强化血糖控制与糖尿病视网膜病变短暂进展的临床悖论:优先考虑眼科筛查间隔的相关性。

IF 1.1 Q2 MEDICINE, GENERAL & INTERNAL
Sarita Jacob, George I Varughese
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引用次数: 0

摘要

随着血糖控制的优化,糖尿病视网膜病变早期恶化的矛盾性已得到公认。根据国家糖尿病眼科筛查计划指南的变化,2 型糖尿病患者在眼科筛查中被评为 R0M0 级,血糖控制得到加强,但如果只进行两年一次的监测,可能会错过糖尿病视网膜病变的进展。不过,从为 1 型糖尿病患者提供新型混合闭环胰岛素给药系统的角度来看,最新的指南允许对 24 个月筛查间隔的建议进行调整。筛查软件中有一个覆盖选项,可以在使用闭环系统后再进行 12 个月的筛查。早在几年前,人们就提出了在孕期加强血糖控制时进行更频繁筛查的建议。有趣的是,目前还没有针对使用 GLP-1RA 治疗 T2DM 患者或减肥手术后患者的此类指导,尽管已经观察到了公认的影响。随着新的增量素模拟治疗方法即将问世,我们有必要对此进行审查和重新评估。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Intensive glucose control and the clinical paradox of transient progression of diabetic retinopathy: Prioritising the relevance of eye screening intervals.
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来源期刊
CiteScore
1.80
自引率
0.00%
发文量
81
审稿时长
20 weeks
期刊介绍: The Journal of the Royal College of Physicians of Edinburgh (JRCPE) is the College’s quarterly, peer-reviewed journal, with an international circulation of 8,000. It has three main emphases – clinical medicine, education and medical history. The online JRCPE provides full access to the contents of the print journal and has a number of additional features including advance online publication of recently accepted papers, an online archive, online-only papers, online symposia abstracts, and a series of topic-specific supplements, primarily based on the College’s consensus conferences.
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