ADA/EASD联合立场声明——2型糖尿病的高血糖治疗:以患者为中心的路径

2012-06-26 MedSci MedSci原创

 6月9日,来自耶鲁大学的Inzucchi教授做了"ADA/EASD关于2型糖尿病高血糖管理的新立场声明"的报告。   其内容主要关键点:血糖达标与降糖治疗必须个体化;饮食、运动和教育是2型糖尿病治疗的基础。除非有禁忌症,二甲双胍应该是一线降糖药。除了二甲双胍,药物数据有限。联合应用其他1-2中降糖药或注射药是合理的,可以增加疗效和减少副作用。最终,许多患者需要单独使用胰岛素或联合用胰岛素以维持

 6月9日,来自耶鲁大学的Inzucchi教授做了"ADA/EASD关于2型糖尿病高血糖管理的新立场声明"的报告。

  其内容主要关键点:血糖达标与降糖治疗必须个体化;饮食、运动和教育是2型糖尿病治疗的基础。除非有禁忌症,二甲双胍应该是一线降糖药。除了二甲双胍,药物数据有限。联合应用其他1-2中降糖药或注射药是合理的,可以增加疗效和减少副作用。最终,许多患者需要单独使用胰岛素或联合用胰岛素以维持血糖稳定。所有的治疗措施都应该与患者商量,集中考虑选择、需要和价值。全面降低心血管危险因素水平。这次共识一个显著的特点是强调个体化治疗和取得患者的信任和配合。(文章转自中华医学会糖尿病学分会官网)

  点击这里下载: ADA/EASD联合立场声明——2型糖尿病的高血糖治疗:以患者为中心的路径中文全文 (PDF文件)

版权声明:
本网站所有内容来源注明为“梅斯医学”或“MedSci原创”的文字、图片和音视频资料,版权均属于梅斯医学所有。非经授权,任何媒体、网站或个人不得转载,授权转载时须注明来源为“梅斯医学”。其它来源的文章系转载文章,或“梅斯号”自媒体发布的文章,仅系出于传递更多信息之目的,本站仅负责审核内容合规,其内容不代表本站立场,本站不负责内容的准确性和版权。如果存在侵权、或不希望被转载的媒体或个人可与我们联系,我们将立即进行删除处理。
在此留言
评论区 (4)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=1690561, encodeId=60081690561ee, content=<a href='/topic/show?id=5c472843a1' target=_blank style='color:#2F92EE;'>#ASD#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2843, encryptionId=5c472843a1, topicName=ASD)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4e8529069357, createdName=okhuali, createdTime=Sun Jun 02 06:09:00 CST 2013, time=2013-06-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1261048, encodeId=e44a1261048ee, content=<a href='/topic/show?id=30c6102e2607' target=_blank style='color:#2F92EE;'>#高血糖#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=102726, encryptionId=30c6102e2607, topicName=高血糖)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=智慧医人, createdTime=Thu Jun 28 12:09:00 CST 2012, time=2012-06-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1264448, encodeId=6593126444877, content=<a href='/topic/show?id=150f19229c' target=_blank style='color:#2F92EE;'>#ADA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=1922, encryptionId=150f19229c, topicName=ADA)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ad9f79, createdName=般若傻瓜, createdTime=Thu Jun 28 12:09:00 CST 2012, time=2012-06-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1534055, encodeId=a7e61534055c3, content=<a href='/topic/show?id=576e643634' target=_blank style='color:#2F92EE;'>#EASD#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=6436, encryptionId=576e643634, topicName=EASD)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=21f812527653, createdName=qilu_qi, createdTime=Thu Jun 28 12:09:00 CST 2012, time=2012-06-28, status=1, ipAttribution=)]
    2013-06-02 okhuali
  2. [GetPortalCommentsPageByObjectIdResponse(id=1690561, encodeId=60081690561ee, content=<a href='/topic/show?id=5c472843a1' target=_blank style='color:#2F92EE;'>#ASD#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2843, encryptionId=5c472843a1, topicName=ASD)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4e8529069357, createdName=okhuali, createdTime=Sun Jun 02 06:09:00 CST 2013, time=2013-06-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1261048, encodeId=e44a1261048ee, content=<a href='/topic/show?id=30c6102e2607' target=_blank style='color:#2F92EE;'>#高血糖#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=102726, encryptionId=30c6102e2607, topicName=高血糖)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=智慧医人, createdTime=Thu Jun 28 12:09:00 CST 2012, time=2012-06-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1264448, encodeId=6593126444877, content=<a href='/topic/show?id=150f19229c' target=_blank style='color:#2F92EE;'>#ADA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=1922, encryptionId=150f19229c, topicName=ADA)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ad9f79, createdName=般若傻瓜, createdTime=Thu Jun 28 12:09:00 CST 2012, time=2012-06-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1534055, encodeId=a7e61534055c3, content=<a href='/topic/show?id=576e643634' target=_blank style='color:#2F92EE;'>#EASD#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=6436, encryptionId=576e643634, topicName=EASD)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=21f812527653, createdName=qilu_qi, createdTime=Thu Jun 28 12:09:00 CST 2012, time=2012-06-28, status=1, ipAttribution=)]
  3. [GetPortalCommentsPageByObjectIdResponse(id=1690561, encodeId=60081690561ee, content=<a href='/topic/show?id=5c472843a1' target=_blank style='color:#2F92EE;'>#ASD#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2843, encryptionId=5c472843a1, topicName=ASD)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4e8529069357, createdName=okhuali, createdTime=Sun Jun 02 06:09:00 CST 2013, time=2013-06-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1261048, encodeId=e44a1261048ee, content=<a href='/topic/show?id=30c6102e2607' target=_blank style='color:#2F92EE;'>#高血糖#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=102726, encryptionId=30c6102e2607, topicName=高血糖)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=智慧医人, createdTime=Thu Jun 28 12:09:00 CST 2012, time=2012-06-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1264448, encodeId=6593126444877, content=<a href='/topic/show?id=150f19229c' target=_blank style='color:#2F92EE;'>#ADA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=1922, encryptionId=150f19229c, topicName=ADA)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ad9f79, createdName=般若傻瓜, createdTime=Thu Jun 28 12:09:00 CST 2012, time=2012-06-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1534055, encodeId=a7e61534055c3, content=<a href='/topic/show?id=576e643634' target=_blank style='color:#2F92EE;'>#EASD#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=6436, encryptionId=576e643634, topicName=EASD)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=21f812527653, createdName=qilu_qi, createdTime=Thu Jun 28 12:09:00 CST 2012, time=2012-06-28, status=1, ipAttribution=)]
    2012-06-28 般若傻瓜
  4. [GetPortalCommentsPageByObjectIdResponse(id=1690561, encodeId=60081690561ee, content=<a href='/topic/show?id=5c472843a1' target=_blank style='color:#2F92EE;'>#ASD#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2843, encryptionId=5c472843a1, topicName=ASD)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=4e8529069357, createdName=okhuali, createdTime=Sun Jun 02 06:09:00 CST 2013, time=2013-06-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1261048, encodeId=e44a1261048ee, content=<a href='/topic/show?id=30c6102e2607' target=_blank style='color:#2F92EE;'>#高血糖#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=102726, encryptionId=30c6102e2607, topicName=高血糖)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=智慧医人, createdTime=Thu Jun 28 12:09:00 CST 2012, time=2012-06-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1264448, encodeId=6593126444877, content=<a href='/topic/show?id=150f19229c' target=_blank style='color:#2F92EE;'>#ADA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=1922, encryptionId=150f19229c, topicName=ADA)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ad9f79, createdName=般若傻瓜, createdTime=Thu Jun 28 12:09:00 CST 2012, time=2012-06-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1534055, encodeId=a7e61534055c3, content=<a href='/topic/show?id=576e643634' target=_blank style='color:#2F92EE;'>#EASD#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=6436, encryptionId=576e643634, topicName=EASD)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=21f812527653, createdName=qilu_qi, createdTime=Thu Jun 28 12:09:00 CST 2012, time=2012-06-28, status=1, ipAttribution=)]
    2012-06-28 qilu_qi

相关资讯

ADA 2012六大研究进展

在本届ADA年会上,《糖尿病护理杂志》(Diabetes Care)举办年度研讨会,首次公布6项糖尿病领域具有标志性意义的研究结果,分别是: 一、ACCORD血压试验发现,强化血压控制不能改善合并2型糖尿病的中心性肥胖的高血压患者的心血管预后。 二、研究发现,接受自体非骨髓造血干细胞移植治疗的患者中,无酮症酸中毒诊断的患者远期胰岛素依赖的治疗效果较好。 三、强化糖尿病治疗3.5年的胰岛bet

ADA/EASD糖尿病高血糖管理声明

  2型糖尿病的血糖管理已日趋复杂并伴随争议,随着可用药物的不断增多,有关药物潜在不良反应的担忧及强化血糖控制对于大血管并发症益处的不确定性不断增加。很多医生在为患者制定最佳策略时感到困惑。   为此,美国糖尿病学会(ADA)和欧洲糖尿病研究学会(EASD)召集了一个联合工作组,检验了证据并提出了非妊娠成人2型糖尿病患者降糖治疗的建议。ADA和EASD及其他学会和组织已经发布过几个相关的指南文件

ADA糖尿病指南更新三要点

 2011年初,美国糖尿病学会(ADA)按照惯例再度更新了糖尿病诊疗指南[Diabetes Care 2011, 34(Suppl 1): S1],为临床实践提供了与时俱进的建议。虽然与2010版指南公布仅相隔1年,但新版指南仍有部分更新要点值得总结。   更新点1 妊娠糖尿病筛查及诊断标准更严格   肥胖和糖尿病的持续流行使更多育龄妇女罹患2

ADA/EASD 2012年糖尿病指南解读和下载

  美国糖尿病学会(ADA,American Diabetes Association)和欧洲糖尿病研究协会(EASD,European Association for the Study of Diabetes)发表有关2型糖尿病治疗的最新立场声明,强调以患者为中心的治疗。      新指南的主要建议:   ? 必须根据患者具体特点制定个体化的血糖目标和降血糖治疗方

ADA官方杂志精选中文版近期出版

  美国糖尿病学会(ADA)出版有《糖尿病》(Diabetes)、《糖尿病护理》(Diabetes Care)、《临床糖尿病》(Clinical Diabetes)和《糖尿病谱》(Diabetes Spectrum)4本官方杂志,近日ADA首次为中国糖尿病学界设立上述杂志精选中文版《American Diabetes Association Journals In Focus》,以向我国传播和介绍

2012年ADA糖尿病诊疗标准版

  糖尿病是一种慢性疾病,需要持续的治疗、不断的患者自我管理教育和预防急性并发症及降低长期并发症的风险。糖尿病治疗是复杂的,需要解决控制血糖之外的很多问题。大量的证据支持,一定的干预措施可改善糖尿病的结果。   本标准由糖尿病治疗、治疗目标和治疗质量评估工具组成,与临床医生、患者、研究人员、付款人和其他感兴趣的人分享,其中,各项指标适用于大多数糖尿病患者,但须根据患者的个体偏好、合并症以及其他因