Vijan S, Stevens D L, Herman W H, Funnell M M, Standiford C J
Division of General Internal Medicine, University of Michigan, Ann Arbor, USA.
J Gen Intern Med. 1997 Sep;12(9):567-80. doi: 10.1046/j.1525-1497.1997.07111.x.
To summarise current knowledge of interventions that should improve the care of patients with type II diabetes mellitus. Interventions lie within the realms of preventions, screening, and treatment, all of which are focused on office practice.
Review of the literature by a multidisciplinary team involved in the care of patients with diabetes, followed by synthesis of the literature into a clinical care guideline. Literature was identified through consultation with experts and a focused MEDLINE search.
An algorithm-based guideline for screening and treatment of the complications of diabetes was developed. The emphasis is on prevention of atherosclerotic disease, and prevention, screening, and early treatment of microvascular disease. Implementation of these practices has the potential to significantly improve quality of life and increase life expectancy in patients with type II diabetes mellitus.
总结当前关于可改善2型糖尿病患者护理的干预措施的知识。干预措施涵盖预防、筛查和治疗领域，所有这些都聚焦于门诊实践。
由参与糖尿病患者护理的多学科团队对文献进行综述，随后将文献综合成临床护理指南。通过与专家协商和重点MEDLINE检索来识别文献。
制定了基于算法的糖尿病并发症筛查和治疗指南。重点是预防动脉粥样硬化疾病，以及预防、筛查和早期治疗微血管疾病。实施这些措施有可能显著改善2型糖尿病患者的生活质量并延长预期寿命。
