The management of type 1 diabetes in adults. A consensus report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD).
The management of type 1 diabetes in adults. A consensus report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD).
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DOI：
10.1007/s00125-021-05568-3
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发表时间：
2021-12
期刊：
影响因子：
8.2
通讯作者：
Peters AL
中科院分区：
文献类型：
--
作者：
Holt RIG;DeVries JH;Hess-Fischl A;Hirsch IB;Kirkman MS;Klupa T;Ludwig B;Nørgaard K;Pettus J;Renard E;Skyler JS;Snoek FJ;Weinstock RS;Peters AL
美国糖尿病协会（ADA）和欧洲糖尿病研究协会（EASD）召集了一个写作小组，以制定关于成人1型糖尿病管理的共识声明。写作小组考虑了新的治疗方法和技术的快速发展，并讨论了以下主题：诊断、管理目标、护理计划、糖尿病自我管理教育和支持、血糖监测、胰岛素治疗、低血糖、行为考虑、心理社会护理、糖尿病酮症酸中毒、胰腺和胰岛移植、预防性治疗、特殊人群、住院管理和未来前景。虽然我们讨论了随访检查和测试的时间表，但我们没有包括糖尿病慢性微血管和大血管并发症的评估和治疗，因为这些在其他地方已经得到了充分的审查和讨论。撰写小组了解有关1型糖尿病的国家和国际指南，并不寻求复制这一指南，而是旨在强调医疗保健专业人员在管理1型糖尿病成人患者时应考虑的主要领域。虽然尽可能以证据为基础，但报告中的建议代表了作者的共识。
The American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD) convened a writing group to develop a consensus statement on the management of type 1 diabetes in adults. The writing group has considered the rapid development of new treatments and technologies and addressed the following topics: diagnosis, aims of management, schedule of care, diabetes self-management education and support, glucose monitoring, insulin therapy, hypoglycaemia, behavioural considerations, psychosocial care, diabetic ketoacidosis, pancreas and islet transplantation, adjunctive therapies, special populations, inpatient management and future perspectives. Although we discuss the schedule for follow-up examinations and testing, we have not included the evaluation and treatment of the chronic microvascular and macrovascular complications of diabetes as these are well-reviewed and discussed elsewhere. The writing group was aware of both national and international guidance on type 1 diabetes and did not seek to replicate this but rather aimed to highlight the major areas that healthcare professionals should consider when managing adults with type 1 diabetes. Though evidence-based where possible, the recommendations in the report represent the consensus opinion of the authors.
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