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基于血糖波动的控制防治糖尿病肾病
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Abstract:
糖尿病肾病(DKD)是糖尿病(DM)的严重并发症之一，其进展与血糖波动的控制密切相关。“治未病”思想是中医学的智慧结晶，在延缓DKD及其并发症的发生发展中具有重要的指导意义。基于中医“治未病”思想，根据血糖波动本虚标实、痰瘀互结的病机特点，从未病先防和既病防变干预糖尿病肾病进程，探讨糖尿病肾病的防治策略，可提高糖尿病肾病患者的生存质量。
Diabetic nephropathy (DKD) is one of the severe complications of diabetes mellitus (DM), and its progression is closely related to the control of blood glucose fluctuations. The concept of “preventing disease before it occurs” is a crystallization of wisdom in Traditional Chinese Medicine (TCM), which has significant guiding significance in delaying the onset and progression of DKD and its complications. Based on the TCM concept of “preventing disease before it occurs,” and considering the pathogenesis characteristics of blood glucose fluctuations leading to deficiency at the root and excess at the manifestation, as well as the interconnection of phlegm and stasis, this study explores preventive strategies for diabetes nephropathy by preventing disease before it occurs and intervening in the progression of diabetes nephropathy once it has developed. These strategies can improve the quality of life for patients with diabetes nephropathy.
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