Rehabilitation von Patienten mit Diabetes mellitus

In der Rehabilitation von Patienten mit Diabetes mellitus sind ggf. auftretende Spätkomplikationen, die massive Teilhabestörungen nach sich ziehen können, und die Gefahr von Bewusstseinsstörungen bei Unterzuckerungen unter Insulinbehandlung besonders zu beachten. Angesichts der großen Zahl von Berufstätigen mit Diabetes (ca. 2 Mio. Menschen) sind zudem Konzepte zur Primär- und Sekundärprävention gefragt. Abstract Diabetes prevalence in Germany has increased from 1% in 1960 to around 9,8%. This increase is mainly due to an increase in type 2 diabetes and metabolic syndrome. People with diabetes are classified as multimorbid patients in most cases. The prognosis is determined by secondary diseases and comorbidities. Evidence-based therapy modules are used in the rehabilitation of people with diabetes. Important clinical therapy goals are the avoidance of hypoglycemia and complications, as well as and exerting a favorable influence on comorbidities. For many rehabilitants with type 2 diabetes, one main focus is the transmission of sustainable impulses to change the lifestyle in the foreground. With the emergence of bariatric surgeries, a new successful therapy option is now available for overweight people with type 2 diabetes. The introduction of continuous glucose measurement (CGM) allows for a reduction in the incidence of hypoglycemia and thus an improvement in participation at work and on the road. The new guideline “Diabetes and Road Traffic” specifies the preconditions for fitness to drive in people with diabetes.