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On January 16, 2022, the Chinese Geriatrics Clinical Guidelines for the Prevention and Treatment of Type 2 Diabetes (2022 Edition)" (hereinafter referred to as the "New Guide") conference was successfully held in Beijing
.
The conference was launched in the form of a combination of online and offline, and Yimaitong was invited to participate in on-site reports
.
Professor Fan Li delivered a speech.
Professor Fan Li, President of the Chinese Geriatrics Society, attended the meeting online and delivered a speech.
She said that the new guidelines bring together endocrinology and metabolism, cardiovascular disease, nephrology, neurology, nutrition, geriatrics, etc.
Subject expert wisdom, with strong authority and practicality
.
The participation of multidisciplinary experts reflects the characteristics and sense of the times of geriatric medicine.
This is also the first guideline in the field of geriatric medicine and endocrinology and metabolism since the beginning of 2022.
It is the best gift for the New Year in 2022.
It is a great news for doctors specializing in endocrinology and metabolism and for the majority of elderly T2DM patients
.
Professor Ji Linong delivered a speech Professor Ji Linong from Peking University People's Hospital attended the meeting and delivered a speech
.
Professor Ji said that the problem of aging in China is becoming more and more serious.
The prevalence of diabetes in the elderly is high and the control rate is low, and the prevention and treatment is facing a severe situation.
The release of the new guidelines will play an important role in the standardized prevention and treatment of clinical elderly type 2 diabetes (T2DM).
.
The conference was co-chaired by Professor Wang Yao from the Department of Geriatric Endocrinology of Beijing Hospital, and Professor Li Chunlin from the Department of Endocrinology of the Second Medical Center of the PLA General Hospital.
Many well-known experts in the field of endocrinology were invited to attend and give wonderful keynote speeches on the management of diabetes in the elderly and the interpretation of the new guidelines
.
In a grand and warm atmosphere, the experts witnessed the smooth launch of the new guideline
.
The host of the launch ceremony of the new guidelines gave a glimpse of the discussion on the concept and path of diabetes management in the elderly.
Professor Li Guangwei made a speech.
Professor Li Guangwei of the China-Japan Friendship Hospital of the Ministry of Health pointed out that, together with diabetes and prediabetes, abnormal glucose metabolism affects about 3/4 of the elderly in China However, the awareness rate, treatment rate and compliance rate are all low, and the current control situation needs to be improved urgently
.
Elderly diabetic patients are in different stages of diabetes development, and the degree of damage to islet function varies greatly.
Attention should be paid to the evaluation of islet function when formulating management plans for patients
.
According to the different survival conditions of elderly patients, appropriate management goals and treatment modes with strong compliance should be selected, the efficacy of hypoglycemic drugs should be used in a timely and reasonable manner, the medication strategy should be continuously improved, and the “three rates” should be reduced.
Strive for the best outcome is the treatment of diabetes.
target
.
He especially emphasized that China's current diabetes treatment is still in the "salvation" mode that mainly focuses on diabetic patients, and moving the threshold of diabetes treatment forward should be an important direction for future diabetes management
.
As Richard M.
Bergenstal, former president of the American Diabetes Association (ADA), said, as long as active intervention in the prediabetes stage, T2DM can be completely prevented, and the real way out for diabetes in the elderly lies in early prevention at a young age! The current situation and improvement measures of diabetes management in the elderly in China Prof.
Tian Hui interprets the new guideline, Professor Tian Hui, honorary president of the Endocrinology and Metabolism Branch of the Chinese Geriatrics Society and the Second Medical Center of the PLA General Hospital, introduced that the prevalence of diabetes in the elderly in China has been increasing in the past 10 years.
30% of the elderly are diabetic (more than 95% of them are T2DM), but hyperglycemia and other related risk factors have not been effectively controlled, and the morbidity, mortality, and disability rate caused by complications and comorbidities are high
.
Cardiovascular and cerebrovascular disease is the main threat of death in the elderly, and poor management of diabetes is one of the important influencing factors
.
Due to the great physiological changes and individual differences in old age, it is necessary to adhere to people-oriented rather than age-based management of diabetes in the elderly
.
The new guidelines suggest that elderly patients with T2DM should first conduct comprehensive evaluations in five aspects, including blood glucose and islet function levels, complications and comorbidities, organ function and personal living ability, and individualized treatment should clarify patient positioning and treatment focus.
, management goals
.
The whole-process management of diabetes includes three levels of islet function protection, blood sugar control, and complication prevention.
It is necessary to advocate the "four early" principles (early prevention, early diagnosis, early treatment, and early compliance), and pay attention to the promotion of healthy life>
.
The necessity and feasibility of self-management of diabetes in the elderly With the clinical characteristics of high risk of vascular disease, and the inconvenience of medical treatment caused by the current new crown epidemic, it is particularly important for the elderly to have good diabetes self-management ability
.
In fact, studies have shown that under the same treatment measures, the blood sugar of elderly patients is easier to control at the ideal level, and self-management is not only necessary but also completely feasible
.
Self-management of diabetes in the elderly should focus on basic treatment, that is, diabetes education, patient self-management and blood glucose monitoring, diet therapy, and exercise therapy
.
Self-management mainly involves self-study of diabetes knowledge, participation in the formulation and implementation of diet and exercise plans, learning to analyze factors affecting one's blood sugar changes, and learning drug efficacy and side effects
.
It is very important to build a hospital-community-family (individual) integrated self-management system
.
Dietary Management of Diabetes in the Elderly Professor Yu Kang, Department of Nutrition, Peking Union Medical College Hospital, expounded the importance of nutritional management in diabetes medicine
.
Diabetic diets play a pivotal role in blood sugar control
.
Entering a "moderately prosperous" society, people need to change and adapt to the concept and way of eating in modern life
.
The principle of diet therapy is to eat according to the amount and choose the food according to the body
.
The total energy should be determined according to the body, weight, age, gender and daily physical activity.
According to the patient's sugar, lipid, purine metabolism and blood sugar levels, the distribution ratio of main food types should be selected to maintain normal body weight and reasonable body composition; pay attention to the amount of food and exercise.
Balance between the three and the amount of hypoglycemic drugs to avoid hypoglycemia
.
For example, carbohydrate energy supply ratio is 50%~55%, protein is 20%~25% (1.
2~1.
5g/kg), and high-quality protein is more than 50%
.
Interpretation of the new guidelines Prof.
Weigang Zhao interpreted the new guidelines Prof.
Weigang Zhao from Peking Union Medical College Hospital gave a detailed interpretation of the new guidelines
.
He introduced that the new guidelines are based on the "Expert Consensus on Diagnosis and Treatment Measures for T2DM in the Elderly in China (2018 Edition)", which summarizes diabetes-related guidelines and new research information in recent years, supplements detailed management rules, and is based on improving the level of elderly diabetes treatment and changing management.
concept, give personalized treatment recommendations and actionable specific measures to optimize treatment outcomes
.
Regarding the prevention and treatment strategy of diabetes in the elderly, the new guidelines emphasize comprehensive evaluation, the "four early" principles, basic treatment, rational application of hypoglycemic drugs, and simplify the route of hypoglycemic medication, and rank commonly used drug choices and mark key points
.
In terms of the diagnosis and treatment of complications, the new guidelines point out that poor long-term blood sugar control is the direct cause of diabetic complications.
Elderly diabetic patients should try to control their blood sugar within an acceptable range.
device function
.
At the same time, the new guidelines also recommend comprehensive management of atherosclerotic cardiovascular disease (ASCVD) risk factors.
The principle of "early start and early benefit" should be grasped for timely detection, and drug treatment should be initiated on the basis of life>
.
In addition, geriatric diabetes also needs to focus on special problems such as osteoporosis, geriatric syndrome, sarcopenia, and neurocognitive dysfunction
.
Conclusion With the successful launch of the "Chinese Clinical Guidelines for the Prevention and Treatment of Type 2 Diabetes in the Elderly (2022 Edition)", the management of diabetes in the elderly in China will also usher in a new chapter
.
Let us pay attention to the complexity of elderly T2DM and co-existing diseases, adopt scientifically effective, moderate and sustainable management strategies/methods, and make joint efforts to improve the treatment outcomes and quality of life of elderly patients with diabetes
.
.
The conference was launched in the form of a combination of online and offline, and Yimaitong was invited to participate in on-site reports
.
Professor Fan Li delivered a speech.
Professor Fan Li, President of the Chinese Geriatrics Society, attended the meeting online and delivered a speech.
She said that the new guidelines bring together endocrinology and metabolism, cardiovascular disease, nephrology, neurology, nutrition, geriatrics, etc.
Subject expert wisdom, with strong authority and practicality
.
The participation of multidisciplinary experts reflects the characteristics and sense of the times of geriatric medicine.
This is also the first guideline in the field of geriatric medicine and endocrinology and metabolism since the beginning of 2022.
It is the best gift for the New Year in 2022.
It is a great news for doctors specializing in endocrinology and metabolism and for the majority of elderly T2DM patients
.
Professor Ji Linong delivered a speech Professor Ji Linong from Peking University People's Hospital attended the meeting and delivered a speech
.
Professor Ji said that the problem of aging in China is becoming more and more serious.
The prevalence of diabetes in the elderly is high and the control rate is low, and the prevention and treatment is facing a severe situation.
The release of the new guidelines will play an important role in the standardized prevention and treatment of clinical elderly type 2 diabetes (T2DM).
.
The conference was co-chaired by Professor Wang Yao from the Department of Geriatric Endocrinology of Beijing Hospital, and Professor Li Chunlin from the Department of Endocrinology of the Second Medical Center of the PLA General Hospital.
Many well-known experts in the field of endocrinology were invited to attend and give wonderful keynote speeches on the management of diabetes in the elderly and the interpretation of the new guidelines
.
In a grand and warm atmosphere, the experts witnessed the smooth launch of the new guideline
.
The host of the launch ceremony of the new guidelines gave a glimpse of the discussion on the concept and path of diabetes management in the elderly.
Professor Li Guangwei made a speech.
Professor Li Guangwei of the China-Japan Friendship Hospital of the Ministry of Health pointed out that, together with diabetes and prediabetes, abnormal glucose metabolism affects about 3/4 of the elderly in China However, the awareness rate, treatment rate and compliance rate are all low, and the current control situation needs to be improved urgently
.
Elderly diabetic patients are in different stages of diabetes development, and the degree of damage to islet function varies greatly.
Attention should be paid to the evaluation of islet function when formulating management plans for patients
.
According to the different survival conditions of elderly patients, appropriate management goals and treatment modes with strong compliance should be selected, the efficacy of hypoglycemic drugs should be used in a timely and reasonable manner, the medication strategy should be continuously improved, and the “three rates” should be reduced.
Strive for the best outcome is the treatment of diabetes.
target
.
He especially emphasized that China's current diabetes treatment is still in the "salvation" mode that mainly focuses on diabetic patients, and moving the threshold of diabetes treatment forward should be an important direction for future diabetes management
.
As Richard M.
Bergenstal, former president of the American Diabetes Association (ADA), said, as long as active intervention in the prediabetes stage, T2DM can be completely prevented, and the real way out for diabetes in the elderly lies in early prevention at a young age! The current situation and improvement measures of diabetes management in the elderly in China Prof.
Tian Hui interprets the new guideline, Professor Tian Hui, honorary president of the Endocrinology and Metabolism Branch of the Chinese Geriatrics Society and the Second Medical Center of the PLA General Hospital, introduced that the prevalence of diabetes in the elderly in China has been increasing in the past 10 years.
30% of the elderly are diabetic (more than 95% of them are T2DM), but hyperglycemia and other related risk factors have not been effectively controlled, and the morbidity, mortality, and disability rate caused by complications and comorbidities are high
.
Cardiovascular and cerebrovascular disease is the main threat of death in the elderly, and poor management of diabetes is one of the important influencing factors
.
Due to the great physiological changes and individual differences in old age, it is necessary to adhere to people-oriented rather than age-based management of diabetes in the elderly
.
The new guidelines suggest that elderly patients with T2DM should first conduct comprehensive evaluations in five aspects, including blood glucose and islet function levels, complications and comorbidities, organ function and personal living ability, and individualized treatment should clarify patient positioning and treatment focus.
, management goals
.
The whole-process management of diabetes includes three levels of islet function protection, blood sugar control, and complication prevention.
It is necessary to advocate the "four early" principles (early prevention, early diagnosis, early treatment, and early compliance), and pay attention to the promotion of healthy life>
.
The necessity and feasibility of self-management of diabetes in the elderly With the clinical characteristics of high risk of vascular disease, and the inconvenience of medical treatment caused by the current new crown epidemic, it is particularly important for the elderly to have good diabetes self-management ability
.
In fact, studies have shown that under the same treatment measures, the blood sugar of elderly patients is easier to control at the ideal level, and self-management is not only necessary but also completely feasible
.
Self-management of diabetes in the elderly should focus on basic treatment, that is, diabetes education, patient self-management and blood glucose monitoring, diet therapy, and exercise therapy
.
Self-management mainly involves self-study of diabetes knowledge, participation in the formulation and implementation of diet and exercise plans, learning to analyze factors affecting one's blood sugar changes, and learning drug efficacy and side effects
.
It is very important to build a hospital-community-family (individual) integrated self-management system
.
Dietary Management of Diabetes in the Elderly Professor Yu Kang, Department of Nutrition, Peking Union Medical College Hospital, expounded the importance of nutritional management in diabetes medicine
.
Diabetic diets play a pivotal role in blood sugar control
.
Entering a "moderately prosperous" society, people need to change and adapt to the concept and way of eating in modern life
.
The principle of diet therapy is to eat according to the amount and choose the food according to the body
.
The total energy should be determined according to the body, weight, age, gender and daily physical activity.
According to the patient's sugar, lipid, purine metabolism and blood sugar levels, the distribution ratio of main food types should be selected to maintain normal body weight and reasonable body composition; pay attention to the amount of food and exercise.
Balance between the three and the amount of hypoglycemic drugs to avoid hypoglycemia
.
For example, carbohydrate energy supply ratio is 50%~55%, protein is 20%~25% (1.
2~1.
5g/kg), and high-quality protein is more than 50%
.
Interpretation of the new guidelines Prof.
Weigang Zhao interpreted the new guidelines Prof.
Weigang Zhao from Peking Union Medical College Hospital gave a detailed interpretation of the new guidelines
.
He introduced that the new guidelines are based on the "Expert Consensus on Diagnosis and Treatment Measures for T2DM in the Elderly in China (2018 Edition)", which summarizes diabetes-related guidelines and new research information in recent years, supplements detailed management rules, and is based on improving the level of elderly diabetes treatment and changing management.
concept, give personalized treatment recommendations and actionable specific measures to optimize treatment outcomes
.
Regarding the prevention and treatment strategy of diabetes in the elderly, the new guidelines emphasize comprehensive evaluation, the "four early" principles, basic treatment, rational application of hypoglycemic drugs, and simplify the route of hypoglycemic medication, and rank commonly used drug choices and mark key points
.
In terms of the diagnosis and treatment of complications, the new guidelines point out that poor long-term blood sugar control is the direct cause of diabetic complications.
Elderly diabetic patients should try to control their blood sugar within an acceptable range.
device function
.
At the same time, the new guidelines also recommend comprehensive management of atherosclerotic cardiovascular disease (ASCVD) risk factors.
The principle of "early start and early benefit" should be grasped for timely detection, and drug treatment should be initiated on the basis of life>
.
In addition, geriatric diabetes also needs to focus on special problems such as osteoporosis, geriatric syndrome, sarcopenia, and neurocognitive dysfunction
.
Conclusion With the successful launch of the "Chinese Clinical Guidelines for the Prevention and Treatment of Type 2 Diabetes in the Elderly (2022 Edition)", the management of diabetes in the elderly in China will also usher in a new chapter
.
Let us pay attention to the complexity of elderly T2DM and co-existing diseases, adopt scientifically effective, moderate and sustainable management strategies/methods, and make joint efforts to improve the treatment outcomes and quality of life of elderly patients with diabetes
.
