Medical and Social Expert Evaluation and RehabilitationMedical and Social Expert Evaluation and Rehabilitation1560-95372412-2092Eco-Vector3600110.18821/1560-9537-2018-21-3-156-159Research ArticleDIABETES MELLITUS IN THE STRUCTURE OF THE REPEATED DISABILITY OF ADULT POPULATIONShurgayaMarina A.MD, PhD, Associate prof., Department of Geriatrics and Medical and Social Evaluation «Russian Medical Academy of Postgraduate Education», Moscow, 123995, Russian Federationdaremar@mail.ruChludeevaT. A-MammarayevaA. M-Federal State Budgetary Educational Institution of Further Professional Education “Russian Medical Academy of Continuous Professional Education” of the Ministry of Healthcare of the Russian FederationDepartment of medical and health work and insurance of the Administrative Department of the Central Bank of the Russian Federation( Bank of Russia)Consultative and Diagnostic Center “Izmailovsky’ of the «Federal state budgetary institution “National Medical and Surgical Center named after N.I. Pirogov” of the Ministry of Healthcare of the Russian Federation15122018213-415615921072020Copyright © 2018, Eco-Vector2018In Russia in 2005-2017 990,574 persons were repeatedly recognized as disabled due to diseases of the endocrine system. The predominant etiological cause is diabetes mellitus, the specific gravity of which in the nosological structure of repeated disability due to this pathology in the dynamics is characterized by a tendency of some growth (86.8% -87.6% in 2012-2017). In the structure of recurrent disability due to diabetes mellitus, the age-adjusted PIs of retirement age prevailed - 45.5%, their specific gravity increased (from 36.1% in 2012). A decrease in the level of repeated disability due to diabetes mellitus was revealed from 4.8 to 2.5 per 10 thousand adult population (the indicator of visibility in relation to the level of 2012 was 52.1%). This trend took place in all age sectors of the adult population, with the maximum rate of decline in the indicator in 2014-2015. In 2017, the rate of decrease in the level of repeated disability among the population of middle age was -14.6%, whereas among the population of young and elderly age the indicator was 2 times lower and did not differ significantly (-7.1% and -7.7, respectively %). In the structure of recurrent disability, due to diabetes mellitus, the III group III was prevalent, however, a negative tendency was observed to decrease their specific gravity with an increase in the IIII group IIII indices (26.4% -28.4% and group I (7.1-13,0%).endocrine system diseasesadult populationrepeated disabilityleveldiabetesdisability groupболезни эндокринной системывзрослое населениеповторная инвалидностьуровеньсахарный диабетгруппа инвалидности[Дедов И.И., Шестакова М.В., Викулова О.К. Государственный регистр сахарного диабета в Российской Федерации: статус 2014 г. и перспективы развития. Сахарный диабет. 2015; 18 (3): 5-23.][American Diabetes Association: Standards of medical care in diabetes-2018. Diabetes care. 2018; 41 (1): 1-159. https://doi.org/10.2337/dc18-in01][World Health Organization, World Bank. World Report on Disability. Geneva. WHO; 2011.][Шургая М.А. Нозологический спектр инвалидности пожилой категории населения в Российской Федерации и особенности реабилитационно-экспертной диагностики, реабилитации и абилитации. Медико-социальная экспертиза и реабилитация. 2017; 3: 136-43.][Смирнова Ю.А., Радикова Ю.Н. Сахарный диабет: Современные аспекты формирования клинико-экспертного диагноза. Медико-социальные аспекты инвалидности. М., 2012; 1: 43-6.][Здравоохранение в России. 2015. Статистический сборник. М.: Росстат; 2017.][Основные показатели первичной инвалидности взрослого населения Российской Федерации. Статистический сборник. М.: ФГБУ «ФБ МСЭ»; 2015.]