中国老年糖尿病诊疗指南(2024版)

Guideline for the Management of Diabetes Mellitus in the Elderly in China(2024 edition)

随着我国人口老龄化的加剧,老年糖尿病的患病率明显增高,其规范化管理对改善老年糖尿病患者的临床结局至关重要。2021年国家老年医学中心、中华医学会老年医学分会以及中国老年保健协会糖尿病专业委员会组织专家撰写了我国首部老年糖尿病指南,即《中国老年糖尿病诊疗指南(2021年版)》,强调老年糖尿病患者存在高度异质性,需要综合评估,采取分层和个体化的管理策略,首次提出针对老年糖尿病患者的“简约治疗理念”和“去强化治疗策略”。该版指南为临床医师提供了实用的、可操作的临床指导,对我国老年糖尿病患者全方位、全周期的规范化综合管理起到了极大的推动作用,同时也推动了我国老年糖尿病及相关领域临床和基础研究的广泛开展。指南发布近三年来,国内外老年糖尿病及相关领域的循证医学证据进一步积累,新的治疗理念、新型药物及治疗技术不断涌现,指南编委会及时对第一版指南进行了更新,对老年糖尿病的血糖管理路径进行了进一步细化和优化,编写了《中国老年糖尿病诊疗指南(2024版)》,以期继续助力中国老年糖尿病患者的规范化管理及临床结局的改善。

With the deepening of aging in China,the prevalence of diabetes in older people has in-creased noticeably,and standardized diabetes management is critical for improving clinical outcomes of diabetes in older people.In 2021,the National Center of Gerontology,Chinese Society of Geriatrics,and Diabetes Pro-fessional Committee of Chinese Aging Well Association organized experts to write the first guideline for diabetes diagnosis and treatment in older people in China,the Guideline for the Management of Diabetes Mellitus in the Elderly in China(2021 edition).The guideline emphasizes that older patients with diabetes are a highly hetero-geneous group requiring comprehensive assessment and stratified and individualized management strategies.The guideline proposes simple treatments and de-intensified treatment strategies for older patients with diabetes.This edition of the guideline provides clinicians with practical and operable clinical guidance,thus greatly contribu-ting to the comprehensive and full-cycle standardized management of older patients with diabetes in China and promoting the extensive development of clinical and basic research on diabetes in older people and related fields.In the past 3 years,evidence-based medicine for older patients with diabetes and related fields has fur-ther advanced,and new treatment concepts,drugs,and technologies have been developed.The guideline edito-rial committee promptly updated the first edition of the guideline and compiled the Guideline for the Management of Diabetes Mellitus in the Elderly in China(2024 edition).More precise management paths for older patients with diabetes are proposed,for achieving continued standardization of the management of older Chinese patients with diabetes and improving their clinical outcomes.