Little James W, Rhodus Nelson L
University of Minnesota, Minneapolis, USA.
Gen Dent. 2007 Sep-Oct;55(5):403-9.
The incidence of diabetes mellitus has increased dramatically in the United States over the last 40 years. In 2006, reported cases of diabetes mellitus increased by 6.0%. The vast majority of these increased cases involve Type 2 diabetes, which is becoming much more common in children, adolescents, and young adults. This article reviews the pharmacological treatments available for Type 1 diabetes, the monitoring necessary for diabetes patients, the regimens of intensive insulin therapy that have replaced conventional therapy, and the complications of insulin therapy. Alternate methods of insulin delivery and options for patients are discussed.
在过去40年里,美国糖尿病的发病率急剧上升。2006年,报告的糖尿病病例增加了6.0%。这些增加的病例绝大多数涉及2型糖尿病,而2型糖尿病在儿童、青少年和年轻人中变得越来越普遍。本文回顾了1型糖尿病可用的药物治疗、糖尿病患者所需的监测、已取代传统疗法的强化胰岛素治疗方案以及胰岛素治疗的并发症。还讨论了胰岛素给药的替代方法和患者的选择。