DIFFERENTIATED APPROACHES TO THE FORMATION OF THE TREATMENT AND DIAGNOSTIC MODEL FOR DIABETES MELLITUS, TAKING INTO ACCOUNT PSYCHOCORRECTION

According to the World Health Organization (WHO, 2024), the number of people living with diabetes mellitus (DM) worldwide has exceeded 800 million. In Russia, more than 5 million individuals are affected by DM (National Medical Research Center of Endocrinology, 2024), while in the Kyrgyz Republic (KR), the number has reached 254,000 (Ministry of Health of the Kyrgyz Republic, 2023). Anxiety and depressive disorders significantly influence the progression and severity of DM. The aim of the study is to develop an algorithm for differentiated diagnosis and therapy of DM, incorporating psychocorrection tailored to diabetes type, with the aim of improving the quality of life for individuals with DM. Sixty patients with diabetes mellitus were examined across several medical institutions in the Kyrgyz Republic. The patients were divided into two groups: Group 1 included individuals with type 1 diabetes mellitus, and Group 2 included those with type 2 diabetes mellitus. Research methods: Semi-structured interviews were conducted, and patients were assessed using standardized tools for anxiety, depression, mental defense mechanisms (MDMs), and the loneliness scale. Statistical analysis was performed using SPSS Statistics 16.0 for Windows and Microsoft Excel. Results and Discussion: Patients with type 2 diabetes mellitus demonstrated higher levels of anxiety compared to those with type 1. Depression levels were similar in both groups. However, loneliness was more pronounced among type 2 DM patients. Regarding mental defense mechanisms, rationalization, compensation, and repression were more commonly observed in patients with type 1 DM, whereas rationalization, compensation, and projection were predominant among those with type 2 DM. Thus, the identified correlations allow us to identify stereotypes of comorbidity in diabetes mellitus, which should be taken into account in the construction of diagnostic and therapeutic strategies, taking into account our therapeutic and diagnostic model with differentiated approaches in psychocorrection, depending on the type of diabetes mellitus.