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新型降糖药物在 2 型糖尿病中的心血管、肾脏和肝脏保护作用:欧洲高血压学会工作组关于肥胖、糖尿病和高危患者的共识文章。

Cardiovascular, renal and liver protection with novel antidiabetic agents beyond blood glucose lowering in type 2 diabetes: consensus article from the European Society of Hypertension Working Group on Obesity, Diabetes and the High-risk Patient.

机构信息

3rd Department of Internal Medicine, Hypertension-24-h ABPM ESH Center of Excellence, Papageorgiou Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.

Institute for Aerospace Medicine, German Aerospace Center, University of Cologne.

出版信息

J Hypertens. 2020 Mar;38(3):377-386. doi: 10.1097/HJH.0000000000002279.

Abstract

: The prevalence of type 2 diabetes (T2D) has increased over the past few decades. T2D has a strong genetic propensity that becomes overt when a patient is exposed to a typical Western lifestyle, gain weight and becomes obese, whereas weight loss protects from the development of T2D. Except of lifestyle modifications, the choice of the appropriate treatment is essential in the management of patients with T2D and appears critical for the obese population with T2D. The new pharmacological approach for the treatment of T2D, sodium-glucose cotransporter 2 inhibitors and glucagon-like peptide 1 receptor agonists, seems to be effective not only in the management of T2D but also for weight loss, reduction of blood pressure and improvement of nonalcoholic fatty liver disease. Sodium-glucose cotransporter 2 inhibitors and glucagon-like peptide 1 analogues reduced cardiovascular risk, prevented cardiovascular disease and mortality, thereby playing an important role in the treatment of obese patients with hypertension and T2D.

摘要

过去几十年中,2 型糖尿病(T2D)的患病率一直在上升。T2D 具有很强的遗传倾向,当患者接触到典型的西方生活方式、体重增加和肥胖时,这种倾向就会显现出来,而减肥则可以预防 T2D 的发生。除了生活方式的改变,选择合适的治疗方法对于 T2D 患者的管理至关重要,对于肥胖的 T2D 患者尤为关键。治疗 T2D 的新的药理学方法,钠-葡萄糖共转运蛋白 2 抑制剂和胰高血糖素样肽 1 受体激动剂,不仅在 T2D 的治疗中而且在体重减轻、降低血压和改善非酒精性脂肪性肝病方面似乎都很有效。钠-葡萄糖共转运蛋白 2 抑制剂和胰高血糖素样肽 1 类似物降低了心血管风险,预防了心血管疾病和死亡,因此在治疗肥胖的高血压和 T2D 患者方面发挥了重要作用。

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