[1]杨雪,何志伟,陈煜,等.2型糖尿病缓解:来自美国生活方式医学会的立场 声明(2020)和专家共识(2022)——解读与思考[J].国际内分泌代谢杂志,2023,43(02):195-198.[doi:10.3760/cma.j.cn121383-20221012-10021]
 Yang Xue,He Zhiwei,Chen Yu,et al.Remission of type 2 diabetes mellitus: position statement from the American Society of Lifestyle Medicine(2020)and Expert Consensus(2022)—interpretation and reflections[J].International Journal of Endocrinology and Metabolism,2023,43(02):195-198.[doi:10.3760/cma.j.cn121383-20221012-10021]
点击复制

2型糖尿病缓解:来自美国生活方式医学会的立场 声明(2020)和专家共识(2022)——解读与思考()
分享到:

《国际内分泌代谢杂志》[ISSN:1673-4157/CN:12-1383/R]

卷:
43
期数:
2023年02期
页码:
195-198
栏目:
指南与共识
出版日期:
2023-03-20

文章信息/Info

Title:
Remission of type 2 diabetes mellitus: position statement from the American Society of Lifestyle Medicine(2020)and Expert Consensus(2022)—interpretation and reflections
作者:
杨雪何志伟陈煜陈国芳刘超
南京中医药大学附属中西医结合医院内分泌科,南京 210028
Author(s):
Yang Xue He Zhiwei Chen Yu Chen Guofang Liu Chao.
Department of Endocrinology, Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Traditional Chinese Medicine, Nanjing 210028, China
关键词:
2型糖尿病 缓解 生活方式医学 立场声明 专家共识 解读
Keywords:
Type 2 diabetes mellitus Remission Lifestyle medicine Position statement Expert consensus Interpretation
DOI:
10.3760/cma.j.cn121383-20221012-10021
摘要:
随着医学技术的进步和多年的探索,缓解2型糖尿病的研究取得了丰硕的成果。但此前,国际上尚无相关权威指南。2020年,美国生活方式医学会发布的立场声明首次对缓解2型糖尿病的相关现状及建议进行了阐述,并明确指出,通过适当强度的生活方式干预缓解2型糖尿病应该为所有2型糖尿病患者治疗的首要目标; 2022年,美国生活方式医学会再次发布专家共识,推荐饮食疗法作为缓解2型糖尿病的首要手段,并就饮食疗法相关事项进行了详细推荐。
Abstract:
Thanks to the advances in medical technology and years of exploration, a huge progress has been made in terms of remission of diabetes. However, there is no relevant authoritative guideline before. The position statement issued by the American College of Lifestyle Medicine in 2020 recommended that remission should be the first clinical goal in T2DM treatment using properly dosed intensive lifestyle interventions. In 2022, the American College of Lifestyle Medicine again issued an expert consensus, recommending dietary therapy as the primary means of alleviating type 2 diabetes mellitus, with detailed recommendations on dietary therapy-related matters.

参考文献/References:

[1] Bloom A.Remission in diabetes[J].Br Med J, 1959,2(5154):731-734.DOI:10.1136/bmj.2.5154.731.
[2] 杨雪,陈国芳,刘超.逆转2型糖尿病的现状与展望[J].中华糖尿病杂志,2021,13(7):666-672.DOI:10.3760/cma.j.cn115791-20210305-00127.
[3] Kelly J,Karlsen M,Steinke G.Type 2 diabetes remission and lifestyle medicine:a position statement from the American College of Lifestyle Medicine[J].Am J Lifestyle Med,2020,14(4):406-419.DOI:10.1177/1559827620930962.
[4] Rosenfeld RM,Kelly JH,Agarwal M,et al.Dietary interventions to treat type 2 diabetes in adults with a goal of remission:an expert consensus statement from the American College of Lifestyle Medicine[J].Am J Lifestyle Med,2022,16(3):342-362.DOI:10.1177/15598276221087624.
[5] Buse JB,Caprio S,Cefalu WT,et al.How do we define cure of diabetes?[J]. Diabetes Care,2009,32(11):2133-2135.DOI:10.2337/dc09-9036.
[6] Riddle MC,Cefalu WT,Evans PH,et al.Consensus report:definition and interpretation of remission in type 2 diabetes[J].Diabetes Care,2021,44(10):2438-2444.DOI:10.2337/dci21-0034.
[7] 中华医学会糖尿病学分会肥胖与糖尿病学组.2型糖尿病代谢手术术后管理中国专家共识[J].中华糖尿病杂志,2018,10(3):161-167.DOI:10.3760/cma.j.issn.1674-5809.2018.03.001.
[8] Nagi D,Hambling C,Taylor R.Remission of type 2 diabetes:a position statement from the Association of British Clinical Diabetologists(ABCD)and the Primary Care Diabetes Society(PCDS)[J].Br J Diabetes,2019,19(1):73-76.DOI:10.15277/bjd.2019.221.
[9] Dagenais GR,Leong DP,Rangarajan S,et al.Variations in common diseases,hospital admissions,and deaths in middle-aged adults in 21 countries from five continents(PURE):a prospective cohort study[J].Lancet,2020,395(10226):785-794.DOI:10.1016/S0140-6736(19)32007-0.
[10] Shibib L,Al-Qaisi M,Ahmed A,et al.Reversal and remission of T2DM -an update for practitioners[J].Vasc Health Risk Manag,2022,18:417-443.DOI:10.2147/VHRM.S345810.
[11] Ko JH,Kim TN.Type 2 diabetes remission with significant weight loss:definition and evidence-based interventions[J].J Obes Metab Syndr,2022,31(2):123-133.DOI:10.7570/jomes22001.
[12] Banerjee ES,Schroeder R,Harrison TD.Metabolic surgery for adult obesity:common questions and answers[J].Am Fam Physician,2022,105(6):593-601.
[13] Park S,Choi SB.Induction of long-term normoglycemia without medication in Korean type 2 diabetes patients after continuous subcutaneous insulin infusion therapy[J].Diabetes Metab Res Rev,2003,19(2):124-130.DOI:10.1002/dmrr.343.
[14] Li Y,Xu W,Liao Z,et al.Induction of long-term glycemic control in newly diagnosed type 2 diabetic patients is associated with improvement of beta-cell function[J].Diabetes Care,2004,27(11):2597-2602.DOI:10.2337/diacare.27.11.2597.
[15] Taylor R,Al-Mrabeh A,Sattar N.Understanding the mechanisms of reversal of type 2 diabetes[J].Lancet Diabetes Endocrinol,2019,7(9):726-736.DOI:10.1016/S2213-8587(19)30076-2.
[16] Weng J.Short-term intensive insulin therapy could be the preferred option for new onset type 2 diabetes mellitus patients with HbA1c>9[J].J Diabetes,2017,9(10):890-893.DOI:10.1111/1753-0407.12581.
[17] Russel SM,Valle V,Spagni G,et al.Physiologic mechanisms of type II diabetes mellitus remission following bariatric surgery:a meta-analysis and clinical implications[J].J Gastrointest Surg,2020,24(3):728-741.DOI:10.1007/s11605-019-04508-2.
[18] Taylor R.Type 2 diabetes and remission:practical management guided by pathophysiology[J].J Intern Med,2021,289(6):754-770.DOI:10.1111/joim.13214.
[19] Hallberg SJ,Gershuni VM,Hazbun TL,et al.Reversing type 2 diabetes:a narrative review of the evidence[J].Nutrients,2019,11(4):766.DOI:10.3390/nu11040766.
[20] Ge L,Sadeghirad B,Ball GDC,et al.Comparison of dietary macronutrient patterns of 14 popular named dietary programmes for weight and cardiovascular risk factor reduction in adults:systematic review and network meta-analysis of randomised trials[J].BMJ,2020,369:m696.DOI:10.1136/bmj.m696.

相似文献/References:

[1]曾静波,王姮.2型糖尿病与自身免疫反应[J].国际内分泌代谢杂志,2007,(04):259.
[2]朱素君,谢锦桃,刘军,等.二甲双胍:2型糖尿病治疗的基础药[J].国际内分泌代谢杂志,2007,(04):280.
[3]刘艳清 易秋艳 邵加庆.肠道菌群与肥胖和糖尿病的关系[J].国际内分泌代谢杂志,2015,(01):31.[doi:DOI:10.3760/cma.j.issn.1673-4157.2015.01.007]
 Liu Yanqing,Yi Qiuyan,Shao Jiaqing..Relationship between gut microbiota, obesity and diabetes[J].International Journal of Endocrinology and Metabolism,2015,(02):31.[doi:DOI:10.3760/cma.j.issn.1673-4157.2015.01.007]
[4]姚旻 赵爱源 张宏.肠道菌群与2型糖尿病[J].国际内分泌代谢杂志,2015,(01):35.[doi:DOI:10.3760/cma.j.issn.1673-4157.2015.01.008]
 Yao Min*,Zhao Aiyuan,Zhang Hong..Relationship between gut microbiota and type 2 diabetes[J].International Journal of Endocrinology and Metabolism,2015,(02):35.[doi:DOI:10.3760/cma.j.issn.1673-4157.2015.01.008]
[5]赵丽娟,徐宽枫,杨涛,等.SLC30A8和PTPRD基因多态性与南京地区中老年人群2型糖尿病的相关性研究[J].国际内分泌代谢杂志,2015,(03):145.[doi:10.3760/cma.j.issn.1673-4157.2015.03.001]
 Zhao Lijuan*,Xu Kuanfeng,Yang Tao,et al.Relationship between SLC30A8 and PTPRD gene polymorphisms and type 2 diabetes in middle aged and elderly people in Nanjing area[J].International Journal of Endocrinology and Metabolism,2015,(02):145.[doi:10.3760/cma.j.issn.1673-4157.2015.03.001]
[6]王洁,何媛,于珮.糖尿病肾病的相关危险因素分析[J].国际内分泌代谢杂志,2015,(03):153.[doi:10.3760/cma.j.issn.1673-4157.2015.03.003]
 Wang Jie*,He Yuan,Yu Pei..Risk factors of diabetic nephropathy[J].International Journal of Endocrinology and Metabolism,2015,(02):153.[doi:10.3760/cma.j.issn.1673-4157.2015.03.003]
[7]刘帅,张萍,方毅,等.2型糖尿病合并无症状冠状动脉钙化的相关危险因素分析[J].国际内分泌代谢杂志,2015,(03):158.[doi:10.3760/cma.j.issn.1673-4157.2015.03.004]
 Liu Shuai*,Zhang Ping,Fang Yi,et al.Analysis of the risk factors related with asymptomatic coronary calcification for type 2 diabetic patients[J].International Journal of Endocrinology and Metabolism,2015,(02):158.[doi:10.3760/cma.j.issn.1673-4157.2015.03.004]
[8]徐庆海,马颖,李铁马.2型糖尿病患者高甘油三酯血症-腰围表型与甲状腺功能异常的关系[J].国际内分泌代谢杂志,2015,(04):222.[doi:10.3760/cma.j.issn.1673-4157.2015.04.002]
 Xu Qinghai,Ma Ying,Li Tiema..Association of hypertriglyceridaemic-waist phenotype with thyroid dysfunction in patients with type 2 diabetes mellitus[J].International Journal of Endocrinology and Metabolism,2015,(02):222.[doi:10.3760/cma.j.issn.1673-4157.2015.04.002]
[9]潘道延,沈洁,朱筱,等.利格列汀对2型糖尿病大鼠代谢性内毒素血症的影响[J].国际内分泌代谢杂志,2015,(04):230.[doi:10.3760/cma.j.issn.1673-4157.2015.04.004]
 Pan Daoyan,Shen Jie,Zhu Xiao,et al.Effects of linagliptin on metabolic endotoxemia in type 2 diabetic rats[J].International Journal of Endocrinology and Metabolism,2015,(02):230.[doi:10.3760/cma.j.issn.1673-4157.2015.04.004]
[10]黄桥,白洁,杜洪泉.一种新的脂肪细胞因子——cartonectin[J].国际内分泌代谢杂志,2015,(04):265.[doi:10.3760/cma.j.issn.1673-4157.2015.04.014]
 Huang Qiao*,Bai Jie,Du Hongquan..A novel adipokine--cartonectin[J].International Journal of Endocrinology and Metabolism,2015,(02):265.[doi:10.3760/cma.j.issn.1673-4157.2015.04.014]
[11]陈莉明.“逆转”2型糖尿病,梦想照进现实[J].国际内分泌代谢杂志,2021,41(06):549.[doi:10.3760/cma.j.cn121383-20210927-09082]
 Chen Liming..Remission type 2 diabetes mellitus, dream into reality[J].International Journal of Endocrinology and Metabolism,2021,41(02):549.[doi:10.3760/cma.j.cn121383-20210927-09082]

备注/Memo

备注/Memo:
基金项目:江苏省第十六批“六大人才高峰”项目(WSN-035)
通信作者:陈国芳,Email:chenguofang9801@126.com; 刘超,Email:liuchao@nfmcn.com
更新日期/Last Update: 2023-04-15