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美國家庭醫師學會建議二型糖尿病患者治療

(2009-01-09 13:00:37) 下一個
2009年美國家庭醫師學會建議二型糖尿病患者治療要點:
Lifestyle Changes for Type 2 Diabetes 2009

1.強化運動治療:每周運動至少150分鍾,減少7%的體重及低脂肪食物,降低卡路裏攝入。
2.加強力度治療心血管病危險因素,如高血壓,高血脂等。
3.控製血糖,使A1C低於7。

Evidence - based guidelines for the treatment of type 2 diabetes mellitus focus on three areas:

1. Intesive lifestyle intervention that includes at least 150 minutes per week of physical activity, weight loss with an initial goal of 7% of baseline weight, and a low-fat, reduce-calorie diet.

2. Aggressive management of cardiovascular risk factors ( i.e., hypertension, dyslipidemia, and microalbuminuria) with the use of medication.

3. And normalization of blood glucose levels (hemoglobin A1C level less than 7 percent).

----------2009 American Academy of Family Phsicians.

Note: Type 2 Diabetes mellitus, the 6th leading cause of death in the US, is directly responsible for more than 73,000 deaths annually and is a contributing factor in more than 220,000 deaths.

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