Robertson Carolyn
Customized Diabetes Education, New York, New York, USA.
J Am Acad Nurse Pract. 2012 Apr;24 Suppl 1:225-33. doi: 10.1111/j.1745-7599.2012.00719.x.
To review the early diagnosis and early effective treatment of type 2 diabetes and its role in reducing the risk of complications. This article discusses the diagnosis of T2D and the initial stages of disease management with oral monotherapy.
Extensive literature review of textbooks and clinical, medical, and nursing journals.
There are clear evidence-based recommendations for disease management in the early stages of T2D, with therapy focusing on implementation of lifestyle changes and use of pharmacologic monotherapy. A vital part of early T2D treatment is patient education, which can lay the foundation for treatment throughout the disease continuum. The lifestyle changes recommended for management of T2D can be difficult for patients to sustain, and treatment regimens are often complex.
Type 2 diabetes (T2D) is a progressive disease, associated with a long-term risk of morbidity and mortality. Therefore, it is important that treatment is individualized, and that ongoing support is provided to maximize the possibility of achieving treatment goals. Current standards for T2D treatment are designed for a patient-centered treatment approach managed by team of healthcare practitioners, in which the nurse practitioner (NP) is central.
回顾2型糖尿病的早期诊断和早期有效治疗及其在降低并发症风险中的作用。本文讨论2型糖尿病的诊断以及口服单药治疗的疾病管理初始阶段。
对教科书以及临床、医学和护理期刊进行广泛的文献综述。
对于2型糖尿病早期阶段的疾病管理有明确的循证建议，治疗重点是实施生活方式改变和使用药物单药治疗。2型糖尿病早期治疗的一个重要部分是患者教育，这可为整个疾病过程中的治疗奠定基础。为2型糖尿病管理推荐的生活方式改变对患者来说可能难以维持，而且治疗方案往往很复杂。
2型糖尿病（T2D）是一种进行性疾病，伴有长期发病和死亡风险。因此，重要的是治疗要个体化，并提供持续支持以最大限度地实现治疗目标。当前2型糖尿病治疗标准旨在采用以患者为中心的治疗方法，由医疗保健从业者团队管理，其中执业护士（NP）是核心。
