课件：糖尿病及其治疗策略.pptVIP

* * 到底什么原因导致达标这么困难呢？ * Psychological insulin resistance (PIR) refers to a patient’s reluctance to begin insulin therapy or delaying insulin therapy for long periods of time.1 Patients may either refuse insulin outright or try to bargain with their doctor for more time on their current treatment to avoid insulin.1 This resistance to insulin therapy was demonstrated in the UKPDS, in which 27% of patients with type 2 diabetes who were randomized to receive insulin, initially refused this treatment option.2 The DAWN study (Diabetes Attitudes Wishes and Needs) went on to show that more than half o