首页|期刊导航|医药导报|江苏省成人2型糖尿病药物治疗路径专家共识(2025年版)

江苏省成人2型糖尿病药物治疗路径专家共识(2025年版)OA

Expert Consensus on Pharmacotherapy Pathways for Type 2 Diabetes in Adults in Jiangsu Province(2025 Edition)

中文摘要英文摘要

2 型糖尿病是一种慢性代谢性疾病,具有患病率高、疾病负担重、需要长期规范管理等特点.最新全国性流行病学调查数据显示,江苏省 2023 年糖尿病年龄标准化患病率已达 16.35%,在我国省级行政区中位居前列,凸显江苏省糖尿病防控的严峻形势.有效的药物治疗对控制血糖、延缓并发症、改善患者生活质量至关重要.该共识以国内外最新权威成人 2 型糖尿病诊疗指南为依据,侧重疾病不同进展阶段药物治疗方案的选择,并以结构化路径形式细化指南推荐的用药方案,明确各类降糖药物的治疗定位、适用人群、剂量范围与给药方案,同时强调药物治疗的规范性与时效性,旨在构建标准化药物治疗路径,搭建诊疗指南与临床实践之间的桥梁,为医生提供路径化的治疗策略,为临床合理用药提供解决方案.

Type 2 diabetes mellitus is a chronic metabolic disease characterized by a high prevalence rate,a significant disease burden,and the need for long-term standardized management.The latest national epidemiological data reveal that in Jiang-su Province in 2023,the age-standardized prevalence of diabetes has reached 16.35%,ranking among the highest among provin-cial-level administrative regions in China and highlighting the severe challenges of diabetes prevention and control in Jiangsu Province.Effective pharmacological treatment is crucial for controlling blood glucose levels,delaying complications,and improving patients'quality of life.Based on the latest domestic and international authoritative guidelines for the diagnosis and treatment of a-dult type 2 diabetes,this consensus focuses on the selection of pharmacological treatment strategies at different stages of disease progression.It refines the medication regimens recommended in the guidelines in the form of a structured pathway,clarifies the therapeutic positioning,target populations,dosage ranges,and administration regimens of various classes of hypoglycemic drugs,while emphasizing the standardization and timeliness of pharmacological treatment.The aim is to establish a standardized pharma-cological treatment pathway,bridge the gap between clinical guidelines and practice,provide clinicians with pathway-based treat-ment strategies,and offer solutions for rational drug use in clinical settings.

江苏省研究型医院学会精益化用药研究与转化专业委员会;葛卫红;马建华

医药卫生

2型糖尿病药物治疗路径降糖药物合理用药临床共识慢性病管理

Type 2 diabetes mellitusPharmacological treatment pathwayHypoglycemic drugsRational drug useClin-ical consensusChronic disease management

《医药导报》 2026 (3)

357-367,11

癌症、心脑血管、呼吸和代谢性疾病防治研究国家科技重大专项(2023ZD0508105)江苏省药品临床综合评价项目(SYH-350-0184).

10.3870/j.issn.1004-0781.2026.03.001

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