Colwell J A
Diabetes Center, Medical University of South Carolina, Charleston, USA.
Clin Cornerstone. 1998;1(3):58-71. doi: 10.1016/s1098-3597(98)90018-7.
Basic and clinical research findings have led to an increased understanding about diabetes and its complications. Therapeutic approaches are now based not only on predicted effects from epidemiologic, correlative, or retrospective analyses, but often on prospective intervention trials comparing a new form of therapy to the standard methods. While this database may never be complete, partially due to the complexity and variability of the diabetic state, we now have excellent data that allow the development of aggressive new guidelines for care. Much of the material presented here reflects the views of the American Diabetes Association, as included in a recent publication (1). These guidelines are under review by a number of other organizations and will be subject to modification for special situations. Thus, the terminology "guidelines," rather than "standards of care," is chosen to indicate the flexibility necessary in developing such recommendations for general usage.
基础和临床研究结果增进了人们对糖尿病及其并发症的了解。目前的治疗方法不仅基于流行病学、相关性或回顾性分析的预期效果，还常常基于将一种新治疗方法与标准方法进行比较的前瞻性干预试验。虽然这个数据库可能永远无法完整，部分原因是糖尿病状态的复杂性和变异性，但我们现在有了出色的数据，能够制定积极的新护理指南。这里呈现的许多内容反映了美国糖尿病协会的观点，这些观点包含在最近的一份出版物中(1)。这些指南正在接受其他一些组织的审查，并将针对特殊情况进行修改。因此，选用“指南”而非“护理标准”这一术语，以表明在制定此类供一般使用的建议时所需的灵活性。
