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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型糖尿病中LDL-C的治疗选择:护士从业者的观点

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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:大多数患有2型糖尿病(T2DM)的患者对心血管疾病(CVD)具有多种风险因素。低密度脂蛋白胆固醇(LDL-C)是降低CVD风险的关键治疗靶标。本文审查了护士从业者(NPS)的治疗策略可用于治疗T2DM需要脂质管理的患者。数据来源:在制定本综述中使用的证据包括基于循证的审查,临床试验,指导方针和共识陈述。通过使用PubMed和其他搜索引擎搜索文献来确定相关出版物。结论:降低LDL-C级别可能会降低CVD风险,但实现目标可能具有挑战性。生活方式改造(包括饮食,运动和吸烟)是脂质管理的关键组成部分,减少CVD风险。他汀类药物可有效减少脂质。然而,患者可能无法通过单疗法达到脂质目标,或者可能会经历难以忍受的不良影响。替代他汀类药物或他汀类药物以及其他脂质降低剂仍然是良好的选择。

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