China News Service, March 10 (Reporter Chen Jing) Diabetes is one of the public problems that seriously affect the health of the Chinese people. The harm caused by diabetes complications also affects the quality of labor.

　　The reporter learned on the 10th that Fang Laiying, vice president of the Chinese Hospital Association, Guo Lixin, chairman-designate of the Diabetes Branch of the Chinese Medical Association, and director of the Endocrinology Department of Beijing Hospital, and Jiang Wei, assistant to the director of the Chronic Disease Center of the Chinese Center for Disease Control and Prevention, and director of the General Office, etc. : Establish a diabetic nephropathy prevention and control system, improve the awareness of diabetic nephropathy screening in the whole society, incorporate early screening and early diagnosis indicators into the assessment of medical staff, and optimize the path of diagnosis and treatment of patients.

　　Experts hope to incorporate chronic kidney disease screening into the primary public health system, and include diabetic nephropathy screening into the scope of medical insurance reimbursement, so as to increase the screening rate of diabetic nephropathy, improve the quality of life of diabetic patients, and reduce the possibility of premature death due to serious complications. Reduce the burden on patients and society.

　　At the “Healthy Chinese: Promoting Early Screening and Diagnosis of Diabetic Nephropathy” thematic roundtable forum held online and offline, experts and scholars actively discussed measures and methods to promote early screening and diagnosis of diabetic nephropathy, and made suggestions for improving the management of major chronic diseases such as diabetes in China Provide suggestions to achieve the established diabetes prevention and control action goals of the "Healthy China Action (2019-2030)" as soon as possible.

　　Professor Guo Lixin said in an interview with a reporter from Chinanews.com on the 10th that kidney disease is a very important chronic complication of diabetes, which directly affects the recovery and quality of life of diabetic patients, and increases a lot of medical expenses, which will bring to society, families and individuals. Bring a great burden.

　　Guo Lixin told reporters that diabetes has become an important cause of end-stage renal disease. The prevalence of diabetic nephropathy in China is still under study. The existing regional rheology results show that the incidence of diabetic nephropathy in Shanghai is about 27%.

He believes that an important reason for the high prevalence of diabetic nephropathy is insufficient attention. Many patients have not been screened, so that the time for the best diagnosis and treatment of the disease is missed.

　　Guo Lixin revealed that the latest survey showed that the prevalence of diabetes in China was 12.8%.

The expert said: “China not only has the problem of high diabetes complications, but also has the problems of low awareness of diabetes itself, low diagnosis rate, low treatment rate, and low treatment compliance rate, and the proportion of standardized complications screening is lower. "Guo Lixin suggested that medical institutions and medical workers at all levels should pay attention to early screening for complications such as diabetic nephropathy.

Let patients know that the focus of diabetes prevention is on complications, especially chronic complications.

　　Professor Zha Yan, executive member of the Chinese Medical Association Nephrology Branch and vice president of Guizhou Provincial People’s Hospital, said in an interview that there are already a large number of chronic kidney disease and diabetes patients in China. If the occurrence and development of diabetes are not controlled, diabetes will be very fast. It will transform into diabetic nephropathy and further increase the incidence of chronic kidney disease.

She bluntly said that despite the large number of patients, the public, especially those in areas below the county level, still have a very low awareness rate, screening rate, and reasonable treatment rate for chronic kidney disease.

　　According to Zha Yan, there are many reasons for the low screening rate of chronic kidney disease: some early symptoms of early kidney disease are not easy to detect, the basic screening equipment is not perfect, and the early screening of glomerulonephritis and diabetic nephropathy is not included. Performance appraisal of medical staff, chronic kidney disease screening has not been included in the primary public health system, and standardized chronic kidney disease examinations are not included in routine medical examinations.

　　This expert believes that the important thing for the advancement of the barrier is to strengthen the health management capabilities of chronic kidney disease and improve the management capabilities of medical institutions at and below the county level. He also called for the establishment of a national-level chronic kidney disease monitoring platform and monitoring mechanism. Include chronic kidney disease in the scope of medical insurance for major national diseases.

In this regard, Fang Laiying, vice president of the Chinese Hospital Association, also stated that if the indicators of early screening and early diagnosis are included in the grassroots public health indicators, doctors will be assessed for specific technical capabilities and comprehensive indicators, and then coordinated with a wide range of popular science and convenient The development and application of early screening equipment, early screening and early diagnosis of diabetic nephropathy will surely be greatly developed in the next few years.

　　Professor Guo Lixin said that the diagnosis of diabetic nephropathy is not particularly complicated.

Compared with dialysis, kidney transplantation or other treatments for end-stage renal disease, a relevant test only costs more than ten yuan, which saves a lot of money.

Therefore, the investment in early standardized screening is very important.

Wu Hao, director of Beijing Fangzhuang Community Health Service Center, said that it is important to improve the ability of grassroots medical staff to accurately triage and guide diagnosis.

　　It is reported that since 2010, China has begun to build a national demonstration zone for the comprehensive prevention and control of chronic diseases.

Jiang Wei, Assistant Director of the Chronic Disease Center and Director of the Comprehensive Office of the China Centers for Disease Control and Prevention, suggested that we should adhere to the grading diagnosis and treatment services of chronic diseases at the primary level, two-way referral, emergency and slow treatment, and upper and lower linkages; The data is effectively linked with the data managed by diabetic patients to better serve the patients.

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