美国临床内分泌医师学会(AACE)于近日公布了糖尿病综合治疗方案最新指南[Endocr Pract. 2011;17(Suppl 2):1-53]。新指南认可了制定个体化治疗方案和确定个体化目标的必要性;后两者应基于糖尿病持续时间、共病、预期寿命和安全治疗供应能力而得出。该指南由23个国家的领衔糖尿病专家起草制定,其目的在于对一系列问题做出回答,从而使医务人员能够顺利找到相关信息。该指南涉及了许多重要主题,其中包括1、2型糖尿病患者和糖尿病前期患者的治疗以及儿童、青少年、孕妇和住院患者的治疗。该指南还涉及了胰岛素泵和动态血糖监测(CGM)等新技术的应用,以及睡眠呼吸紊乱和抑郁等相对陌生的主题。
American Association of Clinical Endocrinologists Medical Guidelines for Clinical Practice are systematically developed statements to assist health-care professionals in medical decision making for specific clinical conditions. Most of the content herein is based on literature reviews. In areas of uncertainty, professional judgment was applied.
These guidelines are a working document that reflects the state of the field at the time of publication. Because rapid changes in this area are expected, periodic revisions are inevitable. We encourage medical professionals to use this information in conjunction with their best clinical judgment. The presented recommendations may not be appropriate
in all situations. Any decision by practitioners to apply these guidelines must be made in light of local resources and individual patient circumstances.
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