IMPROVING THE LABORATORY–DIAGNOSTIC SYSTEM AND MEDICAL–SOCIAL FACTORS IN MAINTAINING THE HEALTH OF PATIENTS WITH DIABETES MELLITUS
Keywords:
diabetes mellitus, medical and social determinants, laboratory diagnostics, glycemic control, prevention, public health.Abstract
Diabetes mellitus represents a major global public health challenge due to its rapidly increasing prevalence, chronic progression, and high burden of complications. Effective management of diabetes requires not only pharmacological interventions but also comprehensive consideration of medical and social determinants, as well as continuous improvement of laboratory–diagnostic systems. This study aims to evaluate the combined impact of medical–social factors and laboratory diagnostics on maintaining the health of patients with diabetes mellitus.
A cross-sectional study with retrospective and prospective elements was conducted among patients with type 1 and type 2 diabetes mellitus receiving outpatient and inpatient care. Clinical data, laboratory parameters, and socio-demographic characteristics were analyzed. Key laboratory indicators included fasting plasma glucose, glycated hemoglobin (HbA1c), lipid profile, serum creatinine, and urinary microalbuminuria. Medical–social determinants such as socioeconomic status, health literacy, lifestyle behaviors, treatment adherence, and access to healthcare services were assessed using structured questionnaires.
The results revealed a significant association between medical–social factors and glycemic control. Patients with higher health literacy, better treatment adherence, and regular laboratory monitoring demonstrated improved HbA1c levels and lower risk of complications. The findings highlight that laboratory diagnostics alone are insufficient without addressing social and behavioral determinants.
An integrated approach combining medical, social, and laboratory strategies is essential for early diagnosis, effective disease control, and prevention of diabetes-related complications. Strengthening laboratory infrastructure and patient-centered social interventions may substantially improve long-term health outcomes in individuals with diabetes mellitus.
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