Shubrook Jay H, Chen William, Lim Alegria
J Am Osteopath Assoc. 2018 Nov 1;118(11):730-737. doi: 10.7556/jaoa.2018.158.
Type 2 diabetes mellitus (T2DM) is a common chronic metabolic condition. Before receiving this diagnosis, persons typically have a long period of prediabetes. There is good evidence that T2DM can often be prevented or delayed by means of lifestyle interventions (39%-71%), medications (28%-79%), or metabolic surgery (75%). However, despite consistent data demonstrating their efficacy, these tools are underused, and knowledge about them among primary care physicians is limited. In an effort to engage physicians in addressing this public health crisis more effectively, the authors reviewed the evidence that T2DM can be prevented or delayed in persons at risk.
2型糖尿病（T2DM）是一种常见的慢性代谢性疾病。在被诊断为此病之前，患者通常有很长一段时间处于糖尿病前期。有充分证据表明，通过生活方式干预（39%-71%）、药物治疗（28%-79%）或代谢手术（75%），T2DM通常可以得到预防或延缓。然而，尽管有持续的数据证明这些方法的有效性，但这些手段并未得到充分利用，基层医疗医生对它们的了解也有限。为了促使医生更有效地应对这一公共卫生危机，作者回顾了T2DM在高危人群中可被预防或延缓的证据。
