中国1型糖尿病综合管理模式的建立与实施  

The integrated type 1 diabetes management system in China:new practice and horizons

作　　者：谢雨婷[1] 李霞[1] 周智广[1] Xie Yuting;Li Xia;Zhou Zhiguang(Department of Metabolism and Endocrinology,The Second Xiangya Hospital,Central South University, Key Laboratory of Diabetes Immunology,Ministry of Education,National Clinical Research Center for Metabolic Diseases,Changsha 410011,China)

机构地区：[1]中南大学湘雅二医院代谢内分泌科糖尿病免疫学教育部重点实验室国家代谢性疾病临床医学研究中心,长沙410011

出　　处：《中国医师杂志》2019年第1期1-3,共3页Journal of Chinese Physician

基　　金：国家重点研发计划(2016YFC1305000;2016YFC1305002;2017YFC1309604)~~

摘　　要：1型糖尿病需要终生依赖胰岛素治疗,如何维持血糖平稳、调整胰岛素剂量,对患者而言是个持续存在的挑战。1型糖尿病的管理涉及到跨学科的协作,以及对患者及家庭有效的糖尿病自我管理教育。相较于英、美等国家较为成熟的管理及教育体系,我国目前尚缺乏一个完善、规范、统一的1型糖尿病综合管理系统。中南大学湘雅二医院于2015年11月建立了国内首个1型糖尿病综合管理联合门诊,涵盖内分泌科、糖尿病教育、营养科、运动医学、眼科以及心理科。为我国1型糖尿病综合管理提供了全新并且可行的模式。Type 1 diabetes results from a continuous destruction of pancreatic β-cell function and requires life-long administration of exogenous insulin.Maintaining stable glycemic control while minimizing hypoglycemic events with flexible daily routine always remains a challenge.Despite a multidisciplinary support,the person with diabetes and their care givers share the responsibility for glucose monitoring and insulin administration.An effective diabetes self-management education is core to a rounded type 1 diabetes management system.However,to date,there is still lack of a standardized and sustainable type 1 diabetes management system,compatible with local medical environment,which could be adapted nationwide in China.In the hope to change this situation,in the year of 2015,The Second Xiangya Hospital established the first integrated management system for type 1 diabetes in China,starting with an outpatient clinic jointly by diabetologists,diabetes educators,dieticians,physical therapists,ophthalmologists and psychologists.This pioneer type 1 diabetes management system has set up a brand-new and feasible care model,and opened up new horizons for type 1 diabetes management in China.

关 键 词：糖尿病 1型 疾病管理 血糖 胰岛素 

分 类 号：R587.1[医药卫生—内分泌]