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2型糖尿病患者的胰岛素起始治疗与滴定

Insulin Initiation and Titration in Patients With Type 2 Diabetes.

作者信息

Chun Ji, Strong Jodi, Urquhart Scott

机构信息

OptumCare Medical Group, Laguna Niguel, CA.

Ministry Medical Group, Stevens Point, WI.

出版信息

Diabetes Spectr. 2019 May;32(2):104-111. doi: 10.2337/ds18-0005.

Abstract

Insulin initiation and titration can be challenging for many primary care providers who are involved in the treatment of patients with type 2 diabetes. Despite the introduction of advanced insulin analogs and improvements in insulin delivery devices, many patients with type 2 diabetes continue to experience suboptimal glycemic control. With an increasing number of treatment options available, type 2 diabetes management is moving away from a "one-size-fits-all" approach and toward individualized treatment regimens based on particular patient needs. Given this, nurse practitioners, physician assistants, pharmacists, and certified diabetes educators are becoming increasingly valuable resources in busy primary care practices.

摘要

对于许多参与2型糖尿病患者治疗的初级保健提供者而言,起始胰岛素治疗和调整胰岛素剂量可能具有挑战性。尽管先进的胰岛素类似物已问世,胰岛素给药装置也有所改进,但许多2型糖尿病患者的血糖控制仍不理想。随着可用治疗方案的增多,2型糖尿病管理正从“一刀切”的方法转向基于特定患者需求的个体化治疗方案。鉴于此,执业护士、医师助理、药剂师和认证糖尿病教育工作者在繁忙的初级保健实践中正变得越来越有价值。

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