2021 ABCD 指南:成人糖尿病肾病高血糖管理的临床实践指南

2022-01-26 英国临床糖尿病专家协会 Diabetic Medicine.

相当大比例的糖尿病患者发展为慢性肾病,糖尿病也是终末期肾病 (ESKD) 的主要原因。糖尿病肾病 (DKD) 一词包括糖尿病肾病 (DN) 和糖尿病和慢性肾病 (DM CKD)。

中文标题:

2021 ABCD 指南:成人糖尿病肾病高血糖管理的临床实践指南

英文标题:

Clinical practice guidelines for management of hyperglycaemia in adults with diabetic kidney disease

发布日期:

2022-01-26

简要介绍:

相当大比例的糖尿病患者发展为慢性肾病,糖尿病也是终末期肾病 (ESKD) 的主要原因。糖尿病肾病 (DKD) 一词包括糖尿病肾病 (DN) 和糖尿病和慢性肾病 (DM CKD)。DKD 与高发病率和死亡率相关,主要与心血管疾病有关。

高血糖是心血管并发症和 DKD 进展的可改变的危险因素。最近对 DKD 患者的临床试验表明,使用钠葡萄糖协同转运蛋白 2 (SGLT-2) 抑制剂可改善临床结果。SGLT-2 抑制剂显着降低了 DKD 的进展和 ESKD 的发作,并且这些肾脏保护作用与血糖降低无关。在本次更新时,Canagliflozin 和 Dapagliflozin 已被批准用于延缓 DKD 的进展。

英国临床糖尿病学家协会 (ABCD) 和英国肾脏协会 (UKKA) 糖尿病肾病临床专业组对现有证据进行了文献回顾和批判性评估,为 DKD 成人高血糖管理的临床实践指南提供信息。这份 2021 年指南适用于治疗 DKD 患者的各种临床医生,包括全科医生和糖尿病、心脏病学和肾病学专家。

相关资料下载:
[AttachmentFileName(sort=1, fileName=成人糖尿病肾病高血糖管理的临床实践指南.pdf)] GetToolGuiderByIdResponse(projectId=1, id=65ca61c0023a06d6, title=2021 ABCD 指南:成人糖尿病肾病高血糖管理的临床实践指南, enTitle=Clinical practice guidelines for management of hyperglycaemia in adults with diabetic kidney disease, guiderFrom=Diabetic Medicine., authorId=0, author=, summary=相当大比例的糖尿病患者发展为慢性肾病,糖尿病也是终末期肾病 (ESKD) 的主要原因。糖尿病肾病 (DKD) 一词包括糖尿病肾病 (DN) 和糖尿病和慢性肾病 (DM CKD)。, cover=https://img.medsci.cn/2022126/1643209327084_1608702.png, journalId=0, articlesId=null, associationId=2272, associationName=英国临床糖尿病专家协会, associationIntro=英国临床糖尿病专家协会(ABCD,Association of British Clinical Diabetologists), copyright=0, guiderPublishedTime=Wed Jan 26 00:00:00 CST 2022, originalUrl=, linkOutUrl=, content=<p style="color: #1c1d1e;"><span>相当大比例的糖尿病患者发展为慢性肾病,糖尿病也是终末期肾病 (ESKD) 的主要原因。糖尿病肾病 (DKD) 一词包括糖尿病肾病 (DN) 和糖尿病和慢性肾病 (DM CKD)。DKD 与高发病率和死亡率相关,主要与心血管疾病有关。</span></p> <p style="color: #1c1d1e;"><span>高血糖是心血管并发症和 DKD 进展的可改变的危险因素。最近对 DKD 患者的临床试验表明,使用钠葡萄糖协同转运蛋白 2 (SGLT-2) 抑制剂可改善临床结果。SGLT-2 抑制剂显着降低了 DKD 的进展和 ESKD 的发作,并且这些肾脏保护作用与血糖降低无关。在本次更新时,Canagliflozin 和 Dapagliflozin 已被批准用于延缓 DKD 的进展。</span></p> <p style="color: #1c1d1e;"><span>英国临床糖尿病学家协会 (ABCD) 和英国肾脏协会 (UKKA) 糖尿病肾病临床专业组对现有证据进行了文献回顾和批判性评估,为 DKD 成人高血糖管理的临床实践指南提供信息。这份 2021 年指南适用于治疗 DKD 患者的各种临床医生,包括全科医生和糖尿病、心脏病学和肾病学专家。</span></p>, tagList=[TagDto(tagId=216, tagName=糖尿病), TagDto(tagId=1391, tagName=糖尿病肾病), TagDto(tagId=2664, tagName=高血糖)], categoryList=[CategoryDto(categoryId=6, categoryName=内分泌, tenant=100), CategoryDto(categoryId=8, categoryName=糖尿病, tenant=100), CategoryDto(categoryId=85, categoryName=指南&解读, tenant=100), CategoryDto(categoryId=21100, categoryName=达仁堂循证e学界, tenant=100)], articleKeywordId=0, articleKeyword=, articleKeywordNum=6, guiderKeywordId=0, guiderKeyword=, guiderKeywordNum=6, haveAttachments=1, attachmentList=null, guiderType=0, guiderArea=指南, guiderLanguage=1, guiderRegion=2, opened=0, paymentType=, paymentAmount=10, recommend=0, recommendEndTime=null, sticky=0, stickyEndTime=null, allHits=4676, appHits=139, showAppHits=0, pcHits=546, showPcHits=4537, likes=0, shares=12, comments=6, approvalStatus=1, publishedTime=Thu Jan 27 15:30:00 CST 2022, publishedTimeString=2022-01-26, pcVisible=1, appVisible=1, editorId=0, editor=dajiong, waterMark=0, formatted=0, memberCards=[], isPrivilege=0, deleted=0, version=2, createdBy=null, createdName=dajiong, createdTime=Wed Jan 26 23:03:53 CST 2022, updatedBy=1608702, updatedName=dajiong, updatedTime=Sat Jan 06 22:00:29 CST 2024, courseDetails=[], otherVersionGuiders=[], isGuiderMember=false, ipAttribution=, attachmentFileNameList=[AttachmentFileName(sort=1, fileName=成人糖尿病肾病高血糖管理的临床实践指南.pdf)])
成人糖尿病肾病高血糖管理的临床实践指南.pdf
下载请点击:
评论区 (5)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=1219055, encodeId=b345121905510, content=学习学习再学习!, beContent=null, objectType=guider, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6c905475903, createdName=湘雅科教, createdTime=Thu May 12 12:40:45 CST 2022, time=2022-05-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1205764, encodeId=3af21205e643e, content=求中文版, beContent=null, objectType=guider, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2bc06484132, createdName=ms2000000414604595, createdTime=Fri Mar 25 08:23:06 CST 2022, time=2022-03-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1204530, encodeId=a71d1204530c5, content=谢谢,学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=936e6556711, createdName=ms7000000490578574, createdTime=Mon Mar 21 08:55:25 CST 2022, time=2022-03-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1190958, encodeId=8a831190958d7, content=想求中文版, beContent=null, objectType=guider, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3efc6489766, createdName=ms1000001836673475, createdTime=Tue Feb 08 10:30:11 CST 2022, time=2022-02-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1188606, encodeId=bd57118860615, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9a075617739, createdName=云云玉玉, createdTime=Thu Jan 27 16:00:25 CST 2022, time=2022-01-27, status=1, ipAttribution=)]
    2022-05-12 湘雅科教

    学习学习再学习!

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=1219055, encodeId=b345121905510, content=学习学习再学习!, beContent=null, objectType=guider, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6c905475903, createdName=湘雅科教, createdTime=Thu May 12 12:40:45 CST 2022, time=2022-05-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1205764, encodeId=3af21205e643e, content=求中文版, beContent=null, objectType=guider, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2bc06484132, createdName=ms2000000414604595, createdTime=Fri Mar 25 08:23:06 CST 2022, time=2022-03-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1204530, encodeId=a71d1204530c5, content=谢谢,学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=936e6556711, createdName=ms7000000490578574, createdTime=Mon Mar 21 08:55:25 CST 2022, time=2022-03-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1190958, encodeId=8a831190958d7, content=想求中文版, beContent=null, objectType=guider, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3efc6489766, createdName=ms1000001836673475, createdTime=Tue Feb 08 10:30:11 CST 2022, time=2022-02-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1188606, encodeId=bd57118860615, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9a075617739, createdName=云云玉玉, createdTime=Thu Jan 27 16:00:25 CST 2022, time=2022-01-27, status=1, ipAttribution=)]
    2022-03-25 ms2000000414604595

    求中文版

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1219055, encodeId=b345121905510, content=学习学习再学习!, beContent=null, objectType=guider, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6c905475903, createdName=湘雅科教, createdTime=Thu May 12 12:40:45 CST 2022, time=2022-05-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1205764, encodeId=3af21205e643e, content=求中文版, beContent=null, objectType=guider, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2bc06484132, createdName=ms2000000414604595, createdTime=Fri Mar 25 08:23:06 CST 2022, time=2022-03-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1204530, encodeId=a71d1204530c5, content=谢谢,学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=936e6556711, createdName=ms7000000490578574, createdTime=Mon Mar 21 08:55:25 CST 2022, time=2022-03-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1190958, encodeId=8a831190958d7, content=想求中文版, beContent=null, objectType=guider, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3efc6489766, createdName=ms1000001836673475, createdTime=Tue Feb 08 10:30:11 CST 2022, time=2022-02-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1188606, encodeId=bd57118860615, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9a075617739, createdName=云云玉玉, createdTime=Thu Jan 27 16:00:25 CST 2022, time=2022-01-27, status=1, ipAttribution=)]
    2022-03-21 ms7000000490578574

    谢谢,学习了

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1219055, encodeId=b345121905510, content=学习学习再学习!, beContent=null, objectType=guider, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6c905475903, createdName=湘雅科教, createdTime=Thu May 12 12:40:45 CST 2022, time=2022-05-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1205764, encodeId=3af21205e643e, content=求中文版, beContent=null, objectType=guider, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2bc06484132, createdName=ms2000000414604595, createdTime=Fri Mar 25 08:23:06 CST 2022, time=2022-03-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1204530, encodeId=a71d1204530c5, content=谢谢,学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=936e6556711, createdName=ms7000000490578574, createdTime=Mon Mar 21 08:55:25 CST 2022, time=2022-03-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1190958, encodeId=8a831190958d7, content=想求中文版, beContent=null, objectType=guider, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3efc6489766, createdName=ms1000001836673475, createdTime=Tue Feb 08 10:30:11 CST 2022, time=2022-02-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1188606, encodeId=bd57118860615, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9a075617739, createdName=云云玉玉, createdTime=Thu Jan 27 16:00:25 CST 2022, time=2022-01-27, status=1, ipAttribution=)]
    2022-02-08 ms1000001836673475

    想求中文版

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1219055, encodeId=b345121905510, content=学习学习再学习!, beContent=null, objectType=guider, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6c905475903, createdName=湘雅科教, createdTime=Thu May 12 12:40:45 CST 2022, time=2022-05-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1205764, encodeId=3af21205e643e, content=求中文版, beContent=null, objectType=guider, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2bc06484132, createdName=ms2000000414604595, createdTime=Fri Mar 25 08:23:06 CST 2022, time=2022-03-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1204530, encodeId=a71d1204530c5, content=谢谢,学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=936e6556711, createdName=ms7000000490578574, createdTime=Mon Mar 21 08:55:25 CST 2022, time=2022-03-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1190958, encodeId=8a831190958d7, content=想求中文版, beContent=null, objectType=guider, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3efc6489766, createdName=ms1000001836673475, createdTime=Tue Feb 08 10:30:11 CST 2022, time=2022-02-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1188606, encodeId=bd57118860615, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9a075617739, createdName=云云玉玉, createdTime=Thu Jan 27 16:00:25 CST 2022, time=2022-01-27, status=1, ipAttribution=)]
    2022-01-27 云云玉玉

    学习

    0