Stuart R B
Ochsner Clinic, New Orleans.
J La State Med Soc. 1995 Feb;147(2):59-60.
This brief report summarizes the key points of the new standards of medical care for patients with diabetes mellitus, adopted by the American Diabetes Association (ADA) in March 1994, a revision of the initial standards of October 1988. The standards apply primarily to patients with insulin-dependent diabetes mellitus, but the ADA recommends the same standards be applied to patients with noninsulin-dependent diabetes mellitus, with emphasis on diet and exercise, supplemented when indicated by oral drugs or insulin. Preprandial blood glucose should be below 80 mg/dL, and glycated hemoglobin should be less than 7%. This requires self-glucose-monitoring 3 or 4 times a day, patient-initiated insulin dosage changes, and other problem solving as needed, with support by a clinical team involving physicians, dietitians, diabetes educators, eye doctors, podiatrist, and other professionals. Glycated hemoglobin should be checked quarterly in all insulin-treated patients (and as needed in others). Microalbuminuria should be tested annually.
本简要报告总结了美国糖尿病协会（ADA）于1994年3月采用的糖尿病患者医疗护理新标准的要点，该标准是1988年10月初始标准的修订版。这些标准主要适用于胰岛素依赖型糖尿病患者，但ADA建议将相同标准应用于非胰岛素依赖型糖尿病患者，重点是饮食和运动，必要时辅以口服药物或胰岛素。餐前血糖应低于80mg/dL，糖化血红蛋白应小于7%。这需要患者每天进行3或4次自我血糖监测，根据需要自行调整胰岛素剂量，并解决其他问题，同时需要临床团队（包括医生、营养师、糖尿病教育工作者、眼科医生、足病医生和其他专业人员）的支持。所有接受胰岛素治疗的患者应每季度检查糖化血红蛋白（其他患者根据需要检查）。应每年检测微量白蛋白尿。
