摘要
糖尿病的全球患病率高,其主要危害在于各种并发症的发生,如心血管疾病和慢性肾病等。近年来,随着相关临床研究的发展,人们对糖尿病及其并发症的认知和管理也随之发生变化;这在国内外诊疗指南更新中,体现为从以"降糖"为中心到以"结局"为中心的观念变革,开启了糖尿病治疗的新时代。本文根据循证证据及相关指南的更新对2型糖尿病管理理念的变迁作一综述。
The worldwide prevalence of diabetes mellitus is high,and the disease burden is mainly due to its various complications,such as cardiovascular disease and chronic kidney disease.In recent years,with the development of related clinical research,the awareness of diabetes and the management strategies of its complications have also changed.In the update of domestic and international guidelines for management of diabetes,these changes were manifested as the management concept changes from emphasizing glucose-lowering to outcome,which opened a new era of treatment of diabetes mellitus.This article reviewed the changes in the management concept of type 2 diabetes mellitus on the base of the evidence-based clinical trials and the related guidelines.
作者
曲伸
Qu Shen(Department of Endocrinology,Shanghai Tenth People′s Hospital(The Tenth People′s Hospital of Tongji University),Shanghai 200072,China)
出处
《中华内分泌代谢杂志》
CAS
CSCD
北大核心
2020年第8期723-726,共4页
Chinese Journal of Endocrinology and Metabolism
关键词
糖尿病
2型
疾病管理
指南
变迁
Diabetes mellitus,type 2
Disease management
Guideline
Changes
