Timothy Reid, MD, Mercyhealth Diabetes Center, Janesville, Wisconsin.
J Fam Pract. 2022 Jul;71(6 Suppl):S40-S45. doi: 10.12788/jfp.0422.
The increasing prevalence of type 1 diabetes (T1D) suggests family physicians will regularly see first-degree relatives of patients with T1D with the genetic propensity for developing T1D. T1D autoantibody screening by family clinicians addresses an important need to identify at-risk individuals early and achieve short- and long-term health benefits. Multiple T1D screening options and programs are available to clinicians that provide patient education, testing, result analysis, follow-up, and opportunity for participation in T1D prevention trials. The provider-patient relationship in family medicine places clinicians in a unique position to provide monitoring and followup crucial to family members with positive autoantibody results.
1 型糖尿病(T1D)的患病率不断上升,这表明家庭医生将经常为 T1D 患者的一级亲属提供医疗服务,这些亲属有发生 T1D 的遗传倾向。家庭临床医生进行 T1D 自身抗体筛查,可以满足早期识别高危人群并获得短期和长期健康益处的重要需求。目前有多种 T1D 筛查方案和项目可供临床医生选择,这些方案和项目为患者提供教育、检测、结果分析、随访以及参与 T1D 预防试验的机会。家庭医学中的医患关系使临床医生能够处于独特的位置,为自身抗体检测结果阳性的家庭成员提供监测和随访,这对他们至关重要。