沙特阿拉伯的儿童糖尿病：挑战与潜在解决方案。一篇综述文章。
Pediatric diabetes in Saudi Arabia: Challenges and potential solutions. A review article.
作者信息
Alaqeel Aqeel A
机构信息
Department of Pediatrics, College of Medicine, Qassim University, Qassim, Saudi Arabia.
出版信息
Int J Pediatr Adolesc Med. 2019 Dec;6(4):125-130. doi: 10.1016/j.ijpam.2019.05.008. Epub 2019 May 28.
Abstract
Diabetes in children has increased globally, and the World Health Organization ranks Saudi Arabia 7th in prevalence and 5th in incidence of type 1 diabetes (T1D). Type 2 diabetes (T2D) in children and adolescents has been identified in Saudi Arabia but its prevalence is still unknown. Despite advances in diabetes management including new insulins, insulin delivery systems, glucose monitoring and easy access to media for disease awareness, diabetes in children continues to be challenging in many aspects. Problems include delayed diagnosis, suboptimal glycemic control, early and late disease complications, transition from pediatric to adult care and raising of obesity and T2D, poor psychological and school support. This review summarizes the pediatric and adolescent diabetes studies in Saudi Arabia to date and explores the country-specific treatment challenges and potential solutions.
摘要
全球儿童糖尿病发病率呈上升趋势，世界卫生组织将沙特阿拉伯列为1型糖尿病（T1D）患病率第7位、发病率第5位。沙特阿拉伯已发现儿童和青少年2型糖尿病（T2D），但其患病率仍未知。尽管糖尿病管理取得了进展，包括新型胰岛素、胰岛素输送系统、血糖监测以及通过媒体提高疾病认知度，但儿童糖尿病在许多方面仍然具有挑战性。问题包括诊断延迟、血糖控制不佳、疾病早期和晚期并发症、从儿科护理过渡到成人护理以及肥胖症和T2D的增加、心理和学校支持不足。本综述总结了迄今为止沙特阿拉伯关于儿童和青少年糖尿病的研究，并探讨了该国特有的治疗挑战和潜在解决方案。
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