Department of Health Sciences, University of Leicester, United Kingdom.
Prim Care Diabetes. 2010 Dec;4(4):203-7. doi: 10.1016/j.pcd.2010.07.003. Epub 2010 Aug 16.
Diabetes is highly prevalent and serious chronic debilitating disease and reported to be the fourth main cause of death in Europe. Despite extensive evidence of benefits of tight glycemic control, large proportions of people with diabetes do not achieve target glycemic control. One major reason for this is clinical inertia which is "recognising the problem but failure to act" by health care professionals in primary care. The key issues in the management of people with T2DM include early detection of problems, realistic goal setting, improved patient adherence, better knowledge and understanding of pharmacotherapeutic treatment options and prompt intervention. Health care professionals must need to overcome clinical inertia and need to intensify therapy in an appropriate and timely manner.
糖尿病是一种高发且严重的慢性致残性疾病，据报道是欧洲的第四大主要死因。尽管有大量证据表明严格控制血糖有益，但很大一部分糖尿病患者仍未达到目标血糖控制。造成这种情况的一个主要原因是临床惰性，即初级保健医护人员“认识到问题但未能采取行动”。T2DM 患者管理的关键问题包括早期发现问题、设定现实目标、提高患者依从性、更好地了解和理解药物治疗选择以及及时干预。医护人员必须克服临床惰性，需要以适当和及时的方式加强治疗。
