Diabetes fights for recognition

Diabetes fights for recognition
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糖尿病争取认可

DOI:
10.1016/s0140-6736(06)69671-2
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发表时间:
2006
期刊:
The Lancet
影响因子:
--
通讯作者:
M. Silink
M. Silink
中科院分区:
--
文献类型:
--
作者:
P. Lefèbvre;M. Silink

文献摘要

被引文献

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我们世界的疾病概况已经改变。在低收入和中等收入国家,糖尿病等慢性非传染性疾病正在加剧传染病的负担。 2 型糖尿病曾经被认为是相当富裕人群的一种疾病,但它注定会与疟疾一样成为一种贫困疾病和贫困原因。糖尿病现在是一个全球性问题,其规模与艾滋病毒/艾滋病相当。然而,糖尿病危机的全面范围仍未得到认识。世界卫生组织预测,2005年至2015年的十年间,仅中国因糖尿病、中风和心血管疾病造成的国民收入净损失将达557·70亿美元。 1 未经识别、未经治疗或控制不良的糖尿病可导致致残和危及生命的长期并发症,包括失明、截肢、心脏病和肾衰竭。短期并发症的突然发生,例如酮症酸中毒和严重低血糖,可能导致昏迷,如果不治疗,甚至死亡,对全世界许多糖尿病患者来说是每天的威胁,他们很难获得基本的治疗用品(包括胰岛素)。糖尿病及其并发症给人类和经济造成的损失高得令人无法接受。糖尿病每 10 秒造成 1 人死亡,每 30 秒造成 1 人截肢,是成人失明、心血管疾病和肾衰竭的主要原因。然而,糖尿病可以通过小额投资来控制,并且可以通过简单且具有成本效益的干预措施来完全预防。 2006 年世界银行报告《疾病》
The disease profile of our world has changed. In low-income and middle-income countries, chronic non-communicable health disorders, such as diabetes, are compounding the burden of infectious diseases. Once thought of as a disorder of fairly affluent people, type 2 diabetes is set to join malaria as a disease of poverty and a cause of poverty. Diabetes is now a global problem, equal in size to that of HIV/AIDS.However, the full dimensions of the diabetes crisis remain unrecognised. WHO predicts that in the 10-year period from 2005 to 2015, net loss in national income as a result of diabetes, stroke, and cardiovascular disease will total US $557· 7 billion in China alone. 1 Unidentified, untreated, or poorly controlled diabetes can result in disabling and life-threatening long-term complications, including blindness, loss of limbs, heart disease, and kidney failure. The sudden development of short-term complications, such as ketoacidosis and severe hypoglycaemia that can lead to coma and, if untreated, death, are a daily threat to the many people worldwide with diabetes who have major difficulty in accessing essential treatment supplies (including insulin). The human and economic costs of diabetes and its complications are unacceptably high. Diabetes causes one death every 10 s and one amputation every 30 s, and is a major cause of adult-onset blindness, cardiovascular disease, and renal failure. However, diabetes can be controlled through small investments, and can be prevented entirely through simple cost-effective interventions. The 2006 World Bank report, Disease