从2型糖尿病防治指南变迁看糖尿病患者的体质量管理趋势

A new trend for weight management in type 2 diabetes mellitus from the change of guidelines for prevention and treatment of type 2 diabetes

摘要:

随着社会生活方式的改变和人们生活水平的提高，肥胖和2型糖尿病患病率快速上升，并且已经成为全球性卫生健康问题。减轻及控制体质量有助于降低2型糖尿病患者的血糖水平、改善胰岛素抵抗，从而减少相关药物的应用。因此，体质量管理在2型糖尿病防治中占重要地位，2018年美国糖尿病学会（American Diabetes Association，ADA）糖尿病医学诊疗标准和2017年中国2型糖尿病防治指南，均再次强调了体质量管理在2型糖尿病治疗中的重要性，并且在生活方式干预、内科药物及代谢手术3个方面对2型糖尿病患者的体质量管理进行了更新。

Abstract:

The prevalence of obesity and type 2 diabetes（T2DM） which arise from the social lifestyle changes and the improvement of people’s living standard，continues to rise worldwide causing serious health problems. Weight management is beneficial in the treatment of T2DM，since weight loss can improve glycose control，improve insulin resistance and reduce the need for anti-glucose-agent. Therefore，weight management plays an important role in the prevention and treatment of T2DM. 2018 American Diabetes As－sociation（ADA） Standards of Medical Care in Diabetes and 2017 China Guideline for Type 2 Diabetes re-emphases the importance of weight management in the treatment of T2DM，and provides a new strategy for weight management in T2DM patients concerning lifestyle intervention，medical and metabolic surgery.