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相关概念视频

Diabetes Mellitus: Type 2 and Gestational01:22

Diabetes Mellitus: Type 2 and Gestational

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Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
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Diabetes Mellitus: Overview and Type I Subtype01:22

Diabetes Mellitus: Overview and Type I Subtype

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Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
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Diabetes: Management and Pharmacotherapy01:15

Diabetes: Management and Pharmacotherapy

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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.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
236
Diabetes: Symptoms, Diagnosis, and Complications01:15

Diabetes: Symptoms, Diagnosis, and Complications

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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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Carbohydrate Metabolism01:36

Carbohydrate Metabolism

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Carbohydrates are polymers composed of molecules containing atoms of carbon, hydrogen and oxygen. One gram of carbohydrate can provide four kilo-calories of energy, which makes it the most efficient instant energy source.
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
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Pathophysiology of Diabetes01:20

Pathophysiology of Diabetes

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Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
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相关实验视频

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Author Spotlight: Understanding Retinal Vessel Resilience and Disease Progression
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1990年至2022年糖尿病流行和治疗的全球趋势:1108项人口代表性研究的综合分析

    Lancet (London, England)
    |November 16, 2024
    PubMed
    概括

    全球糖尿病患病率急剧上升,到2022年,已有8.28亿成年人受到影响. 治疗覆盖率有所增加, 但却落后于糖尿病人数的上升,

    科学领域:

    • 全球健康
    • 流行病学
    • 内分泌学

    背景情况:

    • 糖尿病是一个重要的全球健康问题,可以在初级卫生保健层面进行管理,以减轻并发症.
    • 关于糖尿病患病率和治疗覆盖率的全球趋势的数据仍然不足.
    • 有效的糖尿病管理对于减少长期健康后果至关重要.

    研究的目的:

    • 估计从1990年到2022年的全球糖尿病流行趋势.
    • 评估同一时期200个国家和地区糖尿病治疗覆盖率的变化.
    • 发现糖尿病患病率和治疗的差异,特别是与社会经济因素有关的差异.

    主要方法:

    • 使用了1108项人口代表性研究的数据,其中包括18岁及以上的1. 141亿参与者.
    • 根据禁食血葡萄糖 (FPG),糖化血红蛋白 (HbA1c) 水平或自我报告的糖尿病药物使用而定义的糖尿病.
    • 采用贝叶斯分层元回归模型来分析糖尿病患病率和治疗覆盖率的趋势.

    主要成果:

    • 从1990年到2022年,全球糖尿病患病率增加了6.3亿人,到2022年达到8.28亿人.
    • 根据年龄标准,女性糖尿病发病率在131个国家,男性糖尿病发病率在155个国家上升,而低收入和中等收入国家出现显著增长.

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  • 在2022年,尽管许多地区的治疗覆盖率有所改善,但30岁以上的445万糖尿病患者 (59%) 没有接受治疗,比1990年增加了3.5倍.
  • 结论:

    • 糖尿病患病率在全球急剧上升, 影响低收入和中等收入国家.
    • 虽然一些地区的糖尿病治疗覆盖率有所提高,但并没有跟上患病率的上升,导致未经治疗的糖尿病负担不断增加.
    • 加强初级卫生保健和实施有针对性的糖尿病计划对于早期发现和有效管理至关重要,尤其是在资源有限的环境中.