Schwartz Stanley S, Rachfal Amy W, Corkey Barbara E
Stanley Schwartz MD, LLC, Main Line Health System, Wynnewood, PA, USA; Emeritus Professor, University of Pennsylvania, Perlman School of Medicine, Philadelphia, PA, USA.
Stage Gate Partners, LLC, Ardmore, PA, USA.
Trends Endocrinol Metab. 2022 Jan;33(1):4-7. doi: 10.1016/j.tem.2021.10.007. Epub 2021 Nov 12.
Current thresholds for diagnosing diabetes are outdated and do not represent advancements in disease understanding or ability to impact course. Today, evidence supports intervening earlier along the disease continuum to mitigate transition to frank disease and delay/reduce adverse clinical outcomes. We believe it is time for lower diabetes diagnostic criteria.
目前用于诊断糖尿病的阈值已经过时，不能代表在疾病认知或影响病程能力方面的进展。如今，有证据支持在疾病连续体中更早地进行干预，以减轻向显性疾病的转变，并延迟/减少不良临床结局。我们认为，是时候采用更低的糖尿病诊断标准了。
