Diabetic Medicine:随着时间的推移,1型糖尿病患者的糖尿病困扰与糖尿病管理恶化有关

2017-09-30 MedSci MedSci原创

近日,国际杂志 《Diabetic Medicine》上在线发表一项根据德国健康保险数据进行分析的研究,发现关于尽管有新的药物,2型糖尿病患者严重低血糖发生率有所增加。通过分析比较2006年和2011年与药物相关的严重低血糖发生率,评估提供有效血糖控制同时降低低血糖风险的新抗高血糖药物的使用。

近日,国际杂志 《Diabetic Medicine》上在线发表一项关于随着时间的推移,1型糖尿病患者的糖尿病危机与糖尿病管理恶化有关的研究。旨在确定糖尿病困扰与糖尿病管理之间的横断面和纵向相关性。 在非介入性研究中,对224例1型糖尿病患者进行了糖尿病困扰,胰岛素注射缺失,低血糖发作和HbA 1c基线和9个月值的评估。 在基线时,更大的痛苦与更高的HbA 1c和更大百分比的胰岛素注射缺失相关。纵向上升高的基线危机与增加的胰岛素缺失有关,危机减少与HbA 1c的减少有关。在补充分析中,抑郁症状或重症抑郁障碍的诊断均不与横断面或纵向分析中的胰岛素注射缺失,HbA1c或低血糖发作相关。 研究发现糖尿病困扰和管理之间存在显著的横断面和纵向关联;相比之下,没有发现重度抑郁症或抑郁症状的平行关联。研究结果表明,升高的危机可能会随时间推移导致更多的胰岛素注射缺失,这表明潜在的干预目标。危机与HbA 1c之间的共同关系指向这些结构之间的复杂和交互关联的可能性。调查结果突出表明,解决困扰应该作为常规护理中糖尿病管理的一个组成部分。 原始出处: D. M. Hessler, L. Fisher, W.

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createdTime=Mon Oct 02 08:52:00 CST 2017, time=2017-10-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1608081, encodeId=0d9d16080811e, content=<a href='/topic/show?id=eb6b1145939' target=_blank style='color:#2F92EE;'>#Med#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=17, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11459, encryptionId=eb6b1145939, topicName=Med)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=552a19396740, createdName=ms3994565386320060, createdTime=Mon Oct 02 08:52:00 CST 2017, time=2017-10-02, status=1, ipAttribution=)]
  5. 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encodeId=732a14e430779, content=<a href='/topic/show?id=935fe6718e3' target=_blank style='color:#2F92EE;'>#糖尿病患者#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=18, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=76718, encryptionId=935fe6718e3, topicName=糖尿病患者)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a38f7243741, createdName=xue8604, createdTime=Mon Oct 02 08:52:00 CST 2017, time=2017-10-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1577564, encodeId=08b015e7564ce, content=<a href='/topic/show?id=cda91148004' target=_blank style='color:#2F92EE;'>#Medicine#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11480, encryptionId=cda91148004, topicName=Medicine)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=54cd16396700, createdName=ms1692212821629096, createdTime=Mon Oct 02 08:52:00 CST 2017, time=2017-10-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1608081, encodeId=0d9d16080811e, content=<a href='/topic/show?id=eb6b1145939' target=_blank style='color:#2F92EE;'>#Med#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=17, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11459, encryptionId=eb6b1145939, topicName=Med)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=552a19396740, createdName=ms3994565386320060, createdTime=Mon Oct 02 08:52:00 CST 2017, time=2017-10-02, status=1, ipAttribution=)]
    2018-02-04 jeanqiuqiu
  6. 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  7. 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createdTime=Mon Oct 02 08:52:00 CST 2017, time=2017-10-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1608081, encodeId=0d9d16080811e, content=<a href='/topic/show?id=eb6b1145939' target=_blank style='color:#2F92EE;'>#Med#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=17, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11459, encryptionId=eb6b1145939, topicName=Med)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=552a19396740, createdName=ms3994565386320060, createdTime=Mon Oct 02 08:52:00 CST 2017, time=2017-10-02, status=1, ipAttribution=)]
    2018-02-10 kalseyzl
  8. 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  9. 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  10. 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