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 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-06-01 Epub Date: 2024-05-15 DOI:10.1177/14782715241254873

Sarita Jacob, George I Varughese

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。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.