超重肥胖青壮年2型糖尿病中西医治疗概述

The Review of Traditional Chinese and Western Medicine Treatment of Type 2 Diabetes Mellitus in Overweight Obese Young Adults

2型糖尿病是一种以慢性血清葡萄糖水平升高、体内脂代谢异常为特征的常见代谢性疾病,起病年龄逐渐年轻化,且伴随超重/肥胖患病率快速升高,增加血糖达标难度,影响生活质量。中医防治疾病从整体角度出发,综合治疗是其优势,通过纠正体质偏颇、调节肠道菌群、改善胰岛素抵抗等方面减重、降糖。本文从人群特点、生活方式干预管理模式、西医治疗、中医治疗4个方面总结现今超重肥胖青壮年2型糖尿病患者的诊治方案,以期为今后实现未病先防、既病防变的中医药规范化治疗提供参考。

Type 2 diabetes mellitus is a common metabolic disease characterized by chronic elevated serum glucose level and abnormal lipid metabolism in the body.The age of onset gradually becomes younger,and the prevalence of overweight/obesity is increasing rapidly,which increases the difficulty of controlling blood glucose and affects the quality of life.Based on the Concept of Wholism of TCM,losing weight and reducing glucose can be achieved through correcting physical bias,regulating intestinal flora and improving insulin resistance.This article summarizes the current diagnosis and treatment of overweight/obese young adults with type 2 diabetes mellitus in four aspects:population characteristics,lifestyle intervention management mode,western medicine treatment and TCM treatment,with a purpose to provide reference for the standardized treatment of traditional Chinese medicine to prevent the disease before it develops and prevent the disease from changing in the future.