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影响老年 2 型糖尿病患者安全降糖的因素:以患者为中心的个体化(PROACTIVE)老年血糖目标:欧洲初级保健糖尿病学会的立场声明。

Factors influencing safe glucose-lowering in older adults with type 2 diabetes: A PeRsOn-centred ApproaCh To IndiVidualisEd (PROACTIVE) Glycemic Goals for older people: A position statement of Primary Care Diabetes Europe.

机构信息

Department of Public Health and Primary Care, School of Clinical Medicine, Box 285, Cambridge Biomedical Campus, Cambridge, CB2 0SR, United Kingdom; Diabetes Research Centre, University of Leicester, Leicester General Hospital, Gwendolen Road, Leicester, LE5 4PW, United Kingdom.

Diabetes Research Centre, University of Leicester, Leicester General Hospital, Gwendolen Road, Leicester, LE5 4PW, United Kingdom.

出版信息

Prim Care Diabetes. 2019 Aug;13(4):330-352. doi: 10.1016/j.pcd.2018.12.005. Epub 2019 Feb 18.

Abstract

Diabetes in later life is associated with a range of factors increasing the complexity of glycaemic management. This position statement, developed from an extensive literature review of the subject area, represents a consensus opinion of primary care clinicians and diabetes specialists. It highlights many challenges facing older people living with type 2 diabetes and aims to support primary care clinicians in advocating a comprehensive, holistic approach. It emphasises the importance of the wishes of the individual and their carers when determining glycaemic goals, as well as the need to balance intended benefits of treatment against the risk of adverse treatment effects. Its ultimate aim is to promote consistent high-quality care for older people with diabetes.

摘要

老年糖尿病与一系列增加血糖管理复杂性的因素有关。本立场声明源自对该主题领域的广泛文献回顾,代表了初级保健临床医生和糖尿病专家的共识意见。它强调了患有 2 型糖尿病的老年人所面临的许多挑战,并旨在支持初级保健临床医生倡导全面、整体的方法。它强调了在确定血糖目标时个体及其照顾者的意愿的重要性,以及需要平衡治疗的预期益处与治疗不良反应的风险。其最终目标是为老年糖尿病患者提供一致的高质量护理。

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