Gavin James R, Stolar Mark W, Freeman Jeffrey S, Spellman Craig W
Healing Our Village, Inc, Lanham, MD 20706-4393, USA.
J Am Osteopath Assoc. 2010 May;110(5 Suppl 6):S2-14; quiz S15-6.
The incidence and prevalence of type 2 diabetes mellitus (T2DM) in the United States continue to rise, and the disease has become an enormous health concern. While effective glycemic management reduces the risk of diabetes-related complications in patients with T2DM, many patients are unable to reduce their glucose levels to target goals. The authors review key elements in the management of T2DM with an emphasis on achieving and maintaining glycemic control. Strategies are offered to provide practical solutions to the challenges faced by healthcare providers and patients with T2DM. The importance of implementing evidence-based practice guidelines while empowering patients to participate in self-management of their disease is highlighted.
美国2型糖尿病（T2DM）的发病率和患病率持续上升，该疾病已成为一个巨大的健康问题。虽然有效的血糖管理可降低T2DM患者发生糖尿病相关并发症的风险，但许多患者无法将血糖水平降至目标值。作者回顾了T2DM管理的关键要素，重点是实现和维持血糖控制。文中提供了一些策略，以切实解决医疗服务提供者和T2DM患者所面临的挑战。强调了实施循证实践指南的重要性，同时让患者有能力参与自身疾病的自我管理。
