【医脉通】2022 ADA 糖尿病医学诊疗标准.pdf
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1、ISSN 0149-5992A M E R I C A N D I A B E TE S A S S O C I ATI O NSTANDARDS OFMEDICAL CAREIN DIABETES2022SUPPLEMENTSPPLEMME EN NT T T1VOLUME 45 | SUPPLEMENT 1 | PAGES S1S264THE JOURNAL OF CLINICAL AND APPLIED RESEARCH AND EDUCATIONVOLUME 45 | SUPPLEMENT 1WWW.DIABETES.ORG/DIABETESCAREJANUARY 2022JANUAR
2、Y 2022January 2022 Volume 45, Supplement 1 The simple word Care may suffice to express the journals philosophical mission. The new journal is designed to promote better patient care by serving the expanded needs of all health professionals committed to the care of patients with diabetes. As such, th
3、e American Diabetes Association views Diabetes Care as a reaffirmation of Francis Weld Peabodys contention that “the secret of the care of the patient is in caring for the patient.” Norbert Freinkel, Diabetes Care, January-February 1978 EDITOR IN CHIEF Matthew C. Riddle, MD ASSOCIATE EDITORS Vanita
4、R. Aroda, MD George Bakris, MD Lawrence Blonde, MD, FACP Andrew J.M. Boulton, MD Jessica R. Castle, MD Linda A. DiMeglio, MA, MD, MPH Linda Gonder-Frederick, PhD Frank B. Hu, MD, MPH, PhD Steven E. Kahn, MB, ChB Sanjay Kaul, MD, FACC, FAHA Robert G. Moses, MD Stephen S. Rich, PhD Julio Rosenstock, M
5、D Elizabeth Selvin, PhD, MPH Adrian Vella, MD Judith Wylie-Rosett, EdD, RD AMERICAN DIABETES ASSOCIATION OFFICERS CHAIR OF THE BOARD John Schlosser PRESIDENT, MEDICINE & SCIENCE Ruth Weinstock, MD, PhD PRESIDENT, HEALTH CARE & EDUCATION Cynthia Mu noz, PhD, MPH SECRETARY/TREASURER Christopher Ralsto
6、n, JD CHAIR OF THE BOARD-ELECT Glen Tullman PRESIDENT-ELECT, MEDICINE & SCIENCE Guillermo Umpierrez, MD, CDE, FACP, FACE PRESIDENT-ELECT, HEALTH CARE & EDUCATION Otis Kirksey, PharmD, RPh, CDE, BC-ADM SECRETARY/TREASURER-ELECT Marshall Case CHIEF SCIENTIFIC & MEDICAL OFFICER Robert A. Gabbay, MD, Ph
7、D EDITORIAL BOARD Fida Bacha, MD Katharine Barnard-Kelly, PhD Ananda Basu, MD, FRCP Tadej Battelino, MD, PhD Petter Bjornstad, MD Fiona Bragg, BSc, MBChB, MRCP, MSc, DPhil, FFPH John B. Buse, MD, PhD Mark Emmanuel Cooper, MB BS, PhD Matthew J. Crowley, MD, MHS J. Hans DeVries, MD, PhD Kimberly A. Dr
8、iscoll, PhD Kathleen M. Dungan, MD, MPH Hertzel C. Gerstein, MD, MSc, FRCOC Jessica Lee Harding, PhD Stewart B. Harris, CM, MD, MPH, FCFP, FACPM Byron J. Hoogwerf, MD, FACP, FACE Sarah S. Jaser, PhD M. Sue Kirkman, MD Richard David Graham Leslie, MD, FRCP, FAoP John J.V. McMurray, MD, FRCP, FESC, FA
9、CC, FAHA, FRSE, FMedSci Mark E. Molitch, MD Helen R. Murphy, MBBChBAO, FRACP, MD Katherine Ogurtsova, PhD Bruce A. Perkins, MD, MPH Casey M. Rebholz, PhD, MS, MNSP, MPH Maria Jose Redondo, MD, PhD, MPH Peter Rossing, MD, DMSc Desmond Schatz, MD Guntram Schernthaner, MD Jonathan Shaw, MD, FRCP, FRACP
10、, FAAHMS Jay M. Sosenko, MD, MS Samy Suissa, PhD Giovanni Targher, MD Kristina M. Utzschneider, MD Daniel H. van Raalte, MD, PhD Joseph I. Wolsdorf, MB, BCh Daisuke Yabe, MD, PhD Sophia Zoungas, MBBS (Hons), PhD, FRACP The mission of the American Diabetes Association is to prevent and cure diabetes
11、and to improve the lives of all people affected by diabetes. AMERICAN DIABETES ASSOCIATION PERSONNEL AND CONTACTS ASSOCIATE PUBLISHER, SCHOLARLY JOURNALS Christian S. Kohler EDITORIAL OFFICE DIRECTOR Lyn Reynolds PEER REVIEW MANAGER Shannon Potts ASSOCIATE MANAGER, PEER REVIEW Larissa M. Pouch DIREC
12、TOR, SCHOLARLY JOURNALS Heather Norton Blackburn ASSOCIATE DIRECTOR, SCHOLARLY JOURNALS Keang Hok TECHNICAL EDITOR Theresa M. Cooper PRODUCTION COORDINATOR Saleha Malik DIRECTOR, MEMBERSHIP/SUBSCRIPTION SERVICES Donald Crowl SENIOR ADVERTISING MANAGER Julie DeVoss Graff jgraffdiabetes.org (703) 299-
13、5511 SENIOR MANAGER, BILLING & COLLECTIONS Josh Flores jfloresdiabetes.org (703) 549-1500, ext. 2110 PHARMACEUTICAL & DEVICE PRINT ADVERTISING Lisa Morton Senior Account Manager lmortondiabetes.org (312) 346-1805, ext. 6571 PHARMACEUTICAL & DEVICE DIGITAL ADVERTISING eHealthcare Solutions R.J. Lewis
14、 President and CEO (609) 882-8887, ext. 101 Diabetes Care is a journal for the health care practitioner that is intended to increase knowledge, stimulate research, and promote better management of people with diabetes. To achieve these goals, the journal publishes original research on human studies
15、in the following categories: Clinical Care/Education/Nutrition/ Psychosocial Research, Epidemiology/Health Services Research, Emerging Technologies and Therapeutics, Pathophysiology/Complications, and Cardiovascular and Metabolic Risk. The journal also publishes ADA statements, consensus reports, cl
16、inically relevant review articles, letters to the editor, and health/medical news or points of view. Topics covered are of interest to clinically oriented physicians, researchers, epidemiologists, psychologists, diabetes educators, and other health professionals. More information about the journal c
17、an be found online at care.diabetesjournals.org. Copyright 2021 by the American Diabetes Association, Inc. All rights reserved. Printed in the USA. Requests for permission to reuse content should be sent to Copyright Clearance Center at or 222 Rosewood Dr., Danvers, MA 01923; phone: (978) 750-8400;
18、fax: (978) 646-8600. Requests for permission to translate should be sent to Permissions Editor, American Diabetes Association, at permissionsdiabetes.org. The American Diabetes Association reserves the right to reject any advertisement for any reason, which need not be disclosed to the party submitt
19、ing the advertisement. Commercial reprint orders should be directed to Sheridan Content Services, (800) 635-7181, ext. 8065. Single issues of Diabetes Care can be ordered by calling toll-free (800) 232-3472, 8:30 A.M. to 5:00 P.M. EST, Monday through Friday. Outside the United States, call (703) 549
20、-1500. Rates: $75 in the United States, $95 in Canada and Mexico, and $125 for all other countries. Diabetes Care is available online at care.diabetesjournals.org. Please call the numbers listed above, e-mail membershipdiabetes.org, or visit the online journal for more information about submitting m
21、anuscripts, publication charges, ordering reprints, subscribing to the journal, becoming an ADA member, advertising, permission to reuse content, and the journals publication policies. Periodicals postage paid at Arlington, VA, and additional mailing offices. PRINT ISSN 0149-5992 ONLINE ISSN 1935-55
22、48 PRINTED IN THE USA January 2022 Volume 45, Supplement 1 S1 Introduction S3 Professional Practice Committee S4 Summary of Revisions S8 1. Improving Care and Promoting Health in Populations Diabetes and Population Health Tailoring Treatment for Social Context S17 2. Classification and Diagnosis of
23、Diabetes Classification Diagnostic Tests for Diabetes Type 1 Diabetes Prediabetes and Type 2 Diabetes Cystic FibrosisRelated Diabetes Posttransplantation Diabetes Mellitus Monogenic Diabetes Syndromes Pancreatic Diabetes or Diabetes in the Context of Disease of the Exocrine Pancreas Gestational Diab
24、etes Mellitus S39 3. Prevention or Delay of Type 2 Diabetes and Associated Comorbidities Lifestyle Behavior Change for Diabetes Prevention Pharmacologic Interventions Prevention of Vascular Disease and Mortality Patient-Centered Care Goals S46 4. Comprehensive Medical Evaluation and Assessment of Co
25、morbidities Patient-Centered Collaborative Care Comprehensive Medical Evaluation Immunizations Assessment of Comorbidities S60 5. Facilitating Behavior Change and Well-being to Improve Health Outcomes Diabetes Self-management Education and Support Medical Nutrition Therapy Physical Activity Smoking
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