IDF-良好的血糖控制.pptVIP

Achieving Good Glycemic Control Aim Provide practical guidance on improving diabetes care through highlighting the need to: treat to glucose targets intensively monitor glycemia use a holistic approach to treatment involve experts in diabetes management Type 2 diabetes: a global call to action Type 2 diabetes accounts for 85–95% of diabetes cases Obesity is a key driver of the diabetes epidemic 50–65% of the general population are obese or overweight1 The risk of developing type 2 diabetes increases with increasing weight2 It is estimated that half of all diabetes cases would be eliminated if weight gain could be prevented3 Despite falling CHD mortality rates, diabetes increases the risk of CHD Individuals with diabetes are at increased risk of cardiovascular mortality Mortality rate is doubled in individuals with diabetes Type 2 diabetes is associated with serious complications Individuals suffering ‘extreme problems’ in quality of life Costs of diabetes are rising Hospitalizations account for the majority of the costs of managing type 2 diabetes Lowering HbA1c reduces the risk of complications Risk of complications decreases as HbA1c decreases Diabetes management guidelines: HbA1c Diabetes management guidelines: a sense of urgency Two thirds of individuals do not achieve target HbA1c Proportion of individuals reaching target HbA1c is not improving over time Barriers to achieving good glycemic control Lack of clarity over definition of good glycemic control Lack of clarity over definition of good glycemic control Although HbA1c targets are converging, good glycemic control is not reached What is good glycemic control? Inadequate monitoring of glycemia Frequent monitoring of glycemia is important Cornerstone of diabetes care Ensures best possible glycemic control by: assessing efficacy of therapy guiding adjustments in diabetes care regimen, including diet, exercise and medications Who should monitor glycemia? PatientSelf-monitoring of blood glucose Se