Two opposing principles clash when physicians consider management issues for patients with type 2 diabetes: primum succurere, first hasten to help; and primum non nocere, first do no harm. Clinicians are increasingly aware of different levels of care and prevention and are generally familiar with the concepts of primary, secondary, and tertiary prevention. However, the concept of quaternary prevention—ie, action taken to identify the patient population at risk of overmedicalisation and to protect them from invasive medical interference—has existed for some time, but is rarely mentioned.

中文翻译：

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血糖管理中的临床惯性与过度治疗

当医生考虑2型糖尿病患者的管理问题时，有两个相反的原则发生冲突：初生suucurere，首先要帮助。和原始的nocere，首先不伤害。临床医生越来越意识到不同级别的护理和预防，并且通常熟悉一级，二级和三级预防的概念。但是，四级预防的概念（即，采取行动来识别处于过度医疗化风险中的患者人群并保护他们免受侵入性医学干扰的措施）已经存在了一段时间，但很少有人提及。