특집/당뇨병 관리의 일반적 원칙 (General Principles for Diabetes Mellitus Management)

서지정보

· 발행기관 : 대한의사협회
· 수록지 정보 : 대한의사협회지 / 51권 / 9호 / 806 ~ 812페이지
· 저자명 : 박태선, 백홍선, 박지현

초록

Because the ‘Tsunami of type 2 diabetes’ is presently rolling on a global scale, owing to the
ever-increasing prevalence of obesity, increasing physical inactivity, and aging populations
worldwide, the economic burden of diabetes caused by increased health resource use and lost
productivity increase rapidly. So prevention in general population and good glycemic controls become
even more important with earlier diagnosis and more aggressive cardiovascular prevention
and treatment. Diabetes requires continuing medical care and patient self-management education
to prevent acute complications and to reduce the risk of long-term complications. Diabetes care
is very complex and requires that many issues, beyond glycemic control, be solved by the active
governmental policy. Lifestyle modifications are the cornerstones of management of type 2
diabetes. The progressive nature of type 2 diabetes requires use of one or more oral agents and
eventually insulin, along with lifestyle modification and intensification. Rapid achievement of
the target goals often prompts providers to consider combination therapy to target different
pathogenic mechanisms and manage both fasting and postprandial blood glucose levels.
Maintenance of glycemic control over the lifespan of a patient with diabetes is overwhelmingly
likely to require combination therapy with oral diabetes medications. Ultimately, because of the
progressive nature of the disease and the progressive decline in pancreatic beta-cell function,
insulin therapy is almost always obligatory to achieve optimal glycemic goals.

영어초록

Because the ‘Tsunami of type 2 diabetes’ is presently rolling on a global scale, owing to the
ever-increasing prevalence of obesity, increasing physical inactivity, and aging populations
worldwide, the economic burden of diabetes caused by increased health resource use and lost
productivity increase rapidly. So prevention in general population and good glycemic controls become
even more important with earlier diagnosis and more aggressive cardiovascular prevention
and treatment. Diabetes requires continuing medical care and patient self-management education
to prevent acute complications and to reduce the risk of long-term complications. Diabetes care
is very complex and requires that many issues, beyond glycemic control, be solved by the active
governmental policy. Lifestyle modifications are the cornerstones of management of type 2
diabetes. The progressive nature of type 2 diabetes requires use of one or more oral agents and
eventually insulin, along with lifestyle modification and intensification. Rapid achievement of
the target goals often prompts providers to consider combination therapy to target different
pathogenic mechanisms and manage both fasting and postprandial blood glucose levels.
Maintenance of glycemic control over the lifespan of a patient with diabetes is overwhelmingly
likely to require combination therapy with oral diabetes medications. Ultimately, because of the
progressive nature of the disease and the progressive decline in pancreatic beta-cell function,
insulin therapy is almost always obligatory to achieve optimal glycemic goals.

참고자료

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