老年人群的糖尿病控制:治疗病人,而不是治疗糖化血红蛋白
Diabetes control in older people:Treat the patient not the HbA1 c
摘要
医疗服务提供者们必须准备好面对两个人口统计学变化:人们对寿命的预期增加以及我们正在变胖这个事实。各个年龄人群中,包括高龄人群中的糖尿病患病率都在提高。65岁以上的糖尿病患者的微血管和大血管并发症的发病率更高,导致住院率增加、医疗费用和护理费用增加,对社会照顾的需求也增加。治疗老年糖尿病患者是一个挑战,不仅因为低血糖的风险,过于激进的治疗也会导致并发症增加。
出处
《英国医学杂志中文版》
2013年第5期261-262,共2页
The BMJ Chinese Edition
参考文献12
-
1Kirkman MS, Bridscoe VJ, Clark N, Florez H, Haas LB, Halter JB , et al. Diabetes in older adults. A consensus report from the American Diabetes Association and the American Geriatrics Society. Diabetes Care 2012 ;35 :2650-64.
-
2Nathan DM, Buse JB, Davidson MB, Heine RJ, Holman RR, Sherwin R, et a1. Management of hyperglycaemia in type 2 diabetes. A consensus algorithm for the initiation and adjustment of therapy. A consensus statement from the American Diabetes Association and the European Association for the Study of Diabetes. Diabetes Care 2006 ; 29 :963-72.
-
3British Geriatrics Society. Best practice guide 6. 4: Diabetes. 2009.
-
4Sinclair AJ, Paolisso G, Castro M, Bourdel- Marchasson I, Gadsby R, Rodriguez Mafias L, et al. European Diabetes Working Party for Older People 2011. Clinical guidelines for type 2 diabetes. Executive summary. Diabetes Metab 2011 ;37: S27 -38.
-
5National Diabetes Audit 2010-2011. 2012.
-
6Gerstein HC, Miller ME, Byington RP, Byington RP, GolT DC Jr , Bigger JT, et al ; Action to Control Cardiovascular Risk in Diabetes Study Group. Effects of intensive glucose lowering in type 2 diabetes. N Engl J Med 2008 ;358 :2545-59.
-
7Patel A, MacMahon S, Chalmers J, Neal B, Billot L, Woodward M, et al , ADVANCE Collaborative Group. Intensive blood glucose control and vascular outcomes in patients with type 2 diabetes. N Engl J Med 2008 ;358 :2560-72.
-
8Duckwortb W, Abraira C, Moritz T, Reda D, Emanuele N, Heaven PD, et al; VADT Investigators. Glucose control and vascular complications in veterans with type 2 diabetes. N Engl J Med 2009 ;360: 129-39.
-
9Munshi MN, Segal AR, Suhl E, Staum E, Desrochers L, Sternthal A, et al. Frequent hypoglycaemia among elderly patients with poor glycaemia control. Arch Intern Med 2011,171 :3624.
-
10Nauck MA, Meininger G, Sheng D, Terranella L, Stein PP, Tesone P, et al. Efficacy and safety of the dipeptidyl peptidase4 inhibitor, sitagliptin, compared with tbe sulfonylurea, glipizide, in patients with type 2 diabetes inadequately controlled on metformin alone: a randomized, double-blind, non-inferiority trial. Diabetes Obes Meta/, 2007 ;9: 194-205.
-
1杨京生.“激进”的糖尿病治疗新主张[J].糖尿病之友,2005(7):23-25.
-
2屠伟峰,戴建强.冠心病患者非心脏手术的术前评估与准备[J].实用医学杂志,2004,20(4):348-351.
-
3张琼,张鑫,魏军.利奈唑胺相关血小板减少的临床观察及护理[J].山东医药,2010,50(16):115-115. 被引量:5
-
4郑知刚,小徐.警惕血栓性疾病(三)——房颤是一个可引起血栓栓塞的常见病[J].中老年保健,2014(7):14-15.
-
5刘向儒,谭小军.脂必妥治疗高龄老人高脂血症疗效观察[J].郴州医学高等专科学校学报,2002,4(4):47-48.
-
6钱韶红.老年人急性胰腺炎治疗体会[J].中华老年多器官疾病杂志,2002,1(3).
-
7刘郁,肖莉,刘菲.老年人急性中毒的流行病学特点[J].中华老年医学杂志,2005,24(6):466-467. 被引量:9
-
8甄海宁,熊碧芳,彭波,黄经.奥曲肽治疗老年上消化道出血的临床观察[J].临床急诊杂志,2001,2(2):84-85.
-
9闵云花.糖尿病黄斑水肿的处理[J].眼科研究,1999,17(4):317-319. 被引量:3
-
10冯敬东,郭汉卿,汪春晖,黄武健.东莞市社区居民高血压患病情况及影响因素分析[J].中国医疗前沿,2009,4(3):23-24. 被引量:3