中国糖尿病患者的综合管理社区讲座课件.pptVIP

糖尿病并发症特点 发病早：年龄提前 发展快：进展迅速 范围广：从头到脚 程度重：多个脏器 症状轻：隐匿无痛 危害大：致残致死 血糖 定义：血液中葡萄糖水平 正常参考值 空腹：3.9-5.6mmol/l 二小时：小于7.8mmol/l 降低高糖与防治低糖并重 高糖时： 降糖 正糖或血糖不稳时： 发现和处理低血糖 当我们感觉与平常不一样应即刻测定血糖 谢谢大家 糖尿病综合防治小结 降 压 治 疗 降 脂 治 疗 降 糖 治 疗 抗 栓 治 疗 糖尿病整体防治 综合防治，一个不少 生活方式改变 善心 善眼 善行 善果：从娃娃开始 population. 2-4,6,21 However, in those studies, oral glucosetolerance tests were not performed in the entire study population or in a random sample2-4; therefore, the true prevalence of undiagnosed diabetes may have been underestimated * 中国人生活方式的改变、寿命的延长以及日益加剧的城市化导致了糖尿病发病率的迅速增加 This rapid growth rate is closely related with lifestyle changes, urbanization and longevity in china. * The risk of CAD and stroke is increased two to four times in patients with diabetes. Cardiovascular disease is a major cause of morbidity and mortality in diabetes. Morbidity and mortality rates are two to four times higher than in age- and sex-matched groups in the population without diabetes. The eye and the kidney are common sites for microvascular complications of diabetes. Diabetic retinopathy is the leading cause of adult blindness in North America. Cataracts and glaucoma are also significantly more frequent in patients with diabetes, especially those over age 65. Diabetes is the leading cause of end-stage renal failure. Foot problems, a frequent consequence of neuropathy and peripheral vascular disease, constitute a major complication. Diabetes is the leading cause of non-traumatic lower-extremity amputations in North America. 中华医学会糖尿病学分会慢性并发症调查组报告，1999年-2001年，中国门诊糖尿病患者中合并心血管并发症者达到17.1%，合并脑血管疾病者达12.6%。 A survey initiated by Chinese Medical Association Diabetes Branch reported during 1999 to 2001 reported that, among Chinese diabetes outpatients, 17.1% complicated with CV disease and 12.6% complicated with cerobrovascular disease * * In Chinese patients with type 2 diabetes, having either microvascular or macrovascular complications led to a direct medical cost increase of 218% or 313%, respectively. For those pa