So among the child population of Kursk region of the primary disability type 1 diabetes was 61.9%, and among re-recognized disabilities – 1 DM is 51.6% of all diseases of the endocrine, nutritional and metabolic disorders. In any case, this phenomenon requires further scientific development. Untreated or poorly controlled diabetes leads to early occurrence in patients with chronic diabetes complications, which are a major cause of disability. In this regard, the diagnostic search for long-term complications of diabetes is essential in all cases 2 diabetes and in patients with type 1 diabetes over 5 years. Analysis of the state disability for diabetes population of Kursk region has shown that this pathology is the frequency of disability in the 1st place in the class of endocrine , nutritional and metabolic disorders. A total disability rate for this pathology is the 4th ranked site, yielding only a disease of the circulatory system, malignant neoplasms and diseases kostnomyshechnoy system and connective tissue. In the Kursk region the main types of chronic complications of diabetes, leading to disability are retinopathy and intercurrent disease that develops against the background of the underlying disease and its aggravating flow (ischemic heart disease and heart failure as a complication of coronary artery disease, cerebrovascular disease, peripheral angiopathy, diabetic neuropathy).

At the same time, in the countryside is dominated by people with disabilities from intercurrent disease (40%) and nephropathy (10%) then, as in urban areas – retinopathy (35%) and diabetic foot (25%). From the above It follows that in case of overt signs of complications caused by diabetes, leading to restriction of activity the patient must be timely referral to the Bureau of Medical and Social Expertise (ITU). The prevalence of disability, both primary and repeated, which became the cause of endocrine, nutritional and metabolic disorders (including diabetes), considerably greater than that for RF (Table 3). Table 3. The dynamics of disability caused by diseases of the endocrine system in the Kursk region of Russia and for 2005 – 2007 years (per 100 thousand population) nosology Kursk / Russia 2005 1 2006 2007 for the first time again for the first time again for the first time again endokr Diseases.