'We need to be less dogmatic about what matters and be open to different approaches and give patients a voice' in treatment decisions, says Victor Montori, a diabetes specialist at Mayo Clinic, in Rochester, Minn., who wasn't involved with writing the guidelines but supports the new direction.
美国明尼苏达州罗切斯特市梅奥诊所(Mayo Clinic)的糖尿病专家维克多·蒙托里(Victor Montori)说,“关于什么是重要因素,我们应该要不那么固守成规,要愿意接受不同的方法,并让患者(在决定治疗方案上)拥有话语权。蒙托里并未参与撰写这份新指引,但他对这个新方向持支持态度。
Another approach gaining wider acceptance for some patients is the use of bariatric surgery, which results in dramatic weight loss. Though it comes with risk of serious complications, the operation has been shown in recent studies to lead to a rapid lowering of blood sugar, often enabling patients to go off most or all of their diabetes medicines.
对于某些患者而言,另外一个获得较广泛认可的治疗方法是施行可大幅降低体重的减肥手术。虽然严重并发症风险会随之产生,但近期一些研究显示该手术能使血糖水平迅速降低,常常可使患者停用大部分或全部在服的糖尿病药物。
Some experts also are questioning the benefits of gradually stepping up the intensity of drug therapy, a widely accepted approach that was reaffirmed in the latest guidelines. The aim is to maintain a patient's blood-sugar level while keeping up with the progressive nature of the disease. But researchers at UT Southwestern Medical Center in Dallas, for instance, argue in a recent small study that hitting the disease early and hard is better.
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