Thiazolidinediones for initial treatment of type 2 diabetes?

Thiazolidinediones for initial treatment of type 2 diabetes?
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噻唑烷二酮类药物用于2型糖尿病的初始治疗?

DOI:
10.1056/nejme068264
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发表时间:
2006
期刊:
The New England journal of medicine
影响因子:
--
通讯作者:
D. Nathan
D. Nathan
中科院分区:
--
文献类型:
--
作者:
D. Nathan

文献摘要

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肥胖症和2型糖尿病这对孪生流行病已经引发了一场公共卫生危机。在美国,估计每年有150万新发糖尿病病例,1而预计的微血管和心血管并发症2--已经是西方世界失明、肾衰竭和截肢的最大原因,也是心脏病的重要促成因素--很可能成为本千年可预防疾病和过早死亡的主要原因。这一流行病的严重性反映在以证据为基础的努力,以遏制它。
The twin epidemics of obesity and type 2 diabetes mellitus have spawned a public health crisis. In the United States, an estimated 1.5 million new cases of diabetes occur every year,1 and the projected microvascular and cardiovascular complications2 — already the greatest cause of blindness, kidney failure, and amputations in the Western world, and a substantial contributing factor in heart disease — are likely to become the major cause of preventable disease and premature death in this millennium. The gravity of this epidemic is reflected by evidence-based efforts to stem it.3,4 Moreover, in the United States, approval of five . . .