Stephens Jeffrey Wayne, Williams David M, Chudleigh Richard
Diabetes Research Group, Swansea University Medical School, Swansea, UK
Diabetes Centre, Morriston Hospital, Swansea, UK.
Pract Neurol. 2022 Dec;22(6):532-539. doi: 10.1136/pn-2022-003395. Epub 2022 Jul 30.
Diabetes mellitus is a common condition associated with numerous complications and comorbidities. The diabetes spectrum includes type 1, type 2 and other forms of diabetes, which may be associated with medical therapies and genetic factors. Type 2 diabetes is managed with lifestyle, oral therapies, non-insulin-based injectables and subsequently insulin. Type 1 diabetes requires insulin from the time of diagnosis. In recent years, there have been considerable developments in the therapies available to treat type 2 diabetes and some of these also afford cardiorenal protection. This review summarises the nature, complications and therapeutic advances in the field of diabetes and provides a concise review for neurologists. Managing diabetes optimally prevents complications and all medical specialties need a basic understanding of the principles involved in diabetes care.
糖尿病是一种常见疾病,伴有多种并发症和合并症。糖尿病谱包括1型、2型及其他形式的糖尿病,其可能与药物治疗和遗传因素有关。2型糖尿病通过生活方式干预、口服药物、非胰岛素类注射剂以及随后的胰岛素进行管理。1型糖尿病从诊断之时起就需要胰岛素治疗。近年来,治疗2型糖尿病的可用疗法有了显著进展,其中一些疗法还具有心脏和肾脏保护作用。本综述总结了糖尿病领域的性质、并发症及治疗进展,并为神经科医生提供简要概述。最佳地管理糖尿病可预防并发症,所有医学专业都需要对糖尿病护理所涉及的原则有基本的了解。