Practical steps to improving the management of type 1 diabetes: recommendations from the Global Partnership for Effective Diabetes Management

被引：41
作者：
Aschner, P. [2 ]
Horton, E. [3 ]
Leiter, L. A. [4 ,5 ]
Munro, N. [6 ]
Skyler, J. S. [1 ]
机构：
[1] Univ Miami, Miller Sch Med, Diabet Res Inst, Miami, FL 33101 USA
[2] Javeriana Univ, Sch Med, Bogota, Colombia
[3] Joslin Diabet Ctr, Boston, MA 02215 USA
[4] St Michaels Hosp, Toronto, ON M5B 1W8, Canada
[5] Univ Toronto, Toronto, ON, Canada
[6] Chelsea & Westminster Hosp, Beta Cell Diabet Ctr, London, England
来源：
INTERNATIONAL JOURNAL OF CLINICAL PRACTICE | 2010年 / 64卷 / 03期
关键词：
SUBCUTANEOUS INSULIN INFUSION; ENABLE DIETARY FREEDOM; POOR GLYCEMIC CONTROL; BETA-CELL FUNCTION; CARDIOVASCULAR-DISEASE; BLOOD-GLUCOSE; MICROVASCULAR COMPLICATIONS; SEVERE HYPOGLYCEMIA; METABOLIC SYNDROME; AFRICAN-AMERICANS;
D O I：
10.1111/j.1742-1241.2009.02296.x
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
P>The Diabetes Control and Complications Trial (DCCT) led to considerable improvements in the management of type 1 diabetes, with the wider adoption of intensive insulin therapy to reduce the risk of complications. However, a large gap between evidence and practice remains, as recently shown by the Pittsburgh Epidemiology of Diabetes Complications (EDC) study, in which 30-year rates of microvascular complications in the 'real world' EDC patients were twice that of DCCT patients who received intensive insulin therapy. This gap may be attributed to the many challenges that patients and practitioners face in the day-to-day management of the disease. These barriers include reaching glycaemic goals, overcoming the reality and fear of hypoglycaemia, and appropriate insulin therapy and dose adjustment. As practitioners, the question remains: how do we help patients with type 1 diabetes manage glycaemia while overcoming barriers? In this article, the Global Partnership for Effective Diabetes Management provides practical recommendations to help improve the care of patients with type 1 diabetes.
引用
收藏
页码：305 / 315
页数：11
相关论文
共 87 条
[1]   Standards of Medical Care in Diabetes-2009 [J].
不详 .
DIABETES CARE, 2009, 32 :S13-S61
[2]   Training in flexible, intensive insulin management to enable dietary freedom in people with type 1 diabetes: dose adjustment for normal eating (DAFNE) randomised controlled trial [J].
Amiel, S ;
Beveridge, S ;
Bradley, C ;
Gianfrancesco, C ;
Heller, S ;
James, P ;
McKeown, N ;
Newton, D ;
Newton, L ;
Oliver, L ;
Reid, H ;
Roberts, S ;
Robson, S ;
Rollingson, J ;
Scott, V ;
Speight, J ;
Taylor, C ;
Thompson, G ;
Turner, E ;
Wright, F .
BRITISH MEDICAL JOURNAL, 2002, 325 (7367) :746-749
[3]   Hypoglycemia in the diabetes control and complications trial [J].
不详 .
DIABETES, 1997, 46 (02) :271-286
[4]  
[Anonymous], 2008, Can J Diabetes, V32, pS1, DOI DOI 10.1503/CMAJ.080554
[5]   Genome-wide association study and meta-analysis find that over 40 loci affect risk of type 1 diabetes [J].
Barrett, Jeffrey C. ;
Clayton, David G. ;
Concannon, Patrick ;
Akolkar, Beena ;
Cooper, Jason D. ;
Erlich, Henry A. ;
Julier, Cecile ;
Morahan, Grant ;
Nerup, Jorn ;
Nierras, Concepcion ;
Plagnol, Vincent ;
Pociot, Flemming ;
Schuilenburg, Helen ;
Smyth, Deborah J. ;
Stevens, Helen ;
Todd, John A. ;
Walker, Neil M. ;
Rich, Stephen S. .
NATURE GENETICS, 2009, 41 (06) :703-707
[6]   Sustained Benefit of Continuous Glucose Monitoring on A1C, Glucose Profiles, and Hypoglycemia in Adults With Type 1 Diabetes [J].
Beck, Roy W. ;
Xing, Dongyuan ;
Gilliam, Lisa ;
Hirsch, Irl ;
Kollman, Craig ;
Laffel, Lori ;
Ruedy, Katrina J. ;
Tamborlane, William V. ;
Weinzimer, Stuart ;
Wolpert, Howard .
DIABETES CARE, 2009, 32 (11) :2047-2049
[7]   The Effect of Continuous Glucose Monitoring in Well-Controlled Type 1 Diabetes [J].
Beck, Roy W. .
DIABETES CARE, 2009, 32 (08) :1378-1383
[8]   Microalbuminuria and Cardiovascular Autonomic Dysfunction Are Independently Associated With Cardiovascular Mortality: Evidence for Distinct Pathways The Hoorn Study [J].
Beijers, Hanneke J. B. H. ;
Ferreira, Isabel ;
Bravenboer, Bert ;
Dekker, Jacqueline M. ;
Nijpels, Giel ;
Heine, Robert J. ;
Stehouwer, Coen D. A. .
DIABETES CARE, 2009, 32 (09) :1698-1703
[9]   PROTEINURIA - VALUE AS PREDICTOR OF CARDIOVASCULAR MORTALITY IN INSULIN-DEPENDENT DIABETES-MELLITUS [J].
BORCHJOHNSEN, K ;
KREINER, S .
BMJ-BRITISH MEDICAL JOURNAL, 1987, 294 (6588) :1651-1654
[10]   Barriers to Physical Activity Among Patients With Type 1 Diabetes [J].
Brazeau, Anne-Sophie ;
Rabasa-Lhoret, Remi ;
Strychar, Irene ;
Mircescu, Hortensia .
DIABETES CARE, 2008, 31 (11) :2108-2109
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