基层口服降糖药物联合及起始胰岛素治疗2型糖尿病中国专家共识

Expert consensus on the combination of oral antidiabetic drugs and insulin in the treatment of type 2 diabetes mellitus in primary health care institutions

基层医生面对当前增多的2型糖尿病(T2DM)患者和诸多的降糖药物更需要掌握联合使用降糖药物的知识。在中华医学会糖尿病学分会的指导下,基层糖尿病防治学组专家以问答的形式完成了《基层口服降糖药物联合及起始胰岛素治疗2型糖尿病中国专家共识》20个常见问题。旨在指导基层医师在T2DM治疗中根据血糖和糖化血红蛋白A1c(HbA1c)的水平,在生活方式干预和二甲双胍治疗的基础上,如不达标即开始口服降糖药物联合治疗和(或)起始胰岛素治疗直至达标及后续降糖治疗方案的优化。本共识将有助于基层医师合理使用降糖物药。

In the face of the increasing number of patients with type 2 diabetes mellitus(T2DM)and various kinds of oral antidiabetic drugs,grassroots doctors need to master the knowledge of medicine combinations.Under the guidance of the Chinese Medical Association Diabetes Branch,the Grassroots Diabetes Prevention and Control Working Group organized experts to complete twenty frequently asked questions"Expert consensus on the combination of grassroots oral antidiabetic drugs and the use of insulin in the treatment of type 2 diabetes mellitus"in question-and-answer formats,aiming to guide grassroots doctors in the treatment of T2DM according to the level of blood sugar and HbA1c based on lifestyle intervention and metformin treatment.Starting oral antidiabetic drugs combination therapy and/or combined insulin if the target is not reached,until the target is reached and the subsequent hypoglycemic therapy is optimized.This consensus will contribute to guide and assist grassroots doctors in rational drug use.