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医学营养干预是糖尿病综合管理的基础手段,而全面的营养风险评估是实施这一手段的前提。大量的研究显示,老年糖尿病患者合并症多且人群异质性强,因此个体化原则是老年糖尿病营养干预取得成效并得以持续的关键。该文对老年糖尿病患者,尤其是生命终末期或合并认知功能障碍的老年糖尿病患者的营养风险评估和医学营养干预原则进行了综述。
Medical nutrition intervention is the basic means of integrated management of diabetes, and comprehensive nutritional risk assessment is the prerequisite for the implementation of this measure. A large number of studies have shown that many elderly patients with diabetes mellitus and heterogeneity of the population heterogeneity, so the principle of individualization is the key to effective and sustainable diabetic intervention in the elderly. This article reviews the nutritional risk assessment and the principles of medical nutrition intervention in elderly diabetic patients, especially elderly patients with end-stage or complicated cognitive impairment.