将高血糖的风险划分为糖尿病和糖尿病前期可能对患者护理不利。
Dichotomising the risk of hyperglycaemia into diabetes and prediabetes may render a disservice to patient care.
机构信息
Deakin University, Geelong, Australia
Juvenile Diabetes Research Foundation, Melbourne, Australia.
出版信息
Clin Med (Lond). 2023 Mar;23(2):188-189. doi: 10.7861/clinmed.2022-0544.
Cardiovascular diseases (CVDs) are the leading cause of death worldwide, accounting for one-third of global mortality. Prediabetes increases the risk of CVDs as well as several other conditions, yet people with prediabetes may not seek intervention, thinking that they do not have diabetes, as the risk of progression may have not been emphasised by the healthcare professional. Accumulating evidence indicates that hyperglycaemia represents a continuum of CVD risk and dichotomising the risk into type 2 diabetes and prediabetes may deter early clinical intervention. It is proffered that the term 'prediabetes' is a misnomer that may disguise a serious condition, fostering complacency and undermining its prognostic significance.
心血管疾病 (CVDs) 是全球范围内的主要死因，占全球死亡率的三分之一。糖尿病前期会增加 CVD 以及其他几种疾病的风险，但糖尿病前期患者可能不会寻求干预，因为他们认为自己没有糖尿病，因为医疗保健专业人员可能没有强调进展的风险。越来越多的证据表明，高血糖代表 CVD 风险的连续体，将风险分为 2 型糖尿病和糖尿病前期可能会阻碍早期临床干预。有人认为，“糖尿病前期”一词是一个错误的术语，可能掩盖了一种严重的疾病，助长了自满情绪，并削弱了其预后意义。
Zotero 插件