Schwarz Peter E H, Li Jiang, Lindström Jaana, Bergmann Antje, Gruhl Ulrike, Saaristo Timo, Tuomilehto Jaakko
Department of Public Health, University of Helsinki, Mannerheimintie 172, 00300 Helsinki, Finland.
Curr Diab Rep. 2007 Oct;7(5):353-62. doi: 10.1007/s11892-007-0058-7.
The dramatic increase in newly diagnosed cases of type 2 diabetes (T2D) has developed into a major public health concern worldwide. Conversely, several clinical studies have demonstrated that preventive efforts can significantly reduce the risk of developing diabetes. There is a clear consensus that action is needed to develop targeted community-based prevention programs and strategies for T2D. Currently, numerous prevention management concepts that can be implemented into clinical practice exist in various countries. Finland is the pioneer country in implementing community-wide diabetes prevention programs. Nevertheless, population-based nationwide strategies are still lacking in virtually all countries. We report on intervention strategies to prevent T2D in people with increased diabetes risk, as well as strategies on how to implement diabetes prevention programs into the real world of public health or clinical care. The implementation of managed prevention concepts will realistically help to improve the ability to prevent T2D in the public health framework.
2型糖尿病（T2D）新诊断病例的急剧增加已成为全球主要的公共卫生问题。相反，多项临床研究表明，预防措施可显著降低患糖尿病的风险。人们已明确达成共识，即需要采取行动制定针对2型糖尿病的、以社区为基础的预防计划和策略。目前，各国存在许多可应用于临床实践的预防管理理念。芬兰是实施全社区糖尿病预防计划的先驱国家。然而，几乎所有国家仍缺乏基于人群的全国性策略。我们报告了针对糖尿病风险增加人群预防2型糖尿病的干预策略，以及如何将糖尿病预防计划应用于公共卫生或临床护理实际工作中的策略。实施有管理的预防理念将切实有助于提高在公共卫生框架内预防2型糖尿病的能力。
