糖尿病肾病诊断及治疗-陆菊明2015.pptVIP

* * * * * * * * * * * * * * * * * * Because hypertension and dyslipidaemia tend to be co-morbid with type 2 diabetes, true treatment to target is not a matter of glycaemic control only. A multifactorial intervention is needed. The study from the Steno Diabetes Center in Denmark proves that optimal management in type 2 diabetes includes control of BP to 130/80 mmHg and reduction of LDL cholesterol. Patients were randomised to either conventional (n = 80) or intensive treatment (n = 80). Intensive treatment included insulin to control HbA1C to 6.5%, a diuretic to control BP, and an ACE inhibit