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中华老年病研究电子杂志 ›› 2025, Vol. 12 ›› Issue (01) : 12 -16. doi: 10.3760/cma.j.issn.2095-8757.2025.01.003

衰弱

老年糖尿病患者的多维度衰弱管理
黄婷婷1, 秦丽1, 刘娟1,()   
  1. 1. 210029 南京,南京医科大学第一附属医院(江苏省人民医院)老年内分泌科
  • 收稿日期:2024-12-31 出版日期:2025-02-28
  • 通信作者: 刘娟
  • 基金资助:
    国家自然科学基金项目(81871106、82071584)

Multi-dimensional frailty management in elderly diabetic patients

Tingting Huang1, Li Qin1, Juan Liu1,()   

  1. 1. Division of Geriatric Endocrinology, the First Affiliated Hospital with Nanjing Medical University(Jiangsu Province Hospital), Nanjing 210029, China
  • Received:2024-12-31 Published:2025-02-28
  • Corresponding author: Juan Liu
引用本文:

黄婷婷, 秦丽, 刘娟. 老年糖尿病患者的多维度衰弱管理[J/OL]. 中华老年病研究电子杂志, 2025, 12(01): 12-16.

Tingting Huang, Li Qin, Juan Liu. Multi-dimensional frailty management in elderly diabetic patients[J/OL]. Chinese Journal of Geriatrics Research(Electronic Edition), 2025, 12(01): 12-16.

糖尿病作为影响老年人群功能状态的重要慢性疾病,与肌少症和衰弱的发生、发展紧密相关。随着年龄增长,机体肌肉-脂肪组织重构,致使肌肉功能下降、胰岛素抵抗加剧,进而在糖尿病与衰弱之间形成恶性循环,严重影响老年糖尿病患者的治疗决策与临床预后。本文从优化血糖控制策略、实施个体化营养干预、制订运动处方以及精准选择药物治疗等多个维度,深入探讨老年糖尿病患者的衰弱综合管理方案,旨在为改善患者整体功能和临床结局提供科学指导。

Diabetes, a significant chronic disease that affects the functional status of the elderly,is closely associated with the onset and progression of sarcopenia and frailty. With aging, the body undergoes muscle-adipose tissue remodeling, leading to decreased muscle function and exacerbated insulin resistance. This creates a vicious cycle between diabetes and frailty, significantly impacting the clinical prognosis and treatment decisions for elderly diabetic patients. This paper comprehensively explores a multidimensional frailty management approach for elderly diabetic patients, including optimizing glycemic control strategies, implementing personalized nutritional interventions, developing tailored exercise prescriptions, and precision medication selection, so as to provide scientific guidance for improving patients' overall functional capacity and clinical outcomes.

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