Golubnitschaja Olga
Department of Radiology, Rheinische Friedrich-Wilhelms-University of Bonn, Bonn Germany.
Curr Diabetes Rev. 2010 Jan;6(1):42-51. doi: 10.2174/157339910790442637.
Worldwide epidemic scale of Diabetes mellitus (DM) has been underestimated for a long time. Currently every 10 seconds one patient dies of diabetes-related pathologies. Given the high risk and prevalence of secondary complications as well as individual predisposition to target organ injury, DM is one of the best examples for the application of predictive diagnostics aimed at preventive measures and personalized treatment approaches. Generally there are three levels in desirable pre- and Diabetes care: 1st level: prediction of the predisposition early in childhood. 2nd level: prediction of early/premature aging and prestages of Diabetes. 3rd level: prediction of Diabetes-related complications - cardiovascular, neurodegenerative and cancer diseases frequently developed in Diabetics. Predictive diagnosis is considered as the basis for targeted preventive measures and consequent creation of individualized treatment approaches. Communication among the professionals - healthcare providers, policy-makers, educators, etc., obligatory involved in the overall process to improving (pre)Diabetes care is of paramount importance.
长期以来,全球糖尿病(DM)的流行规模一直被低估。目前,每10秒钟就有一名患者死于糖尿病相关疾病。鉴于继发性并发症的高风险和高患病率以及个体对靶器官损伤的易感性,糖尿病是应用预测性诊断以采取预防措施和个性化治疗方法的最佳范例之一。一般来说,理想的糖尿病前期和糖尿病护理有三个层面:第一层:儿童早期易感性预测。第二层:早期/过早衰老和糖尿病前期预测。第三层:糖尿病相关并发症预测——糖尿病患者常见的心血管、神经退行性和癌症疾病。预测性诊断被视为有针对性的预防措施以及随后制定个性化治疗方法的基础。专业人员——医疗保健提供者、政策制定者、教育工作者等之间的沟通对于改善糖尿病前期和糖尿病护理的整个过程至关重要,他们必然参与其中。