糖尿病前期防治的研究进展

糖尿病(DM)是一种常见的慢性代谢性疾病,我国患病率达9.7%。易产生并发症、致残或死亡。糖代谢异常还包括单纯空腹血糖(IFG)受损、单纯糖耐量(IGT)受损和IFG并发IGT 3种类型,它们合称为糖调节受损(IGR),属于正常糖代谢(NGT)和DM之间的中间状态,统称为糖尿病前期,被认为是糖尿病的必经阶段。而IGR的患病率高达15.5%。所以预防糖尿病前期发展成DM刻不容缓。研究证明:糖尿病前期进行合理生活干预和药物治疗,使绝大多数糖尿病前期患者明显延迟甚至预防DM的发生。包括接受教育、血糖监测、控制饮食、适当运动、心理疏导、必要时药物治疗六方面相配合才能防止糖尿病前期发展成DM。

Research progress on prevention ofprediabetes

Diabetes mellitus（DM） is a kind of common chronic metabolic disease with the prevalence rate of 9.7% in China,and it is easy to cause complications,disability and death.The abnormal glucose metabolism includes three types,including simple impaired fasting glucose（IFG）,simple impaired glucose tolerance（IGT）,IFG complicated with IGT,which are collectively referred to as the impaired glucose regulation（IGR）,it is the intermediate state between normal glucose tolerance（NGT） and DM,and is known as the prediabetes,which is considered to be the inevitable stage of DM.The prevalence rate of IGR reaches 15.5%.Therefore,stoppingprediabetes from advancing from DM brooks no delay.Research shows that the appropriate lifestyle intervention and drug therapy in prediabetes can obviously delay and prevent DM in majority of patients with prediabetes.In order to prevent prediabetes from becoming DM,it is essential to combine the education,blood glucose monitoring,diet control,proper exercise,psychological guidance and drug therapy when necessary.