The goal of this diploma thesis is to evaluate changes in the body structure, selected laboratory values and blood pressure for patients with prediabetes or diabetes mellitus of 2nd type who attended nutritional therapy in diabetic ambulance. The patients were divided in 2 groups based on their preferences. The first monitored group monitored energy intakes and expenditures on web page www.kaloricketabulky.cz. The first group had also an opportunity to be supervised or to communicate with its nutritional therapist on web page www.casprozdravi.cz. The second monitored group monitored energy intakes and expenditures manually in the diabetic notebook. The body changes were monitored by bioelectric impedance scale Tanita BC-545 N during each consultation. Laboratory values were taken on consultation 1 and 5. The blood pressure was measured on consultation 1 and 5. Rated values - overall body weight, waistline, percentage of body fat, glycemia, HbA1c, overall cholesterol, HDL cholesterol, LDL cholesterol, triglycerides and blood pressure. The results of this research were weight reduction in both groups by an average of 3.2 %, waistline by 4.5 %, body fat by 1.7 %, glycemia by 16 %, HbA1C by 28.6 %, overall cholesterol by 15.1 %, HDL cholesterol by 6.5 %, LDL cholesterol by 23.6 %, triglycerides by...

This diploma thesis is focused on the knowledge of patients suffering from type 2 diabetes mellitus. The main aim of this work is to determine how well these patients are educated about type 2 diabetes mellitus depending on both the duration of the disease and whether they attend a nutritional therapist. The work is divided into a theoretical and a practical part. The theoretical part provides general information about diabetes mellitus. There is a marginal description of pancreatic function and the history, definition and classification of diabetes mellitus. Type 2 diabetes mellitus, its pathogenesis, clinical picture, diagnosis, screening, therapy and associated complications, both acute and chronic, are discussed in more detail. As part of type 2 diabetes therapy there is the most discussed non-pharmacological treatment, which includes dietary measures and physical activity. The practical part was formulated on the basis of quantitative research, which was carried out using a questionnaire survey. Data were collected from November 2019 to March 2020. 150 questionnaires were distributed to different inpatient departments and clinics in Jičín Hospital. 106 completed questionnaires were returned, but 24 of them had to be rejected due to incomplete or incorrect completion. The research sample...

Accessibility of health care in the Czech Republic according to the geodemographic characteristics of the population Abstract Public healthcare is a subject that affects us all. The health and medical status of the population is a key measure of how advanced a country is. That is why healthcare issues attract so much debate. A number of factors affect the health of a nation. On one hand there are factors such as how individuals look after their health. Dietary habits, sufficient physical exercise and preventive care are all factors that the individual has control over. On the other hand, however, there are determinants affecting whether healthcare take-up is adequate. The cost of providing healthcare and medical equipment together with healthcare accessibility - the topic of this thesis - are factors affecting the population's health. It is the duty of all public healthcare stakeholders to limit the impact of these determiners. One of the main barriers to healthcare take-up is accessibility. On 1 January 2013 government decree no. 307/2012 Coll. came into effect quantifying healthcare accessibility for the first time. This law stipulates the local and travel time accessibility that ensures accessibility depending on type of healthcare on the basis of an upper travel time limit or waiting period....