BMJ Best Practice
最后审核时间： 十月 2018
最近更新时间： 一月 2018

小结

定义

病史和查体

关键诊断因素

  • 存在危险因素
  • 无症状的
  • 念珠菌感染
  • 皮肤感染
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其他诊断因素

  • 疲乏
  • 视力模糊
  • 感觉异常
  • 烦渴
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危险因素

  • 高龄
  • 超重/肥胖
  • 妊娠期糖尿病
  • 前期糖尿病
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诊断性检查

首要检查

  • 糖化血红蛋白
  • 空腹血糖
  • 随机血糖
  • 口服75g葡萄糖后2小时的糖耐量
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需要考虑的检查

  • 空腹血脂
  • 尿酮体
  • 踝肱指数（ABI）
  • 尿白蛋白排泄
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治疗流程

推断

非妊娠：初诊断

急性

存在显著高血糖的非妊娠患者：血清葡萄糖≥16.6 mmol/L (≥300 mg/dL) 或 HbA1c ≥86 mmol/mol (≥10%) 或存在症状

无显著高血糖且无症状的非妊娠患者：血清葡萄糖＜16.6 mmol/L (＜300 mg/dL) 或 HbA1c＜86 mmol/mol (＜10%)

妊娠

贡献者

作者 查看所有

Senior Clinical Investigator

HealthPartners Research Foundation

Minneapolis

MN

利益冲突披露
PJO receives research funding from the National Institutes of Health on multiple projects, and in the past several years has received funds for travel for consulting or grand rounds at Mayo Clinic, Peking University, and University of Vienna. PJO is an author of a number of references cited in this monograph.

Senior Clinical Investigator

HealthPartners Research Foundation

Minneapolis

MN

利益冲突披露
JMS-H is an author of a number of references cited in this monograph. She is an inventor on a US patent for Disease Treatment Simulation, a simulation-based technology developed without commercial support to educate health providers on chronic disease management in a virtual environment. She serves as a non-paid member of the board of directors for SimCare Health, a company that has an exclusive license agreement for educational software developed using the simulation technology.

同行评议专家 查看所有

Medical Director

Clinical Improvement Group Health Cooperative

Seattle

WA

利益冲突披露
DKM declares that he has no competing interests.

Associate Professor

Director of Diabetes and Endocrinology

Cairns Base Hospital and Diabetes Centre

Queensland

Australia

利益冲突披露
AKS declares that he has no competing interests.

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