Borkman M, Campbell L V
Diabetes Centre and Diabetes Clinic, St Vincent's Hospital, Sydney.
Aust Fam Physician. 1993 Sep;22(9):1549-51, 1554-7, 1560.
This article emphasises the importance of the underlying insulin resistance in NIDDM and its relationship to other associated disorders. The need for screening individuals at risk, with the aim of preventing micro and macrovascular complications, is discussed. Major lifestyle changes are advocated: weight loss, exercise, cessation of smoking and reduction of alcohol intake, dietary changes and self foot care. Patient education and self monitoring of blood glucose play a part in involving the patient in his or her own management. There is much benefit to the patient from the monitoring and early treatment of blood pressure, lipid levels and any diabetic complications that develop.
本文强调了2型糖尿病潜在胰岛素抵抗的重要性及其与其他相关病症的关系。讨论了对高危个体进行筛查以预防微血管和大血管并发症的必要性。提倡进行重大的生活方式改变：减肥、锻炼、戒烟、减少酒精摄入、饮食调整和足部自我护理。患者教育和血糖自我监测有助于患者参与自身管理。对血压、血脂水平以及出现的任何糖尿病并发症进行监测和早期治疗对患者大有裨益。
