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糖尿病管理的进展:聚焦个性化医疗。

Advances in the Management of Diabetes Mellitus: A Focus on Personalized Medicine.

作者信息

Sugandh Fnu, Chandio Maria, Raveena Fnu, Kumar Lakshya, Karishma Fnu, Khuwaja Sundal, Memon Unaib Ahmed, Bai Karoona, Kashif Maham, Varrassi Giustino, Khatri Mahima, Kumar Satesh

机构信息

Medicine, Ghulam Muhammad Mahar Medical College, Sukkur, PAK.

Medicine, Civil Hospital Karachi, Karachi, PAK.

出版信息

Cureus. 2023 Aug 18;15(8):e43697. doi: 10.7759/cureus.43697. eCollection 2023 Aug.


DOI:10.7759/cureus.43697
PMID:37724233
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10505357/
Abstract

Diabetes mellitus poses a substantial global health challenge, necessitating innovative approaches to improve patient outcomes. Conventional one-size-fits-all treatment strategies have shown limitations in addressing the diverse nature of the disease. In recent years, personalized medicine has emerged as a transformative solution, tailoring treatment plans based on individual genetic makeup, lifestyle factors, and health characteristics. This review highlights the role of genetic screening in predicting diabetes susceptibility and response to treatment, as well as the potential of pharmacogenomics in optimizing medication choices. Moreover, it discusses the incorporation of lifestyle modifications and behavioral interventions to empower patients in their health journey. Telemedicine and remote patient monitoring are also examined for their role in enhancing accessibility and adherence. Ethical considerations and challenges in implementing personalized medicine are addressed. The review envisions a future where personalized medicine becomes a cornerstone in diabetes management, ensuring improved patient outcomes and fostering more effective and patient-centric care on a global scale.

摘要

糖尿病对全球健康构成了重大挑战,需要创新方法来改善患者预后。传统的一刀切治疗策略在应对该疾病的多样性方面已显示出局限性。近年来,个性化医疗已成为一种变革性解决方案,根据个体的基因构成、生活方式因素和健康特征制定治疗方案。本综述强调了基因筛查在预测糖尿病易感性和治疗反应中的作用,以及药物基因组学在优化药物选择方面的潜力。此外,还讨论了纳入生活方式改变和行为干预措施,以帮助患者在健康之旅中发挥更大作用。还探讨了远程医疗和远程患者监测在提高可及性和依从性方面的作用。文中讨论了实施个性化医疗中的伦理考量和挑战。本综述展望了一个未来,即个性化医疗成为糖尿病管理的基石,确保在全球范围内改善患者预后,并促进更有效和以患者为中心的医疗服务。

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本文引用的文献

[1]
A Systematic Review and Meta-Analysis on the Efficacy and Safety of Finerenone Therapy in Patients with Cardiovascular and Chronic Kidney Diseases in Type 2 Diabetes Mellitus.

Cureus. 2023-7-11

[2]
Treatment with Testosterone Therapy in Type 2 Diabetic Hypogonadal Adult Males: A Systematic Review and Meta-Analysis.

Clin Pract. 2023-3-20

[3]
Recent advances in the management of proliferative diabetic retinopathy.

Curr Opin Ophthalmol. 2023-5-1

[4]
Musculoskeletal complications in patients with diabetes mellitus.

Korean J Intern Med. 2022-11

[5]
Response to "Pregnancy outcomes in women with type 1 diabetes using insulin degludec: a Danish Population-based prospective Cohort Study".

Acta Diabetol. 2023-1

[6]
Pathogenesis and treatment of wound healing in patients with diabetes after tooth extraction.

Front Endocrinol (Lausanne). 2022

[7]
Analytical Challenges in Diabetes Management: Towards Glycated Albumin Point-of-Care Detection.

Biosensors (Basel). 2022-8-26

[8]
Delayed Management of Insulin-Dependent Diabetes Mellitus in Children.

J Pediatr Health Care. 2023

[9]
Effects of testosterone therapy in adult males with hypogonadism and T2DM: A meta-analysis and systematic review.

Diabetes Metab Syndr. 2022-8

[10]
Current trends in epidemiology of cardiovascular disease and cardiovascular risk management in type 2 diabetes.

Metabolism. 2021-10

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