Standl E, Hillebrand B
III. Medizinische Abteilung und Forschungsgruppe Diabetes, Städtischen Akademischen Lehrkrankenhauses München-Schwabing.
Z Gesamte Inn Med. 1993 Mar;48(3):112-9.
Since the late 1970's, diabetes therapy has been revolutionized and, in fact, new treatment strategies have been initiated by patient education and the resulting self-monitoring of the patient. The modern management of the chronic lifelong disease diabetes mellitus not only requires the prescription of the appropriate nutritional and pharmacologic regimen by the physician, but also intensive education and counselling of the patient. It is the diabetic himself who ultimately has to secure the treatment as given by the physician in daily life and--in so doing--has to provide a great deal of self-care and self-control. Meeting the individual treatment goal is largely dependent upon the cooperation and motivation of the patient, with the physician as both the sympathetic and critical counterpart. Today, education is the indispensible prerequisite for the limited well-being and health of diabetics and, at this end, education is equal to therapy.
自20世纪70年代末以来,糖尿病治疗发生了革命性变化,事实上,新的治疗策略是由患者教育以及由此产生的患者自我监测启动的。对慢性终身疾病糖尿病的现代管理不仅需要医生开出适当的营养和药物治疗方案,还需要对患者进行强化教育和咨询。最终必须由糖尿病患者自己在日常生活中确保医生给出的治疗得以落实,而这样做时,患者必须进行大量的自我护理和自我控制。实现个体治疗目标在很大程度上取决于患者的合作与积极性,医生则既是富有同情心的伙伴,也是严格的监督者。如今,教育是糖尿病患者有限的健康和幸福不可或缺的先决条件,就此而言,教育等同于治疗。