van den Bosch W J
Katholieke Universiteit Nijmegen.
Ned Tijdschr Geneeskd. 1999 Aug 14;143(33):1685-6.
The first revision of the guidelines of the Dutch College of General Practitioners on diabetes mellitus type 2 has been prepared by experts from primary and secondary care. This might be a big improvement, since the guidelines will be welcomed by general practitioners as well as by specialists. One item that will cause debate is that the threshold to make the diagnosis of diabetes is decreased to 6.1 mmol/l. This will increase the number of diabetes patients and the GP's workload. Another controversy is made by the advice to screen for unknown diabetics in risk groups using case-finding. There are many questions about the feasibility of this advice while conclusive evidence that it will lead to better prognosis is not yet established.
荷兰全科医生学院关于2型糖尿病指南的首次修订版由初级和二级医疗保健专家编写。这可能是一个很大的改进，因为该指南将受到全科医生和专科医生的欢迎。一个会引发争论的项目是，将糖尿病诊断阈值降至6.1毫摩尔/升。这将增加糖尿病患者数量以及全科医生的工作量。另一个争议点是关于通过病例发现对风险人群中的隐匿性糖尿病患者进行筛查的建议。关于该建议的可行性存在诸多问题，而且尚未有确凿证据表明其会带来更好的预后。
