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“糖尿病是冠心病的等危症”这一概念已经广为人知,目前对于糖尿病患者发生心血管疾病的风险已经引起了足够的重视,但却忽略了两个问题,一是糖代谢异常对于发生心血管事件的危险是连续的:心血管事件率的增加不仅限于糖尿病患者,而且也延伸到糖尿病前期。近些年来,包括中国在内的多个国家对冠心病患者中的糖代谢异常情况进行了筛查,均发现了大量以前未发现有糖尿病的患者有不同程度的糖代谢异常,其发生率高达70%以上。为此本刊特约胡大一等教授撰写《关注冠心病患者的糖代谢异常》的专论,呼吁应对各种冠心病患者,包括冠心病患者和急性冠状动脉综合征患者进行常规筛查空腹血糖测定和口服葡萄糖耐量试验。
The concept of “Diabetes is an equal risk of coronary heart disease” has been widely known. At present, the risk of developing cardiovascular diseases in diabetic patients has attracted enough attention, but two problems have been overlooked. One is the abnormal glucose metabolism in the occurrence of cardiovascular The danger of an event is continuous: the increase in the rate of cardiovascular events is not limited to people with diabetes but also to pre-diabetes. In recent years, many countries, including China, conducted screening of abnormal glucose metabolism in patients with coronary heart disease and found that a large number of patients with previously undiagnosed diabetes have varying degrees of abnormal glucose metabolism and the incidence rate is as high as More than 70%. To this end, the author of special Hu Dayi and other professors write “concerned about coronary heart disease patients with abnormal glucose metabolism,” the monograph called for a variety of coronary heart disease patients, including coronary heart disease patients and patients with acute coronary syndrome screening for fasting blood glucose and Oral glucose tolerance test.