Vandemergel X
Department of Endocrinology and Diabetology, EpiCURA, Belgium.
Int J Chronic Dis. 2021 Mar 8;2021:8857016. doi: 10.1155/2021/8857016. eCollection 2021.
Ultrasound is increasingly used in daily clinical practice to improve the efficiency of the clinical examination. In this article, we reviewed its various possible uses in the field of diabetology. The ultrasonic evaluation of the carotid arteries (plaques and intima media thickness) allows improving the assessment of the cardiovascular risk. Steatosis can be detected relatively easily on liver ultrasound. Ultrasound also allows a more sensitive detection of lipohypertrophy resulting in glycemic fluctuations and thus increasing the risk of hypoglycemia than the clinical examination. Finally, muscle ultrasound appears to be a promising tool to assess the nutritional status and its consequences (e.g., falls).
超声在日常临床实践中的应用日益广泛,以提高临床检查的效率。在本文中,我们回顾了其在糖尿病学领域的各种可能用途。对颈动脉进行超声评估(斑块和内膜中层厚度)有助于改善心血管风险评估。肝脏超声检查相对容易检测出脂肪变性。与临床检查相比,超声还能更灵敏地检测出导致血糖波动进而增加低血糖风险的脂肪增生。最后,肌肉超声似乎是评估营养状况及其后果(如跌倒)的一种很有前景的工具。