巩纯秀减少血糖波动管理儿童糖尿病讲述.ppt

诺和笔? 5 添加记忆功能，解决患者困扰 诺和笔? 5使用说明书 记忆功能显示窗 我女儿刚刚有没有 注射过胰岛素？ 我记不起来… 总结 儿童T1DM血糖控制不佳，血糖波动普遍 血糖波动与T1DM患儿并发症发生相关，带来严重不良影响 减少血糖波动有助于减少并发症 诺和锐?+诺和平?治疗T1DM可以减少血糖波动，更具优势 * Objective To assess correlates of glycemic control in a diverse population of children and youth with diabetes. Study design This was a cross-sectional analysis of data from a 6-center US study of diabetes in youth, including 3947 individuals with type 1 diabetes (T1D) and 552 with type 2 diabetes (T2D), using hemoglobin A1c (HbA1c) levels to assess glycemic control. Results HbA1c levels reflecting poor glycemic control (HbA1c ≥9.5%) were found in 17% of youth with T1D and in 27% of those with T2D. African-American, American Indian, Hispanic, and Asian/Pacific Islander youth with T1D were significantly more likely to have higher HbA1c levels compared with non-Hispanic white youth (with respective rates for poor glycemic control of 36%, 52%, 27%, and 26% vs 12%). Similarly poor control in these 4 racial/ethnic groups was found in youth with T2D. Longer duration of diabetes was significantly associated with poorer glycemic control in youth with T1D and T2D. Conclusions The high percentage of US youth with HbA1c levels above the target value and with poor glycemic control indicates an urgent need for effective treatment strategies to improve metabolic status in youth with diabetes * AIMS: The incidence of type 1 diabetes is increasing in many parts of Asia, where resources may not enable targets for glycemic control to be achieved. The aims of this study were to describe glycemic control, diabetes care, and complications in youth with type 1 diabetes from the Western Pacific Region and to identify factors associated with glycemic control and hypoglycemia. METHODS: A cross-sectional clinic-based study on 2312 children and adolescents (aged 18 years; 45% males) from 96 pediatric diabetes centers in Australia, China, Hong Kong, Indonesia, Japan, Malaysia, Philippines, Singapore, South Korea, Taiwan, and Thailan