糖尿病控制与并发症试验的结果与儿科实践有何关联：哪些人应接受强化治疗？

How do the results of the diabetes control and complications trial relate to the practice of pediatrics: who should have intensive management?

作者信息

Fenton C L, Clemons P M, Francis G L

机构信息

Department of Pediatrics, Walter Reed Army Medical Center, Washington, DC, USA.

出版信息

Pediatr Ann. 1999 Sep;28(9):600-4. doi: 10.3928/0090-4481-19990901-13.

DOI:10.3928/0090-4481-19990901-13

PMID:10496003

Abstract

The DCCT showed that any improvement in glycemic control decreases the risk of long-term complications. Although expensive, time consuming, and associated with increased risks of hypoglycemia and obesity, improved glycemic control is of benefit as long as hypoglycemia is avoided. Specific HbA1c target levels must be individualized and age appropriate.

摘要

糖尿病控制与并发症试验（DCCT）表明，血糖控制的任何改善都会降低长期并发症的风险。尽管改善血糖控制成本高昂、耗时且与低血糖和肥胖风险增加相关，但只要避免低血糖，改善血糖控制就是有益的。特定的糖化血红蛋白（HbA1c）目标水平必须因人而异且符合年龄特点。