第二型糖尿病合併症之危險因子控制－－ABC管理

Risk Factor Management in Respect of Type 2 Diabetic Complications: ABC Management

第二型糖尿病是一個持續進展的慢性疾病，由於現代人的生活型態及飲食習慣改變、肥胖人口的增加等因素，據估計罹病人口將會持續上升，並會因此大大地增加醫療上的花費。近幾年來糖尿病的預防及控制逐漸成為臨床上熱門的研究課題，因為隨著第二型糖尿病而續發的高血糖、高血壓及高血脂是造成糖尿病合併症的高危險因子。第二型糖尿病已成為全球健康的威脅，合併症的預防與控制也從單方面降低血糖轉變為全面的照護，也就是國際糖尿病教育計劃之「ABCs」運動，以HbA1C、BP、Cholesterol三項指標作為糖尿病控制指標，希望能加強民眾及醫護人員糖尿病管理的觀念，同時落實血糖、血壓及血脂的控制，進而有效地控制糖尿病的惡化，更可減少糖尿病合併症的發生及降低其死亡率。

Type 2 diabetes (T2DM) is one of the most costly and burdensome chronic diseases in Taiwan and is a condition increasing in epidemic proportions all over the world. The symptoms of T2DM, including hyperglycemia, hypertension, and hyperlipidemia are among the highest risk factors for the development of complications with the disease. Blood sugar control alone is not enough for T2DM management. Proper HbA1C, blood pressure, and cholesterol level have been proven by many researchers to decrease T2DM morbidity and mortality. Therefore, the publics and health care providers should know this latest ABC management to decrease the complications in T2DM.