당뇨병의 모든 것 (Standards of Medical Care for Patients with Diabetes Mellitus)

소개글

당뇨병의 모든 것 (Standards of Medical Care for Patients with Diabetes Mellitus)에 대한 보고서 자료입니다.

목차

Standards of Medical Care for Patients with Diabetes Mellitus
American Diabetes Association

Classification, Diagnosis, and Screening
-Type 1 diabetes
-Type 2 diabetes
-Other specific types of diabetes
-Gestational diabetes mellitus (GDM)

Diagnosis


Screening

Table 3 - Criteria for Testing for Diabetes in Asymptomatic Adult Indivisuals

Table 4 - Testing for type 2 diabetes in children
-Criteria
-시작시기
-빈도
-Test :

Detection and Diagnosis of GDM
-One-step approach :
-Two-step approach :
-나이
-임신전 정상체중

Recommendations
A-Level evidence
Expert cosensus


Initial Evaluation
Table 5 - Components of the Initial Visit

Medical history

Physical history

Laboratory evaluation사

Referrals

Management plan
당뇨에 걸린 사람이라면 의료인과 연합된 team으로부터 내과적 치료를 반드시 받아야 한다.
...

-Glycemic control
...
Table 6 - Glycemic control for nonpregnant individuals with diabetes
...

-Referral for diabetes management

Intercurrent illness

Recommendations
A-Level evidence
B-Level
Expert consensus

Assessment of glycemic control
Self-monitoring of blood glucose(SMBG)
Recommendation
Expert consensus

A1C
Recommendation
Expert consensus

MNT
MNT는 당뇨 치료 그리고 당뇨 치료 교육의 통합된 부분이다. 모든 당뇨를 가진 삶에 적용되는 MNT의 목표는 다음과 같다.
1)
2)
3)
4)
Recommendation
B-Level evidence
Physical activity

Recommendation
B-level evidence

PREVENTION AND MANAGEMENT OF DIABETES COMPLICATIONS
Cardiovascular disease : management of risk factors need screening for CAD
Blood pressure control
Recommendations

Screening and Diagnosis
Expert consensus

Treatment
A-Level evidence
B-Level evidence
C-Level evidence

Expert consensus

Lipid management

Recommendations

General recommendations
A-Level evidence
B-Level evidence

Goals
B-Level evidence
C-Level evidence

Screening
Expert consensus

Treatment
A-Level evidence

Aspirin therpy in diabetes

Recommendation
A-Level evidence
B-Level evidence
Smoking Cessation

Recommendations
A-Level evidence
B-Level evidence
CHD screening and treatment

Recommendations
Expert consensus


SCREENING AND MANAGEMENT OF OTHER COMPLICATION
Nephropathy screening and treatment

Table 8 - Definition of abnormalities in albumin excretion
Recommendations
General recommendations
A-Level evidence
?Nephropathy의 진행을 늦추고 위험도를 감소시키기 위해 glucose조절을 최적화하라.
?Nephropathy의 진행을 늦추고 위험도를 감소시키기 위해 혈압조절을 최적화하라.

Screening
Expert consensus

Treatment
A-Level evidence
B-Level evidence
Expert consensus
Foot care
?
?
?
?
?
?
?

Recommendations
A-Level evidence
B-Level evidence
C-Level evidence
Expert consensus

Diabetic retinopathy screening and treatment

Recommendations
General Recommendations
A-Level evidence

Screening
B-Level evidence

Treatment
A-Level evidence

PREVENTIVE CARE
Preconception care

Recommendations
B-Level evidence
C-Level evidence
Expert consensus

Immunization

Recommendations
C-Level evidence

SPECIAL CONSIDERATIONS
Care of older adults with diabetes

Children and adolescents
참고 문헌
?Diabetes Care, Volume 25, Supplement 1, January 2002, American Diabetes Association

본문내용

키워드

당뇨병,   당뇨병의 치료,   당뇨병의 진단,   당뇨합병증,   diabetes,   당뇨병의 분류,   DM,   diabetic nephropathy