School of Public Health and Primary Care, The Chinese University of Hong Kong, Shatin, Hong Kong.
Hong Kong Med J. 2012 Jun;18(3):238-46.
Diabetes has been evolving as a worldwide epidemic and constitutes one of the important global burdens of diseases. The reference framework for diabetes care has been produced by the Task Force on Conceptual Model and Preventive Protocols of the Working Group on Primary Care, so as to enhance the clinical care for diabetes patients. The guideline emphasises a comprehensive, coordinated approach with interdisciplinary collaboration between major primary care stakeholders throughout the life of the patient. It was developed by drawing on evidence from international literature with input from primary care physicians, as well as specialists including endocrinologists, doctors from public and private sectors, as well as representatives from patient groups. This article presents the latest updates on the management of diabetes, ranging from its epidemiology, patient education, prevention, early identification, complication monitoring, drug treatment, patient empowerment, and rehabilitation. It is anticipated that the adoption of this framework will contribute to better control of this chronic condition in the primary care setting.
糖尿病已成为全球性流行疾病，也是全球主要疾病负担之一。基本医疗工作组概念模型和预防方案专责小组制定了糖尿病护理参考框架，以加强对糖尿病患者的临床护理。该指南强调了一种全面、协调的方法，即通过患者整个生命周期的主要基本医疗利益相关者之间的跨学科合作来实现。该指南是在借鉴国际文献证据的基础上，结合初级保健医生以及内分泌学家、公私部门医生和患者团体代表等专家的意见制定的。本文介绍了糖尿病管理的最新进展，包括其流行病学、患者教育、预防、早期识别、并发症监测、药物治疗、患者赋权和康复。预计这一框架的采用将有助于更好地控制初级保健环境中的这种慢性疾病。
