Value of Patient-Centered Glycemic Control in Patients with Type 2 Diabetes.
Value of Patient-Centered Glycemic Control in Patients with Type 2 Diabetes.
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DOI：
10.1007/s11892-021-01433-0
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发表时间：
2021-12-13
影响因子：
4.2
通讯作者：
McCoy RG
中科院分区：
文献类型：
--
作者：
Rodríguez-Gutiérrez R;Millan-Alanis JM;Barrera FJ;McCoy RG
介绍以人为本的方法在糖尿病管理中的价值，并回顾目前支持其实践的证据。来自糖尿病血糖控制试验的早期证据导致大多数实践指南采用以血糖为中心的强化方法来管理该疾病，始终依赖HbA1c作为代谢控制和成功的标志。最近，新的证据表明，与适度的血糖目标相比，强化血糖控制对患者重要的微血管和大血管硬结局没有显著的益处，这一范式被打破了。糖尿病治疗的目标是降低急性和慢性并发症的风险，提高生活质量，同时减少治疗负担和对患者生活的干扰。以人为本的糖尿病管理方法是通过共同决策、循证护理与患者需求、价值观和偏好的整合以及破坏性最小的糖尿病护理方法来实现的，同时为临床医生和患者提供实现这类护理的实用指导。
Present the value of a person-centered approach in diabetes management and review current evidence supporting its practice. Early evidence from glycemic control trials in diabetes resulted in most practice guidelines adopting a glucose-centric intensive approach for management of the disease, consistently relying on HbA1c as a marker of metabolic control and success. This paradigm has been recently dispelled by new evidence that shows that intensive glycemic control does not provide a significant benefit regarding patient-important microvascular and macrovascular hard outcomes when compared to moderate glycemic targets. The goals of diabetes therapy are to reduce the risks of acute and chronic complications and increase quality of life while incurring least burden of treatment and disruption to the patient’s life. A person-centered approach to diabetes management is achieved through shared decision making, integration of evidence-based care and patient’s needs, values and preferences, and minimally disruptive approaches to diabetes care and at the same time offer practical guidance to clinicians and patients on achieving this type of care.
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影响因子：
--
作者：
Coca SG;Ismail-Beigi F;Haq N;Krumholz HM;Parikh CR
通讯作者：
Parikh CR
影响因子：
8.2
作者：
Davies, Melanie J.;D'Alessio, David A.;Buse, John B.
通讯作者：
Buse, John B.
影响因子：
3.7
作者：
Espinoza P;Varela CA;Vargas IE;Ortega G;Silva PA;Boehmer KB;Montori VM
通讯作者：
Montori VM
影响因子：
5.4
作者：
Charles, C;Gafni, A;Whelan, T
通讯作者：
Whelan, T
影响因子：
2.9
作者：
den Ouden, Henk;Vos, Rimke C.;Rutten, Guy E. H. M.
通讯作者：
Rutten, Guy E. H. M.