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The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
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For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
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Toward better diabetes care: Exploration and implementation.

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Diabetes care has evolved significantly over 40 years, improving patient outcomes through technological advancements and registries. Taiwan is poised to lead in precision medicine for enhanced diabetes management.

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Area of Science:

  • Endocrinology
  • Clinical Research
  • Public Health

Background:

  • A 40-year journey in diabetes research and clinical practice.
  • Early training in scientific inquiry and clinical trials in the USA.
  • Establishment of the Taiwan Diabetes Registry (TDR) for longitudinal patient data.

Purpose of the Study:

  • To track long-term changes in diabetes profiles.
  • To improve inpatient diabetes management using technology.
  • To assess the evolution of diabetes care towards precision medicine.

Main Methods:

  • Utilizing electronic medical records and point-of-care glucometers for inpatient care.
  • Establishing and maintaining the Taiwan Diabetes Registry (TDR).
  • Participating in clinical trials and hosting scientific symposia.

Main Results:

  • Significant reduction in inpatient hyperglycemia and hypoglycemia.
  • Decreased hospital stays and readmission rates for diabetic patients.
  • Advocacy for diabetes care through guidelines and scientific meetings.

Conclusions:

  • Diabetes management has progressed from limited options to diverse, advanced modalities.
  • Taiwan's infrastructure supports precision medicine initiatives for diabetes.
  • Patient-centered care, emphasizing warmth and humility, remains paramount.