关于儿童和青少年糖尿病前期和2型糖尿病查的USPSTF和ISPAD指南
Aaradhana Singh1, Aashima Dabas2
1Department of Pediatrics, University College of Medical Sciences and Guru Teg Bahadur Hospital, Dilshad Garden, New Delhi.
Indian pediatrics
|July 10, 2023
概括
儿童肥胖是一个日益关注的问题,增加了2型糖尿病的风险. 现在的指导方针建议针对有风险的年轻人进行有针对性的查,重点是儿童糖尿病的早期发现和管理.
科学领域:
- 儿科 儿科 儿科
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 肥胖和代谢综合征的全球趋势不断上升,有助于成人非传染性疾病,其起源在童年.
- 2型糖尿病是儿童非传染性疾病负担的重要贡献者.
- 肥胖和胰岛素抵抗是年轻人患2型糖尿病的关键危险因素.
研究的目的:
- 总结最近关于青少年发病前糖尿病和2型糖尿病查的指导方针.
- 突出识别有风险儿童为早期干预的重要性.
- 提供有关儿科糖尿病诊断标准的最新信息.
主要方法:
- 审查美国预防服务工作组 (USPSTF) 和国际儿童和青少年糖尿病协会 (ISPAD) 最近的指南.
- 基于空腹血葡萄糖水平的糖尿病和糖尿病前期糖尿病诊断标准的分析.
- 专注于针对特定儿科患者群体的查建议.
主要成果:
- 指导方针建议在有风险的儿童中针对青年发病的2型糖尿病进行查 (例如,肥胖,家族病史).
- 查无症状儿童2型糖尿病的作用尚未得到证实.
- 糖尿病前期的诊断截止值是空腹血葡萄糖>100至125毫克/分升,糖尿病的诊断截止值是≥126毫克/分升.
结论:
- 由于上升的趋势,早期发现儿童糖尿病前期和2型糖尿病至关重要.
- 建议在有风险的年轻人中进行有针对性的查,与最近的专家指南保持一致.
- 可能需要进一步的研究来确定查在无症状儿童中的作用.
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