Kalra Sanjay, Thai Hong Quang, Deerochanawong Chaicharn, Su-Yen Goh, Mohamed Mafauzy, Latt Tint Swe, Aye Than Than, Latif Zafar Ahmed, Katulanda Prasad, Khun Touch, Satha Sum, Vongvandy Vadsana
Department of Endocrinology, Bharti Hospital, Karnal, Haryana, India.
Vietnamese Association of Diabetes and Endocrinology, Vietnam.
Indian J Endocrinol Metab. 2017 May-Jun;21(3):478-481. doi: 10.4103/ijem.IJEM_82_17.
Southeast Asia faces a diabetes epidemic, which has created significant challenges for health care. The unique Asian diabetes phenotype, coupled with peculiar lifestyle, diet, and healthcare-seeking behavior, makes it imperative to develop clinical pathways and guidelines which address local needs and requirements. From an insulin-centric viewpoint, the preparations prescribed in such pathways should be effective, safe, well tolerated, nonintrusive, and suitable for the use in multiple clinical situations including initiation and intensification. This brief communication describes the utility of premixed or dual action insulin in such clinical pathways and guidelines.
东南亚面临糖尿病流行问题,这给医疗保健带来了重大挑战。独特的亚洲糖尿病表型,再加上特殊的生活方式、饮食和就医行为,使得制定满足当地需求和要求的临床路径和指南变得势在必行。从以胰岛素为中心的角度来看,此类路径中规定使用的制剂应有效、安全、耐受性良好、无侵入性且适用于包括起始治疗和强化治疗在内的多种临床情况。本简短通讯介绍了预混胰岛素或双作用胰岛素在此类临床路径和指南中的效用。