摘要
T2DM患者随着病情进展,胰岛β细胞功能减退,需要胰岛素治疗以达到有效的血糖控制。基础胰岛素是T2DM治疗的重要药物之一,当前我国存在基础胰岛素治疗存在起始治疗较晚,起始剂量偏低且剂量调整不足等情况。为规范基础胰岛素在临床中的合理使用,我国部分内分泌、糖尿病学界专家于2017年制订了《成人2型糖尿病基础胰岛素临床应用中国专家指导建议》,基于循证证据对基础胰岛素常用临床方案的适用人群、起始方法、剂量调整方法等做出推荐。本次修订针对基础胰岛素应用的临床证据进行更新。
With the progression of type 2 diabetes mellitus and the decline of beta-cell function,insulin is eventually required to improve glycemic control.Basal insulin plays a vital role in type 2 diabetes mellitus management,but basal insulin usage in current Chinese clinical practiceis suboptimal,including delayed initiation,inadequate starting dose,and insufficient titration,etc.To improve and standardize basal insulin usage,Chinese experts developed the evidence-based recommendations on basal insulin treatment in 2017,provide advice on applicable population,appropriate starting dose and titration scale for common basal insulin regimens.Current recommendations were updated based on new evidence.
出处
《中国糖尿病杂志》
CAS
CSCD
北大核心
2020年第10期721-728,共8页
Chinese Journal of Diabetes
关键词
基础胰岛素
糖尿病
2型
Basal insulin
Diabetes mellitus,type 2
作者简介
通信作者:纪立农,Email:jiln@bjmu.edu.cn。