Section on Islet and Regenerative Cell Biology, Joslin Diabetes Center, Department of Medicine, Harvard Medical School, Boston, MA, USA.
Diabetes Metab Res Rev. 2017 Sep;33(6). doi: 10.1002/dmrr.2906. Epub 2017 Jun 16.
Large scale, multi-center, controlled studies have demonstrated the importance of glycemic control, as indicated by HbA levels, in reducing the incidence and progression of diabetic complications. However, Yasue Omori, who began practicing medicine in Tokyo 60 years ago, in 1957, has the vantage point of long-term continuing care for women with type 2 diabetes, some for several decades. An internist who specializes in diabetic pregnancy, Dr Omori began caring for many of her patients during their pregnancies and continued to care for them following their deliveries, some now more than 50 years. Surprisingly, despite lack of optimal HbA levels, they have suffered relatively few diabetic complications. As reported in "The importance of nonstop treatment after delivery for pregnant women with type 2 diabetes" in Diabetes/Metabolism Research and Reviews, Omori and colleagues present a historical perspective that provides evidence that a long-term patient-care giver relationship following pregnancy can be valuable in reducing the onset and progression of diabetic complications.
大规模、多中心、对照研究已经证实了血糖控制（HbA 水平）对降低糖尿病并发症的发生和进展的重要性。然而，60 年前（1957 年）就在东京行医的 Omori Yasue 医生，对 2 型糖尿病女性患者进行了长期持续护理，有些患者护理时间长达几十年。作为一名专门研究糖尿病妊娠的内科医生，Omori 医生在患者怀孕期间开始照顾她们，并在分娩后继续照顾她们，其中一些患者现在已经超过 50 年了。令人惊讶的是，尽管 HbA 水平不理想，但她们患糖尿病并发症的相对较少。正如《糖尿病/代谢研究与评论》（Diabetes/Metabolism Research and Reviews）上发表的“2 型糖尿病孕妇产后不停治疗的重要性”一文所报道的那样，Omori 及其同事从历史角度提供了证据，证明妊娠后长期的医患关系可以有效降低糖尿病并发症的发生和进展。
