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| 1 | 1型糖尿病患者进食障碍的研究进展显示文摘近几十年中,全球糖尿病患者数以惊人的速度增长,预计到2030年,糖尿病患者将增长到3.8亿,且大部分将集中于发展中国家。2013年报告中国成人糖尿病患病率已达11.6%,糖尿病已成为严重影响国人身心健康的主要公共卫生问题。饮食治疗是糖尿病治疗的基础,是糖尿病自然病程中任何阶段预防和控制必不可少的措施。 | 梁和静 张婷 黄金 | 2018 | 中华糖尿病杂志2018，10，10： | 1 |
| 2 | Psychological themes that influence self-management of type 1 diabetes显示文摘It has long been accepted that psychological factors adversely influence efforts to optimise glycaemic control.These are often unrecognised in terms of clinical assessment and therefore under reported.This essay presents an introduction to psychological issues that interact with psychiatric co-morbidities and diabetesspecific distress,and a case scenario illustrating the interconnectedness of presenting problems and themes.In the way that we cannot separate carbohydrate counting,blood glucose monitoring and insulin doseadjustment in the understanding of a presenting problem such as poor control,so we cannot separate the concurrent thoughts,feelings,and behaviours.Each of these emotional aspects are self-managed either through avoidance,or by delayed disclosure and are frequently associated with poor health outcomes.There is a requirement for the healthcare team to be sensitised to these issues and to develop styles of communication that are empathic,reflective and non judgemental.A brief outline of evidence-based psychotherapy treatments is given. | Clare Shaban | 2015 | World Journal of Diabetes2015，6，4： | 0 |
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