文章摘要
郭立新.糖尿病的流行势态和应对策略[J].中国临床保健杂志,2020,23(4):433-436.
糖尿病的流行势态和应对策略
The epidemic situation and intervention strategies of diabetes mellitus
投稿时间:2020-05-28  
DOI:10.3969/J.issn.1672-6790.2020.04.001
中文关键词: 糖尿病  预防卫生服务  流行病学研究  影响因素分析  疾病管理
英文关键词: Diabetes mellitus  Preventive health services  Root cause analysis  Disease management 〖FL
基金项目:
作者单位
郭立新 北京医院内分泌科 国家老年医学中心 中国医学科学院老年医学研究院,北京 100730,China 
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中文摘要:
      随着人均寿命延长及老龄化社会的到来,近四十年来我国糖尿病患病率一路飙升,已成为重要的公共卫生问题,对国家经济发展产生影响。糖尿病高发与营养过度、劳动强度下降、生命早期营养不良等有关。新近研究显示,肥胖及其导致的胰岛素抵抗是中国糖尿病患病率增加的重要因素。糖尿病防治需要从三级预防出发,对糖尿病高危人群,应提高危险因素的管控;对确诊的糖尿病患者,减少其并发症发生发展;对长病程糖尿病患者,规范筛查与管理其并发症。在治疗方案上,新型降糖药的出现为糖尿病管理提供了新选择。
英文摘要:
      During the last 40 years,with the rapid economic development,prolonged life expectancy and the aging society,the prevalence of diabetes in China has soared.This has not only become an important public health problem but also decelerated the economic development of the country.The high prevalence of diabetes is related to overnutrition,sedentary lifestyle and malnutrition in early life.A recent study shows that abdominal obesity and insulin resistance are important factors conducted to high prevalence of diabetes in China.The prevention and treatment of diabetes should be based on three-grade prevention.SGLT2i and GLP-1RA have been proved to improve cardiovascular and renal outcomes,providing a new choice for diabetes management.
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