作者: Steven P Marso
DOI: 10.1016/S0735-1097(02)02006-5
关键词: Type 2 Diabetes Mellitus 、 Impaired glucose tolerance 、 Sedentary lifestyle 、 Surgery 、 Insulin 、 Internal medicine 、 Obesity 、 Medicine 、 Regimen 、 Risk factor 、 Cause of death
摘要: Type 2 diabetes mellitus (DM) afflicts nearly 16 million persons in the U.S. Forty people have impaired glucose tolerance and thus a 10% annualized risk of developing type DM. These prevalence rates are estimated to double within next two decades. At-risk groups appear be elderly minorities including African, Hispanic Native Americans. While epidemiologic underpinnings for this increase not fully realized, there has been parallel societal obesity, sedentary lifestyle marked DM among children. Although recently noteworthy advances field cardiovascular medicine, case fatalities remain leading cause death diabetic patients. According national health statistics, continues downward trend mortality morbidity. This observation consistently noted patients with led many re-evaluate current treatment goals pharmacologic regimens at-risk shifting paradigm ratcheting down targeted factor low-density lipoprotein cholesterol, systolic diastolic blood pressure, serum levels requisite number agents being administered. review focuses on adjunctive regimen that is well suited