Chowdhury Tahseen A, Grant Paul
The Royal London Hospital, London, UK.
Oxford Centre for Diabetes, Endocrinology and Metabolism, Oxford, UK.
Clin Med (Lond). 2016 Oct;16(5):441-447. doi: 10.7861/clinmedicine.16-5-441.
Optimal management of diabetes involves a multidisciplinary approach. Prioritisation of lifestyle change, blood pressure and lipid control, and regular screening for complications are advocated in most international guidelines. Good glucose control, however, remains an important aim of treatment, although it is increasingly recognised that glucose targets should be individualised, with less stringent targets for older patients with significant comorbidities.In recent years, a number of newer therapies for hyperglycaemia have become available. This review aims to discuss currently available options for patients with type 2 diabetes, and also discusses potential new therapies that may be on the horizon in the future.
糖尿病的优化管理需要多学科方法。大多数国际指南都提倡优先进行生活方式改变、控制血压和血脂，并定期筛查并发症。然而，良好的血糖控制仍然是治疗的重要目标，尽管人们越来越认识到血糖目标应该个体化，对于有严重合并症的老年患者，目标可以不那么严格。近年来，出现了一些治疗高血糖的新疗法。本综述旨在讨论目前2型糖尿病患者可用的治疗选择，同时也探讨未来可能出现的潜在新疗法。
