伤口世界

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星期二, 15 10月 2019

来自糖尿病足患者家庭照护的一线案例（第二期）

原创：十六点五中山二院糖尿病足中心

【编者按】

糖尿病足的治疗时间长，治疗费用高，长期住院治疗，无论是对于医院、家庭、社会都是难以承受的重担，摸索符合中国国情的糖尿病足院外护理模式，是保证糖尿病足患者最终治愈的关键环节之一，糖尿病足家庭护理模式，是我中心近几年在不断探索的糖尿病足治疗模式中的最重要的一种。

星期二, 15 10月 2019

来自糖尿病足患者家庭照护的一线案例（第一期）

原创：十六点五中山二院糖尿病足中心

【编者按】

同步病例3目前病情平稳，变化不大，故先发一个照顾比较到位的家庭护理病例，作为对比，使大家对糖尿病足家庭护理模式有更深刻的认识。

星期二, 15 10月 2019

同步报告病例3（第三回）：一个家庭护理失败的案例，并“夹生足”的同步治疗经过

中山二院糖尿病足中心

患者经过昨天下午和晚上的全身及局部治疗，

没有出现寒战及更高热，

星期二, 15 10月 2019

同步报告病例3（第二回）：一个家庭护理失败的案例，并“夹生足”的同步治疗经过

原创：十六点五中山二院糖尿病足中心

包裹患者脚的敷料被打开，糖尿病足的可怕性和残忍性立刻显现出来了。

星期二, 15 10月 2019

同步报告病例3（第一回）：一个家庭护理失败的案例，并“夹生足”的同步治疗

原创：十六点五中山二院糖尿病足中心

男，39岁，未婚。于2017年9月22日因为糖尿病足住院治疗。

我们先看下入院时足部的情况以及大致的治疗过程。

星期二, 15 10月 2019

同步报告病例2：截肢截肢，激起一圈迷茫：一个标准糖尿病足患者的处理经过（第七回）

原创：十六点五中山二院糖尿病足中心

光阴似箭，日月如梭，一转眼，一周又过去了，我们再次等来了回家的病人。

同样的病人，不一样的心情，我们坚信会有收获，事实呢？也是如此，让我们看看这个病人的情况。

患者一般情况非常好，没有任何急诊情况，高高兴兴地坐在换药椅上。

K2 Content

【指南与共识】2025版《中国糖尿病足防治实践指南》解读 2026-05-30 00:00

原创邓呈亮中华医学美学美容杂志

2026年4月2日 20:00 河北 5人

版权归中华医学会所有。

未经授权，不得转载、摘编本刊文章。

引用本文：简喜超, 简扬, 邓呈亮. 2025版《中国糖尿病足防治实践指南》解读[J]. 中华医学美学美容杂志, 2026, 32(2): 99-103. DOI: 10.3760/cma.j.cn114657-20251215-00266.

通信作者：邓呈亮，Email：该Email地址已收到反垃圾邮件插件保护。要显示它您需要在浏览器中启用JavaScript。
Automated insulin delivery in pregnant women with type 1 diabetes mellitus: a systematic review and meta-analysis 2026-05-30 00:00

Athina Stamati1 · Athanasios Christoforidis2

Received: 7 October 2024 / Accepted: 31 December 2024 / Published online: 10 January 2025 © The Author(s) 2025

Abstract

Aims To assess the efficacy and safety of automated insulin delivery (AID) systems compared to standard care in managing glycaemic control during pregnancy in women with Type 1 Diabetes Mellitus (T1DM).

Methods We searched MEDLINE, Cochrane Library, registries and conference abstracts up to June 2024 for randomized controlled trials (RCTs) and observational studies comparing AID to standard care in pregnant women with T1DM. We con-ducted random effects meta-analyses for % of 24-h time in range of 63–140 mg/dL (TIR), time in hyperglycaemia (>140 mg/ dl and>180 mg/dL), hypoglycaemia (<63 mg/dl and<54 mg/dL), total insulin dose (units/kg/day), glycemic variability (%), changes in HbA1c (%), maternal and fetal outcomes.

Results Thirteen studies (450 participants) were included. AID significantly increased TIR (Mean difference, MD 7.01%, 95% CI 3.72–10.30) and reduced time in hyperglycaemia>140 mg/dL and>180 mg/dL (MD – 5.09%, 95% CI – 9.41 to – 0.78 and MD – 2.44%, 95% CI – 4.69 to – 0.20, respectively). Additionally, glycaemic variability was significantly reduced (MD – 1.66%, 95% CI – 2.73 to – 0.58). Other outcomes did not differ significantly.

Conclusion AID systems effectively improve glycaemic control during pregnancy in women with T1DM by increasing TIR and reducing hyperglycaemia without any observed adverse short-term effects on maternal and fetal outcomes.

Keywords Automated insulin delivery · Pregnancy · Type 1 diabetes mellitus · Systematic review · Meta-analysis
A nationwide registry-based cohort study of the association between childhood dental caries and gingivitis with type 2 diabetes in adulthood 2026-05-29 00:00

Nikoline Nygaard1 · Anne Kirstine Eriksen2 · Lars Ängquist3 · Daniel Belstrøm1 · Evelina Stankevic3 · Torben Hansen3 · Anja Olsen2 · Merete Markvart1

Received: 15 August 2024 / Accepted: 22 December 2024 / Published online: 13 January 2025 © The Author(s) 2025

Abstract

Background Evidence suggests a bidirectional relationship between oral health status and type 2 diabetes (T2D) in adults. Studies on associations between childhood oral health and T2D in adulthood are lacking.

Methods This is a nationwide Danish registry-based cohort study of individuals born between 1963 and 1972, having at least one registration in the National Child Odontology Registry between 1972 and 1987 (n=627,758). Follow-up lasted from 1995 to 2018. Main exposure variables were the highest achieved levels of dental caries and gingivitis between 1972 and 1987. The outcome was T2D diagnosis during follow-up. Data was analyzed using Cox-regression, stratified on sex, with age as the underlying timescale and highest achieved level of education between age 25–30 years as Cox-strata. Main analyses were conducted with and without age-restrictions (T2D diagnosis before/after age 40).

Results Compared to lowest-level references, high levels of gingivitis associated with increased hazard ratios (HRs) of T2D in both males (HR [95% confidence interval]: 1.59 [1.47; 1.72]) and females (1.87 [1.68; 2.08]), as did severe dental caries (males: (1.15 [1.04; 1.27], in females: 1.19 [1.06; 1.35]). Below age 40, gingivitis associated with increased HRs in males (1.84 ([1.58; 2.15]) and females (1.94 [1.63; 2.30]). Above age 40, both exposures displayed higher HRs in males (high gin-givitis: 1.52 [1.39; 1.66] vs. severe caries: 1.23 [1.09; 1.38]) and females (1.83 [1.59; 2.10] vs. 1.37 [1.17; 1.59]).

Conclusions Data suggest an association between childhood dental caries and gingivitis with risk of receiving a T2D diag-nosis in adulthood. However, results are affected by residual confounding warranting further studies.

Keywords Cohort studies · Dental caries · Diabetes mellitus · Type 2 · Gingivitis

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主任医师、教授、博导，南方医科大学第三附属医院（广东省骨科医院）院长

原创邓呈亮中华医学美学美容杂志

伤口世界

来自糖尿病足患者家庭照护的一线案例（第二期）

来自糖尿病足患者家庭照护的一线案例（第一期）

同步报告病例3（第三回）：一个家庭护理失败的案例，并“夹生足”的同步治疗经过

同步报告病例3（第二回）：一个家庭护理失败的案例，并“夹生足”的同步治疗经过

同步报告病例3（第一回）：一个家庭护理失败的案例，并“夹生足”的同步治疗

同步报告病例2：截肢截肢，激起一圈迷茫：一个标准糖尿病足患者的处理经过（第七回）

原创邓呈亮中华医学美学美容杂志

学术会议

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主任医师、教授、博导，南方医科大学第三附属医院（广东省骨科医院）院长

原创 邓呈亮 中华医学美学美容杂志

伤口世界

来自糖尿病足患者家庭照护的一线案例（第二期）

来自糖尿病足患者家庭照护的一线案例（第一期）

同步报告病例3（第三回）：一个家庭护理失败的案例，并“夹生足”的同步治疗经过

同步报告病例3（第二回）：一个家庭护理失败的案例，并“夹生足”的同步治疗经过

同步报告病例3（第一回）：一个家庭护理失败的案例，并“夹生足”的同步治疗

同步报告病例2：截肢截肢，激起一圈迷茫：一个标准糖尿病足患者的处理经过（第七回）

原创 邓呈亮 中华医学美学美容杂志

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原创邓呈亮中华医学美学美容杂志

原创邓呈亮中华医学美学美容杂志