新的糖尿病指南强调治疗的个体化

New Diabetes Guidelines Emphasize Individualized Care Plans

新的糖尿病指南强调治疗的个体化

April 14, 2011 (San Diego, California) ? The American Association of Clinical Endocrinology (AACE) has released new clinical practice guidelines for developing comprehensive care plans for patients with type 1 and type 2 diabetes mellitus, developed by a panel of 23 of the country"s leading diabetes experts.海南医学院附属医院内分泌科王新军

2011年4月14日（圣地亚哥，加利福尼亚州） - 美国临床内分泌协会（AACE）发布了新的治疗1型和2型糖尿病的临床实践指南，此指南是由一个包括23位全国著名的糖尿病专家小组制定的。

The guidelines emphasize the importance of achieving a treatment plan that avoids hypoglycemia, now considered to be a continual and pressing concern for many patients with diabetes. The implications of the new guidelines for practicing physicians, as well as new data on low blood sugar in patients with diabetes, will be discussed tomorrow here at the AACE 20th Annual Meeting and Clinical Congress. The new AACE guidelines are also published in supplement 2 of the March/April issue of the association"s official medical journal, Endocrine Practice.

该指南强调了执行避免低血糖治疗计划的重要性，现在认为这是一个很多糖尿病患者一直迫切关注的问题。这项针对临床医师的新指南的内容，以及关于糖尿病患者低血糖的新数据，将在明天举行的AACE第20届年会和临床研讨会上进行讨论。该AACE新指南也同时在该协会的官方医学期刊《内分泌实践》三月/四月的增刊上发表。

The guidelines emphasize a personalized approach to controlling diabetes and achieving blood glucose targets with care plans that take into account patients" risk factors for complications, comorbid conditions, and psychological, social, and economic status. Although the guidelines recommend a blood glucose target of an HbA_1c level of 6.5%, if it can be achieved safely, a treatment plan should take into account a patient"s risk for the development of severe hypoglycemia.

该指南强调了制定控制糖尿病和控制血糖达标计划要考虑患者危险因素、并发症、伴发病、心里因素、社会因素和经济状况的重要性。虽然指南建议如果能够实现安全达标，糖化血红蛋白的目标是6.5％，但是制定治疗计划应该考虑患者到发生严重低血糖的风险。

The new guidelines also provide information on the appropriate use of new technologies such as insulin pumps and continuous glucose monitoring, as well as managing conditions that may not be immediately obvious to treating physicians, such as sleep and breathing disturbances and depression.

新准则还提供了一些新技术如胰岛素泵和连续血糖监测的合理使用信息，以及一些可能不会立即表现给医师的疾病，例如睡眠和呼吸紊乱和抑郁症的处理。

In a statement, Yehuda Handelsman, MD, AACE president-elect and cochair of the AACE Diabetes Guidelines Writing Committee, said that it was crucial for physicians to address not just hyperglycemia in patients with diabetes but also associated cardiovascular risk factors. "These state-of-the-art guidelines provide the most up-to-date evidence-based answers to real-life [clinical] questions," Dr. Handelsman said.

在一份声明中，AACE的侯任主席， AACE糖尿病指南写作委员会的联合主席，Yehuda Handelsman博士说，医师不仅仅需要解决糖尿病患者的高血糖问题，而且应该关注相关的心血管危险因素。 “这些全国性的指南提供了最新的以证据为基础的现实工作中[临床]遇到的问题的答案，” Handelsman博士说。

In the guidelines, AACE recommends comprehensive diabetes lifestyle management education at the time of diagnosis, as well as throughout the course of diabetes. The importance of medical nutrition therapy, physical activity, avoidance of tobacco products, and adequate quantity and quality of sleep should be discussed with patients who have prediabetes, as well as type 1 and type 2 diabetes, according to the new guidelines.

在指南中，AACE建议在糖尿病确诊时以及整个糖尿病病程中应进行综合的生活方式治疗教育。根据新的指南，医疗营养治疗、体力活动、戒烟、足够有质量睡眠的重要性应该与糖尿病前期以及1型和2型糖尿病患者进行讨论。

Endocr Pract. 2011;17(Suppl 2):1-53.