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A systematic survey on the diagnosis strategy and patient management of type 1 diabetes by Chinese physicians

查看全文 作  者:Yong [1]Gu;Hsiang-Ting [1]Hsu;Jing [1]Zhu;Xuqin [1]Zheng;Hemin [1]Jiang;Hongqi [1,2]Fan;Tao [1,2]Yang 高影响力作者 机构地区:[1]Department of Endocrinology & Metabolism, First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China;[2]Jiangsu Medical Quality Control Center (Endocrinology and Metabolism), Nanjing 210008, China高影响力机构 出  处:《Science China(Life Sciences)》索引2018年第61卷第3期,共10页高影响力期刊 基  金:supported by the National Natural Science Foundation of China(81300668,81530026);the Project Funded by the Priority Academic Program Development of Jiangsu Higher Education Institutions 摘  要:The qualification of physicians is a key factor in controlling type 1 diabetes(T1 D) since they provide crucial information to their patients about self-management. To investigate whether Chinese physicians' medical strategies influence the control of T1 D in their patients, we designed a questionnaire to survey Chinese physicians, which covered their diagnosis and patient-management strategies for T1 D. A total of 442 completed questionnaires were received from 35 public hospitals in 12 cities. The results showed Chinese physicians mainly diagnosed T1 D based on the clinical features and islet dysfunction. One-third of physicians in this study still prescribed non-basal-bolus insulin regimens to their T1 D patients. More than 80% of the doctors prescribed alpha-glucosidase inhibitors as adjunctive therapy, in addition to insulin therapy. Moreover, most of the physicians in China did not pay attention to identify coexistent autoimmune diseases. T1 D patients in China were not armed with self-management knowledge and skills, which should be provided by their doctors. One of the circumstances leading to insufficient disease control in Chinese T1 D patients is the ineffective therapeutic strategy prescribed by their physicians. We need to promote knowledge of efficient strategies among physicians in China to achieve better disease control in Chinese T1 D patients in the future. 关 键 词:诊断策略 自我管理 糖尿病 医生 中国 类型 疾病控制 系统
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