Improving glucose management: ten steps to get more patients with type 2 diabetes to glycaemic goal. Recommendations from the Global Partnership for Effective Diabetes Management.

S Del Prato, A-M Felton, N Munro, R Nesto, P Zimmet, B Zinman
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Abstract

Despite increasingly stringent clinical practice guidelines for glycaemic control, the implementation of recommendations has been disappointing, with over 60% of patients not reaching recommended glycaemic goals. As a result, current management of glycaemia falls significantly short of accepted treatment goals. The Global Partnership for Effective Diabetes Management has identified a number of major barriers that can prevent individuals from achieving their glycaemic targets. This article proposes 10 key practical recommendations to aid healthcare providers in overcoming these barriers and to enable a greater proportion of patients to achieve glycaemic goals. These include advice on targeting the underlying pathophysiology of type 2 diabetes, treating early and effectively with combination therapies, adopting a holistic, multidisciplinary approach and improving patient understanding of type 2 diabetes. Implementation of these recommendations should reduce the risk of diabetes-related complications, improve patient quality of life and impact more effectively on the increasing healthcare cost related to diabetes.

改善血糖管理:十步让更多的2型糖尿病患者达到血糖目标。有效糖尿病管理全球伙伴关系的建议。
尽管血糖控制的临床实践指南越来越严格,但建议的实施令人失望,超过60%的患者没有达到推荐的血糖目标。因此,目前对血糖的管理远远达不到公认的治疗目标。有效糖尿病管理全球伙伴关系已经确定了一些主要的障碍,可以阻止个人实现他们的血糖目标。本文提出了10个关键的实用建议,以帮助医疗保健提供者克服这些障碍,并使更大比例的患者实现血糖目标。这些建议包括针对2型糖尿病的潜在病理生理学,早期有效地联合治疗,采用全面的多学科方法,提高患者对2型糖尿病的了解。实施这些建议应能降低糖尿病相关并发症的风险,改善患者的生活质量,并更有效地减少与糖尿病相关的医疗保健费用的增加。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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