.

In order to guarantee qualitative medical and pharmaceutical care it is necessary for all participants of the process to provide consistent interconnected actions, including the use of modern approaches in pharmacotherapy, assessment of the urgent needs of the population in medicines (drugs), development and introduction of modern qualitative, safe and effective drugs into the market. Today, one of the key indicators in determining the population‘s need for drugs is the epidemiological indicators in a particular region and their dynamics. In recent years, the actuality of optimal and effective approaches developing in the prevention and treatment of socially significant diseases, including diabetes mellitus (DM), has been increasingly emphasized at the global level. All actions that are proposed for the development of standardized guidelines, treatment protocols, programs for on-time detection and prevention of diabetes are aimed at forming a system of measures are patient-oriented, based on understanding the patient‘s problems, lifestyle, habits, income and expenses for treatment, as well as other components associated with achieving optimal results for patients.

Dental care is the most widespread type of medical care, however, the system of prevention and prenosological diagnosis of diseases of the oral cavity is imperfect and insufficiently effective. The aim – to analyze the main indicators of dental care to the population, the system of financial support for the dental industry in Ukraine and substantiate a model for the prevention of dental diseases, taking into account current conditions and WHO initiatives. Methods of research: systems approach and system analysis, bibliosemantic, content analysis, modeling. Results of the research. In recent decades, the country has revealed a significant deterioration in the dental status of the population due to the unsatisfactory state of preventive activities, change in financing of the dental industry. In the context of modern financing of the dental industry, solving the problem of preserving and improving the dental health of the population is in the plane of development of the sector of prevention services dental diseases at all levels of medical care, organization of joint medical practice and interdisciplinary approach. Conclusions. The priority direction for improving the provision of dental care to the population in modern conditions is to reorient the patient's motivation from treatment to prevention and providing the population with such preventive services. Improvement of existing forms of preservation of dental health on the basis of interdisciplinary cooperation of doctors from different practices is an actual direction of scientific research in the public health system and in the system of continuous professional development of doctors.