一个专家小组关于"印度糖尿病前期治疗方法和管理"的共识声明
Ashok Kumar Das1, Viswanathan Mohan2, Ambady Ramachandran3
1Emeritus Professor, Mahatma Gandhi Medical College and Research Institute and SBV, Puducherry; Corresponding Author.
The Journal of the Association of Physicians of India
|June 25, 2023
概括
糖尿病前期在亚洲印第安人中非常普遍,并迅速发展为糖尿病,增加并发症风险. 糖尿病前期的早期查和干预对于预防糖尿病在这个人群中至关重要.
科学领域:
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 糖尿病前期是糖尿病及其并发症,特别是大血管问题的重要危险因素.
- 亚洲印第安人表现出高患病率和快速进展的糖尿病前期到2型糖尿病.
- 印度医学研究委员会-印度糖尿病 (ICMR-INDIAB) 的研究强调了印度各地糖尿病前期的重大负担.
研究的目的:
- 强调糖尿病前期是干预的关键窗口,而不是糖尿病不可避免的前体.
- 倡导将糖尿病前期的早期查,检测和管理作为印度的国家卫生重点.
- 提供关于亚洲印第安人糖尿病前期查和管理策略的共识声明.
主要方法:
- 来自大型社区流行病学ICMR-INDIAB研究的数据分析.
- 对糖尿病前期的生活方式和国际药理干预措施的国际方法的审查.
- 基于流行病学发现和现有的管理准则,制定共识声明.
主要成果:
- 根据ICMR-INDIAB的研究报告,印度15个州的糖尿病前期疾病总体患病率为10.3%.
- 这种高患病率表明,糖尿病疫情持续存在,许多人进展为糖尿病.
- 糖尿病前期管理为预防糖尿病发病和并发症提供了关键的机会.
结论:
- 糖尿病前期需要紧急关注,因为亚洲印第安人的公共卫生问题是由于高患病率和快速转化为糖尿病.
- 查,早期检测和及时干预,包括改变生活方式和药物治疗 (如甲胺) 是必不可少的.
- 实施全面的糖尿病前期管理战略应成为国家优先事项,以减轻日益增长的糖尿病流行病及其相关的健康负担.
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