CardiovascularDisease(CVD)&Diabetes
CVDScreeningandTreatment
Screening
Asymptomaticpatients:routineCADscreeningnotrecommended;treatmentofCVDriskfactorsisfocus
OvertCVD:considerACEI,anduseaspirinandstatintoreduceCVeventrisk
PriorMI:continueuseofbeta-blockersfor≥2yrsafterevent
Symptomaticheartfailure:avoidTZDs
Treatment
Metformin
•Stableheartfailure:mayusemet...[阅读全文]
回家路的博客
这一生，我们都在走在回家的路上！
博文
(2014-10-15 12:25:13)
(2014-10-15 11:57:32)
Insulin&GlucoseMonitoring
Self-MonitoringofBloodGlucose(SMBG)
Encourageforpatientsreceivingmultipledoseinsulinorinsulinpumptherapy:
•Priortomealsandsnacks •Occasionallypostprandially •Atbedtime •Priortoexercise •Whenlowbloodglucoseissuspected •Aftertreatinglowbloodglucoseuntilnormoglycemic •Priortocriticaltasks(eg,driving)
Resultsmay...[阅读全文]
Self-MonitoringofBloodGlucose(SMBG)
Encourageforpatientsreceivingmultipledoseinsulinorinsulinpumptherapy:
•Priortomealsandsnacks •Occasionallypostprandially •Atbedtime •Priortoexercise •Whenlowbloodglucoseissuspected •Aftertreatinglowbloodglucoseuntilnormoglycemic •Priortocriticaltasks(eg,driving)
Resultsmay...[阅读全文]
(2014-10-15 11:08:12)
2014糖尿病指南：二型糖尿病的药物治疗PharmacologicTherapyforType2Diabetes
MedicationsforHyperglycemiainType2Diabetes
Metformin
Preferredinitialtherapy(iftoleratedandnotcontraindicated)
Considerinsulintherapywithorwithoutotheragents→ Atoutsetinnewlydiagnosedpatientswithmarkedlysymptomaticand/orelevatedbloodglucoselevelsorA1C
Add2ndoralagent,GLP-1receptoragonist,orinsuli...[阅读全文]
MedicationsforHyperglycemiainType2Diabetes
Metformin
Preferredinitialtherapy(iftoleratedandnotcontraindicated)
Considerinsulintherapywithorwithoutotheragents→ Atoutsetinnewlydiagnosedpatientswithmarkedlysymptomaticand/orelevatedbloodglucoselevelsorA1C
Add2ndoralagent,GLP-1receptoragonist,orinsuli...[阅读全文]
(2014-10-15 11:03:07)
糖尿病指南：如何预防二型糖尿病Prevention/DelayofType2Diabetes
PatientswithIGT,IFG,orA1C5.7%-6.4%
Refertoongoingsupportprogramtargeting •Weightloss(7%ofbodyweight) •Increasedphysicalactivity(≥150min/weekmoderateactivity)
Considermetformintherapyfortype2diabetespreventioninpatientswithIGT,IFG,orA1C5.7%-6.4%
Especiallyinpresenceof •BMI>35kg/m2 •Age[阅读全文]
PatientswithIGT,IFG,orA1C5.7%-6.4%
Refertoongoingsupportprogramtargeting •Weightloss(7%ofbodyweight) •Increasedphysicalactivity(≥150min/weekmoderateactivity)
Considermetformintherapyfortype2diabetespreventioninpatientswithIGT,IFG,orA1C5.7%-6.4%
Especiallyinpresenceof •BMI>35kg/m2 •Age[阅读全文]
(2014-10-15 10:56:18)
2014糖尿病指南：糖尿病患者的血压血脂目标BloodPressureandLipidTargetsforDM
BloodPressure:[阅读全文]
BloodPressure:[阅读全文]
(2014-10-15 10:45:11)
2014糖尿病指南：最新成人糖尿病血糖控制目标GlycemicTargetsforAdultsWithDiabetes
A1C[阅读全文]
A1C[阅读全文]
(2014-10-15 09:29:14)
「用爱心说诚实话」的根本动机是出于爱；而出于爱对同一事件有许多种的说法。
我们要选择，迁就对方能够接受或懂得的，按着对方生命度量的大小来指正他。
有的人生命够成熟，他可以接受我们的直言相告。有的人生命尚幼嫩，我们只可拿灵奶喂养。
所以「在爱心里说诚实话」的时候，要按着对方生命的深浅来帮助他。
当我们很温柔的指责出对方的错误时，就[阅读全文]
(2014-10-15 08:34:32)
FYI
很多人以为，只有到老了的时候，才为我们的血管操心。殊不知，血管斑块变大，从30岁以后就加速了，再加上现代人活得越来越累、吃得越来越不健康、运动得越来越少，不知不觉中加速了血管的衰老和损坏。 提倡：早点“养”血管，胜于老来“治”。 某策划公司35岁的副总，有着令人羡慕的事业和薪酬，所付出的代价就是，要在各地奔波，熬夜工[阅读全文]
(2014-10-14 12:42:56)
It’sgoingtobemoredifficulttorefillprescriptionsforthemostpopularpainkillersstartingMonday,whennewfederalrulesmoveproductswithhydrocodoneintoastricterdrugclassreservedforthemostdangerousandaddictivesubstances.
Inapprovingthechange,theDrugEnforcementAdministrationcitedthe7millionAmericanswhoabuseprescriptiondrugsandthe100,000overdosedeathsfrompainkillersinthelastdecade.Hydrocodonecombinatio...[阅读全文]
(2014-10-14 06:27:21)
去天堂的孩子（散文）文/黛诗《生命与信仰》第5期
“我们在中国就听人家说美国像天堂，样样都有。现在我看到美国真是天堂，地方这么美，房子这么大，吃的东西这么好，玩的东西这么多……”小恩的声音虽然微弱，却充满了惊喜。我告诉他美国是个富足的国家，但不是天堂。小恩和小强两个小男孩获得慈善机构资助，从中国乡村来美国做心脏手术。小恩[阅读全文]
“我们在中国就听人家说美国像天堂，样样都有。现在我看到美国真是天堂，地方这么美，房子这么大，吃的东西这么好，玩的东西这么多……”小恩的声音虽然微弱，却充满了惊喜。我告诉他美国是个富足的国家，但不是天堂。小恩和小强两个小男孩获得慈善机构资助，从中国乡村来美国做心脏手术。小恩[阅读全文]
