2型糖尿病的院内管理

In-hospital management of type 2 diabetes mellitus.

作者信息

Lien Lillian F, Angelyn Bethel M, Feinglos Mark N

机构信息

Division of Endocrinology, Metabolism, and Nutrition, Department of Medicine, Duke University Medical Center, Box 3921, Durham, NC 27710, USA.

出版信息

Med Clin North Am. 2004 Jul;88(4):1085-105, xii. doi: 10.1016/j.mcna.2004.04.002.

DOI:10.1016/j.mcna.2004.04.002

PMID:15308391

Abstract

The increasing prevalence of type 2 diabetes brings with it a need to understand the particular impact of hospitalization in this patient population. Type 2 diabetes has been shown to increase length of stay, infection, and mortality rates. To optimize inpatient care, it is important to understand target glycemic goals as well as in-hospital glucose monitoring and diabetes management goals. A practical review of regimens for subcutaneous insulin administration,intravenous insulin infusion, and inpatient use of oral agents is presented. Methods for achieving adequate preparation and education of the patient and family for discharge to the outpatient setting are also discussed.

摘要

2型糖尿病患病率的不断上升，使得有必要了解住院治疗对这一患者群体的特殊影响。已有研究表明，2型糖尿病会增加住院时间、感染率和死亡率。为了优化住院治疗，了解血糖控制目标以及院内血糖监测和糖尿病管理目标非常重要。本文对皮下胰岛素注射、静脉胰岛素输注和住院患者口服药物治疗方案进行了实用综述。同时还讨论了如何让患者及其家属做好充分准备并接受教育，以便出院后顺利过渡到门诊治疗。