中国成人2型糖尿病预防的专家共识精要

2型糖尿病及其并发症导致严重医疗支出与社会公共卫生问题，有效预防2型糖尿病的发生(即其一级预防)是亟待解决且意义重大之事。对此，中华医学会内分泌学分会制定了中国成人2型糖尿病预防的专家共识。文章就该共识推荐的主要内容、血糖谱分类的证据、药物干预的时机和证据进行解读。共识认为应将糖尿病前期血糖谱分为空腹血糖受损，糖耐量低减和空腹血糖受损+糖耐量低减三种；在生活方式干预无效等情况下可考虑药物干预。同时强调生活方式干预是基础，应用药物干预应注意使用条件，必须重视血糖以外的脑心血管病危险因素管理。

Interpretation of Chinese society of endocrinology expert consensus on type 2 diabetes prevention in Chinese adults

Abstract：Type 2 diabetes and its complications lead to tremendous increase in medical care costs，and thus have also become a significant public health concern that calls for greater attention at primary prevention of the illness.An expert consensus on type 2 diabetes prevention in Chinese adults has been released by the Chinese Society of Endocrinology.This interpretation outlines the main points of the expert consensus，offers supports for classification of pre-diabetic patients，and provides evidence and timing for drug intervention.The consensus states that pre-diabetes should be classified into Impaired Fasting Glucose/Glycemia (IFG)，Impaired Glucose Tolerance (IGT) and IFG +IGT according to glucose levels；drug intervention can be considered under the circumstances that，for example，life style intervention has not achieved goals.Meanwhile，the interpretation emphasizes the importance of health education and life style intervention as first-line treatment，the timing of initiating drug intervention.In addition，risk factors of cerebro-cardiovascular diseases must be controlled at the same time.