A national progress report on diabetes: successes and challenges.
A national progress report on diabetes: successes and challenges.
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DOI：
10.1089/dia.2005.7.198
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发表时间：
2005-02-01
影响因子：
5.4
通讯作者：
Vinicor, Frank
中科院分区：
文献类型：
--
作者：
Geiss, Linda;Engelgau, Michael;Vinicor, Frank
在过去的几十年里，许多公共卫生机构和其他私人和公共组织都试图通过增加预防性护理实践的使用和减少糖尿病患者并发症的风险因素来预防和延缓糖尿病致残并发症。现在，联邦糖尿病监测活动产生了令人鼓舞的报告，表明在增加预防性护理实践的使用、减少并发症的风险因素以及预防或延缓糖尿病并发症方面正在取得进展。然而，尽管取得了一些进展，但预防保健实践的水平仍然不够理想，糖尿病并发症的危险因素过于普遍，糖尿病并发症过于普遍。此外，有令人信服的证据表明，在高危成人中，糖尿病的发病可以预防或延迟，因此预防糖尿病已成为一项重大的新挑战。需要进一步努力解决日益严重的肥胖和缺乏身体活动问题，确定最有效和最具成本效益的预防战略和干预措施，并开展监测活动，使我们能够衡量我们的成功。虽然在防治糖尿病并发症方面取得了进展，但目前糖尿病的流行增加了初级预防工作的紧迫性。
Over the last few decades, numerous public health agencies and other private and public organizations have sought to prevent and delay the disabling complications of diabetes by increasing the use of preventive care practices and reducing risk factors for complications among people with diabetes. Now, federal diabetes surveillance activities are yielding encouraging reports that progress is being made in increasing the use of preventive care practices, reducing risk factors for complications, and preventing or delaying diabetes complications. However, although several gains have been noted, levels of preventive care practices remain suboptimal, risk factors for diabetes complications are too prevalent, and diabetes complications are too pervasive. Furthermore, with compelling evidence that the onset of diabetes can be prevented or delayed among adults at high risk, prevention of diabetes has become a major new challenge. Additional efforts are needed to address the growing problems of obesity and physical inactivity, to identify the most efficacious and cost-effective prevention strategies and interventions, and to implement surveillance activities that allow us to gauge our success. Although progress has been made against diabetes complications, the current epidemic of diabetes increases the urgency of primary prevention efforts.