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首页> 外文期刊>Journal of the American Academy of Nurse Practitioners. >Therapeutic options for lowering LDL-C in type 2 diabetes: A nurse practitioner's perspective
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Therapeutic options for lowering LDL-C in type 2 diabetes: A nurse practitioner's perspective

机译:降低2型糖尿病LDL-C的治疗选择:护士的观点

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Purpose: The majority of patients with type 2 diabetes mellitus (T2DM) have multiple risk factors for cardiovascular disease (CVD). Low-density lipoprotein cholesterol (LDL-C) is a key therapeutic target to reduce CVD risk. This article reviews therapeutic strategies that nurse practitioners (NPs) may use in the management of patients with T2DM requiring lipid management. Data sources: The evidence used in developing this review included evidence-based reviews, clinical trials, guidelines, and consensus statements. Relevant publications were identified through a search of the literature using PubMed and other search engines.Conclusions: Lowering LDL-C levels may reduce CVD risk, but achieving goals can be challenging. Lifestyle modifications (including diet, exercise, and smoking cessation) are key components of lipid management and reduction of CVD risk. Statins can be effective to reduce lipids. However, patients may not achieve lipid goals with monotherapy or may experience intolerable adverse effects. Alternative statins or statins along with other lipid-lowering agents remain good options.
机译:目的:大多数2型糖尿病(T2DM)患者具有多种心血管疾病(CVD)危险因素。低密度脂蛋白胆固醇(LDL-C)是降低CVD风险的关键治疗靶标。本文回顾了护理从业人员(NPs)可能在需要脂质管理的T2DM患者管理中使用的治疗策略。数据来源:用于进行本评价的证据包括基于证据的评价,临床试验,指南和共识性声明。通过使用PubMed和其他搜索引擎对文献进行搜索来确定相关出版物。结论:降低LDL-C水平可以降低CVD风险,但是实现目标可能具有挑战性。生活方式的改变(包括饮食,运动和戒烟)是脂质管理和降低CVD风险的关键组成部分。他汀类药物可有效减少脂质。但是,患者可能无法通过单一疗法达到血脂目标,或者可能会遇到无法忍受的不良反应。替代他汀类药物或他汀类药物以及其他降脂药仍然是不错的选择。

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