China News Service, Beijing, September 21. The "Expert Consensus on Screening and Prevention of Microvascular Diseases in Primary Diabetes (2020 Edition)" was officially released recently.
The consensus emphasizes the concept of complication prevention and treatment based on "three-level prevention", and provides recommendations at different levels according to the national conditions of uneven medical development.
Experts pointed out that due to the great harm and high economic burden, early detection and treatment can help delay progress. The presence or absence of complications is the basis for setting individualized control goals. It is very important to screen for diabetic microvascular complications.
According to reports, the "Expert Consensus on the Screening and Prevention of Microvascular Diseases in Primary Diabetes (2020 Edition)" is organized by the Diabetes and Microcirculation Professional Committee of the Chinese Microcirculation Society, the Primary Health Branch of the Chinese Medical Care International Exchange Promotion Association, and the Chinese Medical Association for Diabetes Co-organized and compiled by the grassroots diabetes prevention and treatment group (preparation) of the credit association.
This consensus uses "basic level", "microvascular disease", "screening and prevention" as keywords, emphasizes the concept of prevention and treatment of complications based on "tertiary prevention", and combines Chinese clinical practice on the premise of respecting evidence-based evidence. It is hoped that through nationwide promotion, more practical and accurate guidance will be provided to more grassroots physicians. At the same time, the whole society is also called on to pay attention to the complications of diabetes, especially microvascular complications.
There are currently about 116 million people with diabetes in China, ranking first in the world and becoming the country with the largest number of diabetes patients.
Diabetes management must not only achieve ideal blood sugar control, but also achieve the goal of preventing chronic complications, improving the quality of life of patients and extending life span through good metabolic control.
Diabetic microvascular complications are a specific manifestation of various types of diabetes, and they have a more serious impact on the quality of life. They are an important cause of death and disability in diabetic patients. They have severely reduced the quality of life of patients and increased the economic burden on families and society. .
Therefore, the prevention and treatment of diabetes, including microvascular complications, is a very important part of the management of type 2 diabetes.
Primary medical and health institutions play an important role in the prevention and control of diabetes and complications. More than 80% of diabetic patients in China visit medical institutions at county level or below, but many local primary medical institutions still lack complete and standardized diabetes microvascular complications screening, The process of prevention and management.
Therefore, the expert group first put forward guiding suggestions on the screening, diagnosis, follow-up education, and graded diagnosis and treatment of diabetes microcirculation complications in primary medical and health institutions.
The consensus provides clear references for the screening items and frequency of different complications, and provides different levels of recommendations based on the characteristics of the uneven medical development in the country.
Compared with the previous edition, this edition of the consensus has added screening content for diabetic feet.
Professor Sun Zilin, Chairman of the Diabetes and Microcirculation Committee of the Chinese Microcirculation Society, and Professor Sun Zilin from the Institute of Diabetes of Southeast University, especially emphasized the importance of screening for diabetic microvascular complications: first, it is harmful and economical; second, early detection and Treatment can help delay progress; third, the incidence is high and often early; fourth, early symptoms are often atypical; fifth, screening helps to promote patient behavior changes; sixth, no complications is setting individualized control goals Basis.
The prevention and treatment of diabetic microvascular complications in primary medical and health institutions is one of the key contents of the consensus.
Consensus provides clear, detailed and precise practical guidance from two different dimensions of disease and medicine.
Compared with the previous version, this consensus has added DME and DMED content.
In addition, for the tertiary prevention of microvascular complications, it is necessary to strengthen graded screening and prevention and hospital-community integrated management.
The graphs in the consensus give clear suggestions on the two-way referral process and the two-way referral indications for different complications.
The timely two-way referral of diabetic patients is to ensure that patients receive early screening and safe and effective treatment, and to maximize the respective advantages of primary health care institutions and specialist medical institutions; it is also a response to the screening of diabetic microcirculation lesions. One of the effective solutions to the imbalanced allocation of resources in China's primary medical and health institutions, especially the insufficient provision of screening equipment.
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