法国和意大利2型糖尿病患者概况

Faiez Zannad, Enrico Agabiti-Rosei
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摘要

除了预防和治疗大血管和微血管并发症外,2型糖尿病患者的管理目标还包括降低心血管事件的风险,以提高生活质量。意大利和法国发表了一些流行病学和观察性队列研究,以确定这些国家2型糖尿病患者的患者概况,并收集有关当前临床实践和处方模式的数据。研究结果证实,心血管危险因素,如高血压和胆固醇升高,通常发生在2型糖尿病患者中,这些合并症并没有得到很好的控制。因此,宏观和微血管并发症在这一患者群体中普遍存在。很明显,在法国和意大利2型糖尿病的管理是次优的。在初级和专科护理中,需要加强治疗指南,在治疗可改变的心血管危险因素,特别是高血压时,需要采用更积极的方法。总的来说,现有数据强调了在糖尿病护理背景下管理全球心血管风险的重要性。更严格地遵守指南中推荐的治疗目标将确保更大比例的患者达到这些治疗目标,从而降低糖尿病相关的发病率和死亡率。
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Profile of patients with type 2 diabetes in France and Italy.

In addition to the prevention and treatment of macro- and microvascular complications, management goals for patients with type 2 diabetes include reducing the risk of cardiovascular events with a view to improving quality of life. A number of epidemiological and observational cohort studies have been published in Italy and France in an effort to determine the patient profile of individuals with type 2 diabetes in these countries and to gather data on current clinical practice and prescribing patterns. The results of the studies confirm that cardiovascular risk factors, such as hypertension and elevated cholesterol, commonly occur in patients with type 2 diabetes and that these co-morbid conditions are not well controlled. As a consequence, both macro- and microvascular complications are prevalent in this patient population. It is clear that the management of type 2 diabetes in France and Italy is suboptimal. In both primary and specialist care, treatment guidelines need to be reinforced and a more aggressive approach needs to be adopted in the treatment of modifiable cardiovascular risk factors and in particular hypertension. Collectively, the available data highlight the importance of managing global cardiovascular risk within the context of diabetes care. Greater adherence to therapeutic targets recommended in guidelines will ensure that greater proportions of patients attain these treatment goals thereby reducing diabetes-related morbidity and mortality.

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