åêðáéäåõóçó γ.ν.α.

ΕΠΙΚΑΙΡΟ ΘΕΜΑ
ΝΕΟΤΕΡΑ ΦΑΡΜΑΚΑ ΣΤΟ ΣΑΚΧΑΡΩΔΗ ΔΙΑΒΗΤΗ
Συντονιστής: Γ Μουσούρης*
Διάγνωση Διαβήτη – Στόχοι ρύθμισης
(θεραπευτικός αλγόριθμος)
Χ Βασιλόπουλος 1 , Ν Μπουντουβής 2
summary
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Vasilopoulos Ch, Bountouvis N. Diagnosis Of Diabetes – Therapeutic Targets (Treatment
Algorithm). Diabetes Mellitus is a chronic illness that requires continuing medical care and patient
self-management education to prevent acute and to reduce the risk of long-term complications.
Diabetes care is complex and requires that many issues, beyond glycemic control, be addressed.
There is a long presymptomatic phase before the diagnosis of DM2 is usually made and relatively
simple tests are available to detect preclinical disease. During the last decade, ADA and WHO
commonly revised the criteria for the diagnosis of diabetes or detection of patients at high risk for
diabetes. Additionally, the duration of glycemic burden is a strong predictor of adverse outcomes.
Effective interventions exist to prevent progression of pre-diabetes to diabetes and to reduce risk
of complications. The development of new classes of blood glucose–lowering medications has
increased the number of treatment options available for DM2. However, whether used alone or in
combination, the increased number of choices available has heightened practitioners’, as well as
patients’, confusion regarding the most appropriate means of treatment. The algorithm serves to
lighten the therapeutic pathway and clear this field of uncertainty. Nosokomiaka Chronika, 71,
Supplement, 315-324, 2009.
Key words: type 2 diabetes, pre-diabetes, therapeutic targets, algorithm.
ΠΕΡΙΛΗΨΗ
Ο Σακχαρώδης Διαβήτης είναι μια χρόνια νόσος, η οποία απαιτεί συνεχή ιατρική φροντίδα
και εκπαίδευση του ασθενούς για την αποτροπή του κινδύνου οξέων και μακροπρόθεσμων
επιπλοκών. Η φροντίδα των διαβητικών ασθενών είναι σύνθετη και απαιτεί την αντιμετώπιση
1
Αν. Διευθυντής, 2 Ειδικευόμενος ιατρός, Ενδοκρινολογικό Τμήμα Γ.Ν.Α. «Ο Ευαγγελισμός»
*Διευθυντής, Γ’ Παθολογικό Τμήμα Γ.Ν.Α. «Ο Ευαγγελισμός»