Pharmacologic Approaches to Glycemic Treatment: Standards of Medical Care in Diabetes—2020
Abstract
The American Diabetes Association (ADA) “Standards of Medical Care in Diabetes” includes the ADA’s current clinical practice recommendations and is intended to provide the components of diabetes care, general treatment goals and guidelines, and tools to evaluate quality of care. Members of the ADA Professional Practice Committee, a multidisciplinary expert committee (https://doi.org/10.2337/dc20-SPPC), are responsible for updating the Standards of Care annually, or more frequently as warranted. For a detailed description of ADA standards, statements, and reports, as well as the evidence-grading system for ADA’s clinical practice recommendations, please refer to the Standards of Care Introduction (https://doi.org/10.2337/dc20-SINT). Readers who wish to comment on the Standards of Care are invited to do so at professional.diabetes.org/SOC.
第一型DM患者的藥物治療建議
1. 多數第一型DM患者應採用每天多次注射的治療 (隨餐胰島素及基礎胰島素), 或連續性皮下胰島素注射
2. 多數第一型DM患者, 應使用短效胰島素類似物, 以減少低血糖風險
3. 第一型DM患者, 應接受訓練調整胰島素劑量, 根據吃入的碳水化合物, 餐前血糖, 以及將從事的身體活動.
1. 多數第一型DM患者應採用每天多次注射的治療 (隨餐胰島素及基礎胰島素), 或連續性皮下胰島素注射
2. 多數第一型DM患者, 應使用短效胰島素類似物, 以減少低血糖風險
3. 第一型DM患者, 應接受訓練調整胰島素劑量, 根據吃入的碳水化合物, 餐前血糖, 以及將從事的身體活動.
PHARMACOLOGIC THERAPY FOR TYPE 1 DIABETES
Recommendations
9.1 Most people with type 1 diabetes should be treated with multiple daily injections of prandial and basal insulin, or continuous subcutaneous insulin infusion. A
9.2 Most individuals with type 1 diabetes should use rapid-acting insulin analogs to reduce hypoglycemia risk. A
9.3 Patients with type 1 diabetes should be trained to match prandial insulin doses to carbohydrate intake, premeal blood glucose, and anticipated physical activity. C
第二型DM的藥物治療流程圖
第二型DM的藥物治療流程圖
5. 第二型DM的藥物治療
6. 第二型DM初始治療
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