Girardin Céline M, Schwitzgebel Valérie M
Service d'endocrinologie et diabète pédiatrique, Hôpital Sainte-Justine, 3175 Côte-Sainte-Catherine, Montréal, H3T I C5, Canada.
Rev Med Suisse. 2007 Apr 18;3(107):1001-5.
Our way of life has led to a massive increase in the prevalence of obesity in adults and children. Therefore diabetes type 2 has also become a pediatric disease. Therapy consists above all of implementing modifications of life style such as a healthy diet and regular physical activity in order to achieve a decrease in body weight. If these measurements prove to be insufficient, medical treatments are introduced, either using metformine or insulin. The screening and treatment of complications (retinopathy, nephropathy) and comorbidities (arterial hypertension, dyslipidemia) will help to decrease mortality on the long haul.
我们的生活方式导致成人和儿童肥胖率大幅上升。因此,2型糖尿病也已成为一种儿科疾病。治疗首先包括改变生活方式,如健康饮食和定期体育锻炼,以实现体重减轻。如果这些措施被证明不足,则采用药物治疗,要么使用二甲双胍,要么使用胰岛素。对并发症(视网膜病变、肾病)和合并症(动脉高血压、血脂异常)进行筛查和治疗,将有助于长期降低死亡率。