张曦元

    [摘要] 糖尿病为慢性终身性疾病，是现存人类4大死亡原因之一，系由长期慢性高血糖与代谢紊乱导致的多种慢性并发症，难以逆转。预防糖尿病已成为世界公共卫生难题。我国是人口大国，糖尿病患病率已超过10%，糖尿病会产生多种并发症，与非糖尿病患者比较，糖尿病患者在患同种病症时，症状更加严重，治疗效果更差，当前糖尿病治疗费用已占我国整体医疗费用的12%左右，给我国人民及公共卫生体系造成巨大影响。糖尿病前期是正常人与糖尿病的中间状态，是一个可逆的过程，对该人群进行早期个体化、多样化、综合化的干预可降低糖尿病的发病危险性。现就我国糖尿病前期流行状况、糖尿病前期危险因素、生活方式干预、药物干预等方面进行综述，為糖尿病前期的预防与综合干预提供理论参考。

    [关键词] 糖尿病前期;流行病学;饮食干预;运动干预;药物干预

    [中图分类号] R587.1? ? ? ? ? [文献标识码] A? ? ? ? ? [文章编号] 1673-9701(2021)16-0184-04

    Epidemic status and progress in prevention of prediabetes in my country

    ZHANG Xiyuan

    General Ward，Department of Geriatrics，Nanning First People's Hospital， Nanning? ?530022，China

    [Abstract] Diabetes is a lifelong chronic disease and one of the four major causes of death in existing humans. It is a variety of chronic complications caused by long-term chronic hyperglycemia and metabolic disorders，which are difficult to reverse. Preventing diabetes has become a public health problem in the world. China is a country with a large population. The prevalence of diabetes has exceeded 10%. Diabetes can produce multiple complications. Compared with non-diabetic patients ......