Individualized diabetes care:Lessons from the real-world experience
作者机构：Department of Endocrinology and MetabolismLancashire Teaching Hospitals NHS TrustPreston PR29UTUnited Kingdom Faculty of ScienceManchester Metropolitan UniversityManchester M156BHUnited Kingdom Faculty of BiologyMedicine and HealthThe University of ManchesterManchester M139PLUnited Kingdom Department of Endocrinology and MetabolismUniversity Hospitals of EdinburghEdinburgh EH164SAUnited Kingdom
出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)
年 卷 期：2023年第11卷第13期
页 面：2890-2902页
核心收录：
学科分类：1011[医学-护理学（可授医学、理学学位）] 10[医学]
主 题：Individualised diabetes care Diabesity Double diabetes Monogenic diabetes Diabetes in pancreatic cancer
摘 要：Diabetes care is often difficult without a proper collaboration between the patient and the care provider as the disease is mostly self-managed by patients through adjustments in their lifestyles,and medication doses to optimise glycaemic *** clinical guidelines on the management of diabetes mellitus(DM)provide only broad principles on diabetes care,and the blind follow-up of such principles without a proper review and consideration of patient characteristics often results in inadequate glycaemic control and diabetes complications ***,a proper understanding of the pathobiology,clinical situation,and comorbidities of the individual case is of paramount importance to tailoring the most appropriate management strategy in real-world diabetes *** the aid of five unique cases of DM[(1)Medically managed type 2 diabetes mellitus(T2DM)with severe obesity;(2)Management of T2DM with unreliable glycated haemoglobin(HbA1c);(3)Obesity in a patient with type 1 diabetes mellitus(T1DM);and(4)Late diagnosis and subsequent management of monogenic diabetes and *** worsening of well-controlled T2DM)]we elaborate on the importance of individualised diabetes care and the practicalities in these *** review also provides an evidence update on the management of different forms of DM to guide physicians in optimising the care of their patients in day-to-day clinical practice.
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