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The Management of Type 1 Diabetes in Adults. A Consensus Report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD)
Diabetes Care ( IF 14.8 ) Pub Date : 2021-11-01 , DOI: 10.2337/dci21-0043
Richard I G Holt 1, 2 , J Hans DeVries 3, 4 , Amy Hess-Fischl 5 , Irl B Hirsch 6 , M Sue Kirkman 7 , Tomasz Klupa 8 , Barbara Ludwig 9 , Kirsten Nørgaard 10, 11 , Jeremy Pettus 12 , Eric Renard 13, 14 , Jay S Skyler 15 , Frank J Snoek 16 , Ruth S Weinstock 17 , Anne L Peters 18
Affiliation  

The American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD) convened a writing group to develop a consensus statement on the management of type 1 diabetes in adults. The writing group has considered the rapid development of new treatments and technologies and addressed the following topics: diagnosis, aims of management, schedule of care, diabetes self-management education and support, glucose monitoring, insulin therapy, hypoglycemia, behavioral considerations, psychosocial care, diabetic ketoacidosis, pancreas and islet transplantation, adjunctive therapies, special populations, inpatient management, and future perspectives. Although we discuss the schedule for follow-up examinations and testing, we have not included the evaluation and treatment of the chronic microvascular and macrovascular complications of diabetes as these are well-reviewed and discussed elsewhere. The writing group was aware of both national and international guidance on type 1 diabetes and did not seek to replicate this but rather aimed to highlight the major areas that health care professionals should consider when managing adults with type 1 diabetes. Though evidence-based where possible, the recommendations in the report represent the consensus opinion of the authors.



中文翻译:

成人 1 型糖尿病的管理。美国糖尿病协会 (ADA) 和欧洲糖尿病研究协会 (EASD) 的共识报告

美国糖尿病协会 (ADA) 和欧洲糖尿病研究协会 (EASD) 召集了一个写作小组,以制定关于成人 1 型糖尿病管理的共识声明。写作小组考虑了新治疗和技术的快速发展,并讨论了以下主题:诊断、管理目标、护理计划、糖尿病自我管理教育和支持、血糖监测、胰岛素治疗、低血糖、行为考虑、心理社会护理、糖尿病酮症酸中毒、胰腺和胰岛移植、辅助治疗、特殊人群、住院管理和未来展望。虽然我们讨论了后续检查和测试的时间表,我们没有包括糖尿病慢性微血管和大血管并发症的评估和治疗,因为这些已在别处得到充分审查和讨论。写作小组了解关于 1 型糖尿病的国家和国际指南,并没有寻求复制这一指南,而是旨在强调医疗保健专业人员在管理成人 1 型糖尿病时应考虑的主要领域。尽管尽可能以证据为基础,但报告中的建议代表了作者的共识意见。写作小组了解关于 1 型糖尿病的国家和国际指南,并没有寻求复制这一指南,而是旨在强调医疗保健专业人员在管理成人 1 型糖尿病时应考虑的主要领域。尽管尽可能以证据为基础,但报告中的建议代表了作者的共识意见。写作小组了解关于 1 型糖尿病的国家和国际指南,并没有寻求复制这一指南,而是旨在强调医疗保健专业人员在管理成人 1 型糖尿病时应考虑的主要领域。尽管尽可能以证据为基础,但报告中的建议代表了作者的共识意见。

更新日期:2021-10-21
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