摘要
糖尿病(DM)是一种全球性疾病,我国DM的发生率也随经济的快速发展而明显升高。目前,不仅糖尿病肾病(DN)成为终末期肾功能衰竭患者最常见的原因之一,其他慢性肾病(CKD)合并DM亦是导致肾功能快速恶化的重要因素。现就晚期DN(Ⅳ~Ⅴ期)及Ⅲ期以上CKD伴代谢紊乱的患者如何合理有效地控制血糖进行综述。
Diabetes mellitus(DM) is a leading cause of chronic kidney disease(CKD) worldwide,and its rising prevalence may explain much of the increase in the incidence of kidney failure.Even when DM is not the cause of kidney disease,the coexistence of CKD and DM presents unique problems that need to be recognized and managed appropriately to optimize the outcomes.The objective of this article is to outline the management of glycemia in patients with DM of stage Ⅳ-Ⅴ and CKD ≥ stage Ⅲ,followed by a review of the appropriate use of available hypoglycemic agents for such patients,with an emphasis on the newer classes of the agents.
出处
《医学研究生学报》
CAS
2008年第10期1113-1117,共5页
Journal of Medical Postgraduates
关键词
糖尿病
糖尿病肾病
慢性肾病
血糖控制
Diabetes mellitus
Diabetic nephropathy
Chronic kidney disease
Control of blood glucose