美国约有2.58亿成年人罹患2型糖尿病,医疗费用超过1740亿。众所周知,糖尿病患者的主要死因为心血管疾病,但对于糖尿病患者心衰重要性的认识尚不充分。老年糖尿病患者心衰发病率接近22%,大型注册研究表明接受最佳循证治疗但慢性心力衰竭日益加重的住院患者糖尿病患病率为42%,出院后60至90天内死亡率和再入院 About 258 million adults in the United States suffer from type 2 diabetes and their medical bills exceed 174 billion. As we all know, the main cause of death of diabetic patients is cardiovascular disease, but not enough understanding of the importance of heart failure in diabetic patients. The incidence of heart failure in elderly diabetic patients is close to 22%. Large registry studies show that the prevalence of diabetes in hospitalized patients receiving the best evidence-based therapy but exacerbating chronic heart failure is 42%, mortality and readmission within 60 to 90 days after discharge