糖尿病控制与并发症试验（DCCT）的结果。对我们糖尿病患者管理的启示。
Results of the DCCT trial. Implications for managing our patients with diabetes.
作者信息
Worrall G
机构信息
Discipline of Family Medicine, Memorial University of Newfoundland.
出版信息
Can Fam Physician. 1994 Nov;40:1955-60, 1963-5.
Abstract
Results of the Diabetes Control and Complications Trial (DDCT) suggest that intensive therapy can prevent or delay the microvascular complications of diabetes. This article critically appraises evidence from the DCCT and other prospective trials and concludes that the successful results for persons with insulin-dependent diabetes cannot be generalized to most family practice diabetes patients, who have non-insulin-dependent diabetes.
摘要
糖尿病控制与并发症试验（DDCT）的结果表明，强化治疗可预防或延缓糖尿病的微血管并发症。本文对来自糖尿病控制与并发症试验及其他前瞻性试验的证据进行了批判性评估，并得出结论：胰岛素依赖型糖尿病患者的成功治疗结果不能推广至大多数患有非胰岛素依赖型糖尿病的家庭医疗糖尿病患者。
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本文引用的文献
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The diabetes control and complications trial. Implications for policy and practice.糖尿病控制与并发症试验。对政策和实践的启示。
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Changes in nerve conduction velocity after six weeks of glucoregulation with portable insulin infusion pumps.使用便携式胰岛素输注泵进行六周血糖调节后神经传导速度的变化。
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Continuous subcutaneous insulin infusion (Mill-Hill Infuser) versus multiple injections (Medi-Jector) in the treatment of insulin-dependent diabetes mellitus and the effect of metabolic control on microangiopathy.持续皮下胰岛素输注（米尔希尔输注器）与多次注射（美迪杰注射器）治疗胰岛素依赖型糖尿病及代谢控制对微血管病变的影响
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Prevention of deterioration of renal and sensory-nerve function by more intensive management of insulin-dependent diabetic patients. A two-year randomised prospective study.通过更强化管理胰岛素依赖型糖尿病患者预防肾脏和感觉神经功能恶化。一项为期两年的随机前瞻性研究。
Lancet. 1983 Jan 29;1(8318):204-8. doi: 10.1016/s0140-6736(83)92586-2.
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Effect of 1 year of near-normal blood glucose levels on retinopathy in insulin-dependent diabetics.1年接近正常血糖水平对胰岛素依赖型糖尿病患者视网膜病变的影响。
Lancet. 1983 Jan 29;1(8318):200-4. doi: 10.1016/s0140-6736(83)92585-0.
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Effect of insulin pump treatment for one year on renal function and retinal morphology in patients with IDDM.胰岛素泵治疗一年对胰岛素依赖型糖尿病患者肾功能及视网膜形态的影响。
Diabetes Care. 1985 Nov-Dec;8(6):585-9. doi: 10.2337/diacare.8.6.585.
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The effect of long-term near normal glycemic control on mild diabetic retinopathy.长期接近正常血糖控制对轻度糖尿病视网膜病变的影响。
Ophthalmology. 1985 Aug;92(8):1051-8. doi: 10.1016/s0161-6420(85)33903-9.
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Two-year experience with continuous subcutaneous insulin infusion in relation to retinopathy and neuropathy.持续皮下胰岛素输注治疗视网膜病变和神经病变的两年经验。
Diabetes. 1985 Aug;34 Suppl 3:74-9. doi: 10.2337/diab.34.3.s74.
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