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《美国糖尿病学会2019年版糖尿病医学诊疗标准》更新与解读

杨娜 张化冰 李玉秀

杨娜, 张化冰, 李玉秀. 《美国糖尿病学会2019年版糖尿病医学诊疗标准》更新与解读[J]. 协和医学杂志, 2019, 10(5): 476-480. doi: 10.3969/j.issn.1674-9081.2019.05.009
引用本文: 杨娜, 张化冰, 李玉秀. 《美国糖尿病学会2019年版糖尿病医学诊疗标准》更新与解读[J]. 协和医学杂志, 2019, 10(5): 476-480. doi: 10.3969/j.issn.1674-9081.2019.05.009
Na YANG, Hua-bing ZHANG, Yu-xiu LI. Interpretation on the Update of American Diabetes Association Standards of Medical Care in Diabetes—2019[J]. Medical Journal of Peking Union Medical College Hospital, 2019, 10(5): 476-480. doi: 10.3969/j.issn.1674-9081.2019.05.009
Citation: Na YANG, Hua-bing ZHANG, Yu-xiu LI. Interpretation on the Update of American Diabetes Association Standards of Medical Care in Diabetes—2019[J]. Medical Journal of Peking Union Medical College Hospital, 2019, 10(5): 476-480. doi: 10.3969/j.issn.1674-9081.2019.05.009

《美国糖尿病学会2019年版糖尿病医学诊疗标准》更新与解读

doi: 10.3969/j.issn.1674-9081.2019.05.009
基金项目: 

国家自然科学基金 NSFC91846106、NSFC71432004

国家自然科学基金 NSFC91846106、NSFC71432004

中国医学科学院医学与健康科技创新工程经费资助 CIFMS2016-I2M-4-001

中国医学科学院中央级公益性科研院所基本业务费 2017PT32020

中国医学科学院中央级公益性科研院所基本业务费 2018PT32001

详细信息
    通讯作者:

    张化冰 电话:010-69155073, E-mail:huabingzhang@sina.com

  • 中图分类号: R587.1

Interpretation on the Update of American Diabetes Association Standards of Medical Care in Diabetes—2019

More Information
  • 摘要: 糖尿病是目前最常见的慢性非传染性疾病之一, 美国糖尿病学会(American Diabetes Association, ADA)每年都会发布一版糖尿病医学诊疗标准, 2019年版已于2018年12月发布, 该诊疗标准为广大临床工作者在糖尿病的预防、诊断、治疗等方面提供了指导意见。本文主要对该版指南中更新的部分内容, 包括糖尿病用药方面尤其是合并动脉粥样硬化性心血管疾病、慢性肾脏病及心力衰竭的糖尿病患者的二联用药选择, 注射性降糖药物的选择, 糖尿病血压控制目标及阿司匹林使用等方面的内容进行解读, 以供临床医师参考。
    利益冲突  无
  • [1] American Diabetes Association. American Diabetes Associa-tion Standards of Medical Care in Diabetes-2019[J]. Diabetes Care, 2019, 42:S1-S186. doi:  10.2337/dc19-Sint01
    [2] 中华医学会糖尿病学分会.中国2型糖尿病防治指南(2017年版)[J].中华糖尿病杂志, 2018, 10:4-67.
    [3] Davies MJ, D'Alessio DA, Fradkin J, et al.Management of Hyperglycemia in Type 2 Diabetes, 2018. A Consensus Report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD)[J]. Diabetes Care, 2018, 41:2669-2701. doi:  10.2337/dci18-0033
    [4] Jorsal A, Kistorp C, Holmager P, et al. Effect of lirag-lutide, a glucagon-like peptide-1 analogue, on left ventricular function in stable chronic heart failure patients with and without diabetes (LIVE)-a multicentre, double-blind, randomised, placebo-controlled trial[J]. Eur J Heart Fail, 2017, 19:69-77. doi:  10.1002/ejhf.657
    [5] Margulies KB, Hernandez AF, Redfield MM, et al.Effects of Liraglutide on Clinical Stability Among Patients With Advanced Heart Failure and Reduced Ejection Fraction:A Randomized Clinical Trial[J]. JAMA, 2016, 316:500-508. doi:  10.1001/jama.2016.10260
    [6] Marso SP, Bain SC, Consoli A, et al.Semaglutide and Cardiovascular Outcomes in Patients with Type 2 Diabetes[J]. N Engl J Med, 2016, 375:1834-1844. doi:  10.1056/NEJMoa1607141
    [7] Marso SP, Daniels GH, Brown-Frandsen K, et al.Liraglutide and Cardiovascular Outcomes in Type 2 Diabetes[J]. N Engl J Med, 2016, 375:311-322. doi:  10.1056/NEJMoa1603827
    [8] Neal B, Perkovic V, Mahaffey KW, et al.Canagliflozin and Cardiovascular and Renal Events in Type 2 Diabetes[J]. N Engl J Med, 2017, 377:644-657. doi:  10.1056/NEJMoa1611925
    [9] Zinman B, Inzucchi SE, Lachin JM, et al. Rationale, design, and baseline characteristics of a randomized, placebo-controlled cardiovascular outcome trial of empagliflozin (EMPA-REG OUTCOME)[J]. Cardiovasc Diabetol, 2014, 13:102. doi:  10.1186/1475-2840-13-102
    [10] Abd El Aziz MS, Kahle M, Meier JJ, et al.A meta-analysis comparing clinical effects of short-or long-acting GLP-1 receptor agonists versus insulin treatment from head-to-head studies in type 2 diabetic patients[J]. Diabetes Obes Metab, 2017, 19:216-227. doi:  10.1111/dom.12804
    [11] Bowman L, Mafham M, Wallendszus K, et al.Effects of Aspirin for Primary Prevention in Persons with Diabetes Mellitus[J]. N Engl J Med, 2018, 379:1529-1539. doi:  10.1056/NEJMoa1804988
    [12] Gaziano JM, Brotons C, Coppolecchia R, et al.Use of aspirin to reduce risk of initial vascular events in patients at moderate risk of cardiovascular disease (ARRIVE):a randomised, double-blind, placebo-controlled trial[J]. Lancet, 2018, 392:1036-1046. doi:  10.1016/S0140-6736(18)31924-X
    [13] Group ASC, Bowman L, Mafham M, et al.Effects of Aspirin for Primary Prevention in Persons with Diabetes Mellitus[J]. N Engl J Med, 2018, 379:1529-1539. doi:  10.1056/NEJMoa1804988
    [14] 朱铁楠.抗血小板治疗实验室监测之我见[J].协和医学杂志, 2018, 9:123-126. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=xhyx201802006
    [15] Rothwell PM, Cook NR, Gaziano JM, et al. Effects of aspirin on risks of vascular events and cancer according to bodyweight and dose:analysis of individual patient data from randomised trials[J]. Lancet, 2018, 392:387-399. doi:  10.1016/S0140-6736(18)31133-4
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出版历程
  • 收稿日期:  2019-01-08
  • 刊出日期:  2019-09-30

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