Individualized diabetes care:Lessons from the real-world experience  

作　　者：Xiao Ying Khor Joseph M Pappachan Mohammad Sadiq Jeeyavudeen 

机构地区：[1]Department of Endocrinology and Metabolism,Lancashire Teaching Hospitals NHS Trust,Preston PR29UT,United Kingdom [2]Faculty of Science,Manchester Metropolitan University,Manchester M156BH,United Kingdom [3]Faculty of Biology,Medicine and Health,The University of Manchester,Manchester M139PL,United Kingdom [4]Department of Endocrinology and Metabolism,University Hospitals of Edinburgh,Edinburgh EH164SA,United Kingdom

出　　处：《World Journal of Clinical Cases》2023年第13期2890-2902,共13页世界临床病例杂志

摘　　要：Diabetes care is often difficult without a proper collaboration between the patient and the care provider as the disease is mostly self-managed by patients through adjustments in their lifestyles,and medication doses to optimise glycaemic control.Most clinical guidelines on the management of diabetes mellitus(DM)provide only broad principles on diabetes care,and the blind follow-up of such principles without a proper review and consideration of patient characteristics often results in inadequate glycaemic control and diabetes complications consequently.Therefore,a proper understanding of the pathobiology,clinical situation,and comorbidities of the individual case is of paramount importance to tailoring the most appropriate management strategy in real-world diabetes care.With the aid of five unique cases of DM[(1)Medically managed type 2 diabetes mellitus(T2DM)with severe obesity;(2)Management of T2DM with unreliable glycated haemoglobin(HbA1c);(3)Obesity in a patient with type 1 diabetes mellitus(T1DM);and(4)Late diagnosis and subsequent management of monogenic diabetes and 5.Sudden worsening of well-controlled T2DM)]we elaborate on the importance of individualised diabetes care and the practicalities in these situations.The review also provides an evidence update on the management of different forms of DM to guide physicians in optimising the care of their patients in day-to-day clinical practice.

关 键 词：Individualised diabetes care DIABESITY Double diabetes Monogenic diabetes Diabetes in pancreatic cancer 

分 类 号：R473.5[医药卫生—护理学]