Simon Dominique, Coutant Régis
Service de diabétologie, groupe hospitalier La Pitié-Salpêtrière, Paris.
Rev Prat. 2007 Sep 15;57(13):1411-22.
Chronic diabetes-related complications are frequent and severe, leading to handicaps and increased mortality for the patients and a heavy financial burden for society. Indeed, these complications can be prevented through an improvement in glycaemic and blood pressure control, by using an efficient treatment of dyslipidaemia, and by reducing tobacco consumption. This goal could theoretically be reached now, thanks to more and more powerful drugs, but indeed its achievement needs to improve patient education and to better coordinate diabetes care delivery. In addition, at national level, strategies should be developed to prevent the "epidemic" of type 2 diabetes, in particular by campaigns aiming at promoting physical activity and healthy diet, mainly targeted to children and teenagers.
慢性糖尿病相关并发症频繁且严重，会导致患者残疾和死亡率上升，还给社会带来沉重的经济负担。事实上，通过改善血糖和血压控制、有效治疗血脂异常以及减少烟草消费，可以预防这些并发症。理论上，借助越来越强效的药物，现在就可以实现这一目标，但实际上要实现这一目标，需要加强患者教育并更好地协调糖尿病护理服务。此外，在国家层面，应制定战略预防2型糖尿病的“流行”，特别是通过开展旨在促进体育活动和健康饮食的运动，主要针对儿童和青少年。
