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Guideline
糖尿病及其相关心血管疾病   DIABETIC CARDIOPATHY
本文介绍2型糖尿病以及在糖、脂肪等代谢紊乱基础上所继发或伴发的多种心血管疾病。

糖尿病是心、脑血管疾病的独立危险因素。与非糖尿病人群相比,糖尿病患者发生心、脑血管疾病的风险增加2-4倍。根据欧洲调查,60%以上的糖尿病患者伴有心血管疾病。
  查阅疾病用药指南
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药物信息

艾倍得 Apidra  [  赛诺菲 Sanofi   ]  格鲁辛胰岛素 Insulin glulisine
适应症: 治疗成人糖尿病。
MIMS药理分类 胰岛素制剂 Insulin Preparations  
Apidra pre-filled pen 300 u_3 mL2f55c64b-f929-48eb-83d7-a08201296cd8.GIF
达美康缓释片 Diamicron MR  [  施维雅 SERVIER   ]  格列齐特 Gliclazide
适应症: 单用饮食控制、运动治疗和减轻体重不足以控制血糖水平的成人2型糖尿病。
MIMS药理分类 抗糖尿病药物 Antidiabetic Agents  
Diamicron MR extentab 60 mge6920980-e1e6-4389-a303-9fcb018951be.GIF
拜唐苹 Glucobay  [  拜耳医药保健 Bayer HealthCare   ]  阿卡波糖 Acarbose
适应症: 50 mg规格:配合饮食控制,用于2型糖尿病和降低糖耐量低减者的餐后血糖。0.1 g规格:配合饮食控制治疗糖尿病。
MIMS药理分类 抗糖尿病药物 Antidiabetic Agents  
Glucobay tab 0.1 gda2f28da-893d-4e1a-b245-a4b5010b55ad.GIF
安立格 KOMBIGLYZE XR  [  阿斯利康 AstraZeneca   ]  -  盐酸二甲双胍 + 沙格列汀 metformin hydrochloride + saxagliptin
适应症: 配合饮食和运动治疗,适合使用沙格列汀和二甲双胍治疗的2型糖尿病成人患者,以改善此类患者的血糖控制。
MIMS药理分类 抗糖尿病药物 Antidiabetic Agents  
KOMBIGLYZE XR Tab 2.5 mg_1000 mg99a6604a-c9e0-4e8b-824f-a8cc009eab3f.GIF
来得时 Lantus  [  赛诺菲 Sanofi   ]  甘精胰岛素 Insulin glargine
适应症: 需用胰岛素治疗的成人1型和2型糖尿病、6岁以上儿童和青少年1型糖尿病。
MIMS药理分类 胰岛素制剂 Insulin Preparations  
Lantus pre-filled pen 100 IU_mLa9f1c1d3-4c7f-4d2b-a8df-9fcb0188fcc8.GIF
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参考文献
  1. 中国 2 型糖尿病防治指南(2010年版),中华医学会糖尿病学分会-北京大学医学出版社,2011年5月
  2. 中国糖尿病患者血压管理的专家共识,中华医学会内分泌学分会 - 中华内分泌代谢杂志,2012年8月第28卷第8期,614-618页
  3. 中国血糖监测临床应用指南(2011年版),中华医学会糖尿病学分会 - 中华糖尿病杂志,2011年2月第3卷第1期:13-21页
  4. 冠心病患者合并高血糖诊治的中国专家共识,心血管疾病防治指南和共识2007-人民卫生出版社, 2007(主编:胡大一)
  5. 心血管内科诊疗精要 - 中南大学出版社, 2011(主编:赵水平、李江)
  6. 成人2型糖尿病胰岛素临床应用的中国专家共识 - 中华医学会内分泌学分会,中华内分泌代谢杂志,2013年1月第29卷第1期:1-6页
  7. 稳定性冠心病患者血糖管理的中国专家共识(修订版讨论稿)-心脑血管病防治, 2010年2月,第10卷第1期,第4-9页(作者:胡大一、郭艺芳、孙艺红)
  8. 糖尿病-糖尿病前期-心血管疾病指南,心血管疾病防治指南和共识2007-人民卫生出版社, 2007(主编:胡大一)
  9. American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetes Care. 2009 Jan;32(Suppl 1):S62-S72
  10. American Diabetes Association. Standards of medical care in diabetes - 2011. Diabetes Care. 2011 Jan;34(Suppl 1):S11-S61. PMID: 21193625
  11. American Diabetes Association. Standards of medical care in diabetes - 2013. Diabetes Care. 2013 Jan;36(Suppl 1):S11-S66. doi: 10.2337/dc13-S011. PMID: 23264422
  12. Buse JB, Ginsberg HN, Bakris GL, et al. Primary prevention of cardiovascular diseases in people with diabetes mellitus: a scientific statement from the American Heart Association and the American Diabetes Association. Diabetes Care. 2007 Jan;30(1):162-172. PMID: 17192355
  13. Canadian Diabetes Association Clinical Practice Guidelines Expert Committee. Canadian Diabetes Association 2008 clinical practice guidelines for the prevention and management of diabetes in Canada. Can J Diabetes. 2008 Sep;32(Suppl 1):S65-S70
  14. Handelsman Y, Mechanick JI, Blonde L, et al. American Association of Clinical Endocrinologists medical guidelines for clinical practice for developing a diabetes mellitus comprehensive care plan. Endocr Pract. 2011 Mar;17(Suppl 2):001-53. http://www.aace.com/files/dm-guidelines-ccp.pdf. Accessed 16 May 2013. PMID: 21474420
  15. IDF Clinical Guidelines Task Force. Global Guideline for Type 2 Diabetes. http://www.idf.org. 2012. Accessed 14 May 2013.
  16. Malaysian Endocrine & Metabolic Society, Ministry of Health Malaysia, Academy of Medicine Malaysia, Persatuan Diabetes Malaysia. Clinical practice guidelines: management of type 2 diabetes mellitus. 4th ed. http://www.moh.gov.my/attachments/3878. May 2009.
  17. Ministry of Health Singapore. Clinical practice guidelines: diabetes mellitus. MOH (Singapore). http://www.moh.gov.sg/content/moh_web/healthprofessionalsportal/doctors/guidelines/cpg_medical.html#2008. Jun 2006. Accessed 25 Mar 2011.
  18. Nathan DM, Buse JB, Davidson MB, et al for the American Diabetes Association and the European Association for the Study of Diabetes. Medical management of hyperglycemia in type 2 diabetes: a consensus algorithm for the initiation and adjustment of therapy. Diabetes Care. 2009 Jan;32(1):193-203. doi: 10.2337/dc08-9025. PMID: 18945920
  19. Nathan DM, Buse JB, Davidson MB, et al. Management of hyperglycemia in type 2 diabetes: A consensus algorithm for the initiation and adjustment of therapy: a consensus statement from the American Diabetes Association and the European Association for the Study of Diabetes. Diabetes Care. 2006 Aug;29(8):1963-1972. PMID: 16873813
  20. National Institute for Health and Care Excellence. NICE Clinical Guideline 87 Type 2 diabetes: the management of type 2 diabetes. NICE. http://www.nice.org.uk/nicemedia/pdf/cg87niceguideline.pdf. May 2009.
  21. O'Gara PT, Kushner FG, Ascheim DD, et al. 2013 ACCF/AHA guideline for the management of ST-elevation myocardial infarction: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Circulation. 2013 Jan;127(4):e362-e425. doi: 10.1161/CIR.0b013e3182742cf6. PMID: 23247304
  22. Rodbard HW, Blonde L, Braithwaite SS, et al; AACE Diabetes Mellitus Clinical Practice Guidelines Task Force. American Association of Clinical Endocrinologists medical guidelines for clinical practice for the management of diabetes mellitus. Endocr Pract. 2007 May;13(Suppl 1):001-68. PMID: 17613449
  23. Rodbard HW, Jellinger PS, Davidson JA, et al. Statement by an American Association of Clinical Endocrinologists/American College of Endocrinology consensus panel on type 2 diabetes mellitus: an algorithm for glycemic control. Endocr Pract. 2009 Sep;15(6):540-559. PMID: 19858063
  24. Sakharova OV, et al. Treatment of diabetes in the elderly. Postgraduate Medicine. https://postgradmed.org/doi/10.3810/pgm.2005.11.1684. Accessed 13 Jan 2006
  25. Scottish Intercollegiate Guidelines Network. Management of diabetes: a national clinical guideline. SIGN. http://www.sign.ac.uk. Mar 2010. Accessed 23 May 2011.
  26. The Task Force on Diabetes and Cardiovascular Diseases of the European Society of Cardiology (ESC) and of the European Association for the Study of Diabetes (EASD). Guidelines on diabetes, pre-diabetes, and cardiovascular diseases: executive summary. Euro Heart J. 2007 Jan;28(1):88-136. http://www.escardio.org. PMID: 17220161
  27. Uwaifo GI, Ratner RE. Novel pharmacologic agents for type 2 diabetes. Endocrinol Metab Clin North Am. 2005 Mar;34(1):155-197. PMID: 15752927
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