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首页> 外文期刊>Clinical Medicine Insights: Endocrinology and Diabetes >Changes in Characteristics and Treatment Patterns of Patients with Newly Diagnosed Type 2 Diabetes in a Large United States Integrated Health System between 2008 and 2013
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Changes in Characteristics and Treatment Patterns of Patients with Newly Diagnosed Type 2 Diabetes in a Large United States Integrated Health System between 2008 and 2013

机译：2008年至2013年间美国大型综合卫生系统中新诊断的2型糖尿病患者的特征和治疗方式的变化

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To assess changes in the clinical characteristics and treatment patterns of patients with newly diagnosed type 2 diabetes (T2D), the electronic health record system at Cleveland Clinic was used to create cross-sectional summaries of all patients with new-onset T2D in 2008 and 2013. Differences between the 2008 and 2013 data sets were assessed after adjusting for age, gender, race, and income. Approximately one-third of patients with newly diagnosed T2D in 2008 and 2013 had an A1C ≤8%, suggesting the continued presence of a delayed recognition of the disease. Patients with newly diagnosed T2D in 2008 were older than those in 2013. Hypertension, cardiovascular disease, and neuropathy were highly prevalent among patients diagnosed with T2D. The prevalence of neuropathy, cerebrovascular disease, and peripheral vascular disease increased from 2008 to 2013. Metformin was the most commonly prescribed antidiabetic medication. Sulfonylurea usage remained unchanged, while use of thiazolidinediones decreased considerably.
机译：为了评估新诊断为2型糖尿病（T2D）的患者的临床特征和治疗方式的变化，克里夫兰诊所的电子健康记录系统被用于创建2008年和2013年所有新发T2D患者的横断面摘要。在调整了年龄，性别，种族和收入之后，评估了2008年和2013年数据集之间的差异。在2008年和2013年，新诊断为T2D的患者中约有三分之一的A1C≤8％，表明该疾病的延迟识别仍持续存在。 2008年新诊断为T2D的患者比2013年大。高血压，心血管疾病和神经病在被诊断为T2D的患者中非常普遍。从2008年到2013年，神经病变，脑血管疾病和周围血管疾病的患病率上升。二甲双胍是最常用的抗糖尿病药物。磺酰脲的使用量保持不变，而噻唑烷二酮类的使用量却大大减少。

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