Palitzsch K D
Medizinischen Abteilung Krankenhaus München-Neuperlach.
MMW Fortschr Med. 2004 May 13;146(20):28-30.
Screening for diabetes makes good sense in particular in patients with overweight, hypertension or dyslipidemia. For type 2 diabetes is often not recognized until sequelae have put in an appearance. Consideration must be given to the possible presence of neuropathy, micro- and macroangiopathy and cardiovascular and cerebral disease. The primary therapy recommendations for type 2 diabetics comprise diet, weight loss and increased exercise. Depending on the success of these measures and the patient's constitution, medication with biguanides, sulfonylureas, glinides, glitazones alpha-glucosidase inhibitors or, where indicated, insulin, is then applied.
对超重、高血压或血脂异常的患者进行糖尿病筛查尤其有意义。因为2型糖尿病往往在出现后遗症之前未被识别。必须考虑到可能存在的神经病变、微血管和大血管病变以及心血管和脑部疾病。2型糖尿病患者的主要治疗建议包括饮食、减肥和增加运动。根据这些措施的成效以及患者的体质，随后可使用双胍类、磺脲类、格列奈类、噻唑烷二酮类、α-葡萄糖苷酶抑制剂进行药物治疗，或在必要时使用胰岛素。
