Schorr A B
Philadelphia College of Osteopathic Medicine, Pa., USA.
J Am Osteopath Assoc. 1999 Dec;99(12 Suppl):S10-4.
The recent findings of the United Kingdom Prospective Diabetes Study (UKPDS) have focused attention on the need to prevent complications in type 2 diabetes mellitus. Understanding the pathogenesis and physiologic mechanisms that lead to complications in the patients with type 2 diabetes mellitus is imperative to prevent their progression and improve treatment. This article discusses the more common complications and their possible etiologies, progression, and contribution to the morbidity of the diabetic population. It also reviews treatment of these complications and recent advances. In addition, some of the less common complications will be identified so that primary care physicians and specialists will be aware and not overlook these in patients who can be treated early and aggressively.
英国前瞻性糖尿病研究(UKPDS)的近期研究结果使人们将注意力集中在预防2型糖尿病并发症的必要性上。了解导致2型糖尿病患者出现并发症的发病机制和生理机制对于预防其进展和改善治疗至关重要。本文讨论了更常见的并发症及其可能的病因、进展以及对糖尿病患者群体发病率的影响。还回顾了这些并发症的治疗方法和最新进展。此外,将识别一些不太常见的并发症,以便初级保健医生和专家能够意识到并在那些可以早期积极治疗的患者中不忽视这些并发症。