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2型糖尿病肥胖患者减重相关问题及策略

Problems and strategies related to weight loss in obese patients with type 2 diabetes mellitus

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【作者】 施万英吕婵

【Author】 SHI Wan-ying;LYU Chan;Department of Clinical Nutrition, the First Affiliated Hospital of China Medical University;

【机构】 中国医科大学附属一院临床营养科

【摘要】 肥胖不仅是一种危害健康的慢性病,而且是2型糖尿病(T2DM)重要的危险因素。对于T2DM患者,肥胖会阻碍血糖控制且增加并发症的发生风险。近年来,以体重管理为中心的治疗方案在肥胖的T2DM患者中取得了很多成功案例。然而,最新研究和临床实践证明,减重过程中存在的某些问题使肥胖的T2DM患者并未取得预期的减重效果和临床结局。本文综述了肥胖的T2DM患者减重相关问题,旨在为糖尿病临床治疗提供参考。

【Abstract】 Obesity is not only a chronic disease that is harmful to health, but also an important risk factor for type 2 diabetes. For obese patients with type 2 diabetes, obesity can prevent blood sugar control and increase the risk of complications. In recent years, the treatment model with weight management as centre in obese patients with type 2 diabetes mellitus has achieved success in many cases. However, the latest research and clinical practice have proved that many problems in the process of weight management prevent obese patients with type 2 diabetes from achieving the desired results. In order to provide reference for clinical treatment of diabetes, this review summarizesd the related issues of weight loss in obese patients with type 2 diabetes mellitus.

【关键词】 肥胖2型糖尿病减重
【Key words】 obesitytype 2 diabetes mellitusweight loss
【基金】 辽宁省自然科学基金资助项目(2014021034)
  • 【文献出处】 中国实用内科杂志 ,Chinese Journal of Practical Internal Medicine , 编辑部邮箱 ,2017年05期
  • 【分类号】R587.1;R589.2
  • 【被引频次】10
  • 【下载频次】448
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