Non-pharmacological Treatment Options in the Management of Diabetes Mellitus.

Q2 Medicine European Endocrinology Pub Date : 2018-09-01 Epub Date: 2018-09-10 DOI:10.17925/EE.2018.14.2.31
Arkiath V Raveendran, Elias C Chacko, Joseph M Pappachan
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引用次数: 49

Abstract

The global prevalence of diabetes, especially type 2 diabetes mellitus, has reached epidemic proportions in the last few decades of the 20th century because of the obesity pandemic resulting from adverse lifestyles. Diabetes as a consequence of obesity (diabesity), continues to increase exponentially in the 21st century. Although there are a multitude of drugs for the effective management of diabesity with modest benefits, most patients will require insulin for control of diabetes at some stage that would worsen obesity, and thereby diabesity. Therefore, effective non-pharmacological therapy needs to be expedited in all patients with diabesity. These measures include medical nutrition interventions, change of lifestyles and bariatric surgery. Non-pharmacological interventions are also useful for the effective management of even type 1 diabetes mellitus when used along with insulin therapy especially in those with obesity. This review summarises the current evidence base for the non-pharmacological interventions in the management of diabetes.

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糖尿病管理中的非药物治疗选择。
20世纪最后几十年,由于不良生活方式导致的肥胖流行,全球糖尿病,特别是2型糖尿病的患病率已达到流行病的程度。肥胖症(糖尿病)导致的糖尿病在21世纪继续呈指数增长。虽然有许多药物可以有效地控制糖尿病,但效果一般,但大多数患者在某些阶段需要胰岛素来控制糖尿病,这会加重肥胖,从而加重糖尿病。因此,需要加快对所有糖尿病患者进行有效的非药物治疗。这些措施包括医疗营养干预、改变生活方式和减肥手术。当非药物干预与胰岛素治疗一起使用时,特别是在肥胖患者中,对于有效管理1型糖尿病也很有用。本文综述了目前非药物干预治疗糖尿病的证据基础。
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European Endocrinology
European Endocrinology Medicine-Endocrinology, Diabetes and Metabolism
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