糖尿病的胰岛素治疗(修改版)-陆平摘要.ppt

利辛县中医院糖尿病科 利辛县中医院糖尿病科 利辛县中医院糖尿病科 利辛县中医院糖尿病科 利辛县中医院糖尿病科 微信公众号：利辛中医院陆平 利辛县中医院糖尿病科 微信公众号：lx-tyjy 利辛县中医院糖尿病科 * 谢谢你的聆听！ 利辛县中医院糖尿病科 利辛县中医院糖尿病科 * * 利辛县中医院糖尿病科 * Serious microvascular and macrovascular complications of type 2 diabetes have a devastating effect on quality of life and impose a heavy burden on healthcare systems. Diabetic retinopathy: present in 21% of people at the time type 2 diabetes is diagnosed,1 diabetic retinopathy is the leading cause of new blindness among adults aged 20–74 years.2 Diabetic nephropathy: present in 18% of people diagnosed with diabetes;3 diabetes is a leading cause of end-stage renal disease.4 Stroke: diabetes is associated with a 2- to 4-fold increase in cardiovascular mortality and stroke.5 Cardiovascular disease: 75% of individuals with type 2 diabetes die from cardiovascular causes.6 Diabetic neuropathy: present in 12% of people at diagnosis,1 diabetic neuropathy affects approximately 70% of people with diabetes7 and is a leading cause of non-traumatic lower extremity amputations.8 In the UKPDS, 50% of individuals with diabetes already had complications at diagnosis.9 Early detection and treatment of diabetes is essential in order to reduce the impact of its serious complications. 1UK Prospective Diabetes Study Group. Diabetes Res 1990; 13:1–11. 2Fong DS, et al. Diabetes Care 2003; 26 (Suppl. 1):S99–S102. 3The Hypertension in Diabetes Study Group. J Hypertens 1993; 11:309–317.4Molitch ME, et al. Diabetes Care 2003; 26 (Suppl. 1):S94–S98. 5Kannel WB, et al. Am Heart J 1990; 120:672–676. 6Gray RP Yudkin JS. Cardiovascular disease in diabetes mellitus. In Textbook of Diabetes 2nd Edition, 1997. Blackwell Sciences.7King’s Fund. Counting the cost. The real impact of non-insulin dependent diabetes. London: British Diabetic Association, 1996. 8Mayfield JA, et al. Diabetes Care 2003; 26 (Suppl. 1):S78–S79.9UKPDS Group. Diabetologia 1991; 34:877–890. 利辛县中医院糖尿病科 * 利辛县中医院糖尿病科 * 当发展至2型糖尿病时， ?细胞功能仅剩50%，患者从餐后高血糖进展至空腹高血糖，此