Institute of Molecular and Genetic Medicine, National Health Research Institute, Zhunan, Miaoli County, Taiwan.
Division of Endocrinology and Metabolism, Department of Internal Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.
J Diabetes Investig. 2023 May;14(5):640-644. doi: 10.1111/jdi.13978. Epub 2023 Feb 10.
Approximately 40 years ago, I was fortunate enough to step into the field of diabetes. When I had my fellowship training in the USA, I learned how to ask a good scientific question and conduct clinical research. With collaboration with my mentors, Prof. Gerald R Reaven and Prof. Ida Chen, we participated in many clinical trials. We established the Taiwan Diabetes Registry (TDR) to track long-term changes in diabetes profiles. The ultimate purpose of medical research is to provide benefits to patients. Using electronic medical records and point-of-care glucometers, we reduced inpatients' hyperglycemia and hypoglycemia greatly, which was also reflected by the reduction in hospital stays and readmission rates. With the advent of new technology and medications, we have to ponder where we are on the journey toward better diabetes care. We rigorously advocate diabetes care, hold many symposia and publish updated guidelines. We successfully hosted the congress of the 11th International Diabetes Federation Western Pacific Region & 8th Asian Association for the Study of Diabetes Scientific Meeting 2016 at Taipei, Taiwan. As the era of precision medicine is coming, Taiwan could be considered as one of the best places to run precision medicine. The Taiwan Precision Medicine Initiative has enrolled more than half a million residents, and is currently conducting genotyping and data analysis. In conclusion. I witnessed the early days of simple and few choices for diabetes management to the current various modalities in diabetes care. As these new technologies have become available, patients will always remain at the center of the care model with warmth and humility.
大约 40 年前,我有幸涉足糖尿病领域。我在美国接受研究员培训时,学会了如何提出一个好的科学问题并进行临床研究。在我的导师 Gerald R Reaven 教授和 Ida Chen 教授的合作下,我们参与了许多临床试验。我们建立了台湾糖尿病注册系统(TDR),以跟踪糖尿病患者长期的病情变化。医学研究的最终目的是为患者带来益处。我们利用电子病历和即时血糖仪,大大减少了住院患者的高血糖和低血糖发生率,这也反映在住院时间和再入院率的降低上。随着新技术和药物的出现,我们必须思考我们在改善糖尿病治疗的道路上处于什么位置。我们严格倡导糖尿病治疗,举办了许多研讨会并发布了更新的指南。我们成功地在台北主办了第 11 届国际糖尿病联盟西太平洋地区会议和第 8 届亚洲糖尿病研究协会科学会议 2016。随着精准医学时代的到来,台湾可以被视为开展精准医学的最佳地点之一。台湾精准医学倡议已经招募了超过 50 万名居民,并正在进行基因分型和数据分析。总之,我见证了糖尿病管理从早期简单的几种选择到现在的各种方式的发展。随着这些新技术的出现,患者将始终以温暖和谦逊的态度成为护理模式的中心。