体质量管理在糖尿病防治中的利与弊  

Pros and cons of weight management in the prevention and treatment of diabetes mellitus

作　　者：鲁可[1] 陈小燕[1] LU Ke;CHEN Xiaoyan(The First Affiliated Hospital of Guangzhou Medical University,Guangzhou 510145,China)

机构地区：[1]广州医科大学附属第一医院,广州510145

出　　处：《实用医学杂志》2024年第16期2219-2223,共5页The Journal of Practical Medicine

摘　　要：随着人民生活水平的提高及生活方式的改变,我国肥胖及糖尿病人群数量不断激增,造成了极大的疾病负担。近年来,循证证据越来越强调体质量管理在糖尿病防治中的重要地位。尽管在理论和实践层面有诸多问题有待进一步阐明,但新形势下迫切需要医患双方转变思维方式。减重是一把“双刃剑”,让伴有超重或肥胖的糖尿病患者获益最大化的减重策略应建立在正确理解体质量管理内涵的基础上。长期维持减重成效仍面临许多的挑战,需要准确评估病情,权衡减重利弊,实施合理可行的减重方案,坚持长期的专业化管理。With the improvement of people's living standards,the number of patients with obesity and diabetes in China has been surging,causing a great disease burden.In recent years,evidence-based guidelines has increasingly emphasized the importance of weight management in the prevention and treatment of diabetes.Although there are many issues in theoretical and practical levels to be further elucidated,there is an urgent need for both doctors and patients to adapt to this new situation.Weight loss is a“double-edged sword”.Weight loss strategies that maximize the benefits for diabetic patients with overweight or obesity should be based on a proper understand⁃ing of the meaning of weight management.Long-term maintenance of weight loss still faces many challenges,which require accurate assessment of the disease,weighing the pros and cons of weight loss,implementation of a reason⁃able and feasible weight loss program,and adherence to long-term professional management.

关 键 词：体质量管理 减重 糖尿病 肥胖 

分 类 号：R587.1[医药卫生—内分泌]