{数据显示，我国12-18岁的孩子中，1.9%患有糖尿病，约有170万青少年饱受糖尿病之苦。此外，与1994年相比，25-34岁人群糖尿病的患病率增加了8倍。内分泌学专家呼吁年轻人重视防控2型糖尿病，因为糖尿病患病年龄越早，出现心血管疾病并发症的可能性就越大。

{Data display,Our country 12-18 years old of children,1.9% of people with diabetes,About 1.7 million teenagers suffered from the suffering diabetes.In addition,Compared with 1994,25 to 34 years old crowd the prevalence of diabetes increased 8 times.Endocrine experts called for young people pay more attention to prevention and control of type 2 diabetes,Because diabetes illness the earlier age,Appear cardiovascular complications the greater the possibility.

糖尿病是心血管病的“等危症” Diabetes is cardiovascular disease"Dangerous disease such as"

　　由中国疾病预防控制中心和美国北卡罗来纳州大学跨学科肥胖症研究中心合作开展的一项研究显示，中国有170万青少年饱受糖尿病之苦，还有2770万人被认为是糖尿病前期。而与1994年相比，25-34岁人群糖尿病的患病率增加了8倍。

By the China disease prevention and control center and the university of north Carolina interdisciplinary obesity research center to carry out cooperation a study,China has 1.7 million teenagers suffered from the suffering diabetes,There are 27.7 million people are thought to be pre-diabetes.And compared with 1994,25 to 34 years old crowd the prevalence of diabetes increased 8 times.

　　中山大学附属第三医院内分泌科首席专家翁建平指出，糖尿病年轻化的趋势也意味着未来将面临心血管疾病带来的巨大负担。可以说，糖尿病就是心血管疾病的“等危症”，因为高糖状况容易让心血管动脉硬化，同时血液呈现黏稠状态，这对心脏的危害极大。“糖尿病患病年龄越早，出现心血管疾病并发症的可能性就越大。对于年轻的糖尿病患者，选择正确的治疗方案就尤为重要。一经发现就应该选择指南推荐的治疗方案。如果在发现时血糖已经很高，就必须进行强化治疗，改善高糖状况，保护心血管。

The third affiliated hospital of sun yat-sen university endocrinology chief expert WengJianPing pointed out,Diabetes younger trend also means that the future will be faced with cardiovascular disease with the great burden.Can say,Diabetes is the cardiovascular disease"Dangerous disease such as",Because of high sugar condition is easy to let the cardiovascular arteriosclerosis,At the same time blood present sticky state,The great harm of the heart."Diabetes illness the earlier age,Appear cardiovascular complications the greater the possibility.For young patients with diabetes,Choose the correct treatment is particularly important.Once found that should choose the guidelines recommend treatment.If discovery in blood sugar has very high,It must carry on strengthening treatment,Improve the high sugar condition,Protect cardiovascular.

　　“肥胖是患2型糖尿病重要的高危因素。”翁建平说，在我国，18岁以下肥胖人群已经达到1.2亿，其中5岁以下城市儿童肥胖率从2005年的5.3%上升到2010年的8.5%。然而，家长对孩子肥胖往往不太在意，对肥胖孩子易患2型糖尿病的认知也不足，这也是糖尿病日趋年轻化的原因之一。

"Obesity is type 2 diabetes important risk factors."WengJianPing said,In our country,Obese people under the age of 18 has reached 120 million,Five years old the following city children obesity rate rose from 5.3% in 2005 to 8.5% in 2010.however,The parents to the child obesity often don't care about,The obesity children easy type 2 diabetes cognitive also insufficient,This is also one of the reasons for diabetes is young.

降糖的同时不忘降脂和降压 Oral glucose-lowering at the same time not forget lipid-lowering and decompression

　　许多2型糖尿病患者会同时患有高血压、高血脂和高血糖。据统计，在初次诊断糖尿病的患者中，有1/2存在心血管疾病，有1/3存在高血压，有2/3存在高血脂。由于血脂水平高，在血管壁上沉积，逐渐形成斑块(即动脉粥样硬化)，当斑块增多、增大，一旦破裂脱落，就很容易堵塞血管。

Many with type 2 diabetes will also suffer from high blood pressure/High blood fat and high blood glucose.According to the statistics,In the initial diagnosis in patients with diabetes,Have 1/2 existence of cardiovascular disease,There is a third high blood pressure,Two-thirds exists high blood fat.Due to high blood lipid level,In the walls of blood vessels deposit,Gradually formed plaques(Namely atherosclerosis),When patches increased/increase,Once broken off,It is easy to clog the blood vessels.

　　翁建平说，心血管疾病是死亡率最高的糖尿病慢性并发症。然而，糖尿病患者冠心病症状常不明显，不容易被发现，一旦发现就已经比较严重。所以，对于糖尿病患者，合理地选择降糖、降压、调脂的药物，以达到全面控制血糖、血脂、血压等危险因素的目的。

WengJianPing said,Cardiovascular disease is the highest rates of chronic complications of diabetes.however,Patients with diabetes coronary heart disease symptoms are often not obvious,Not easy to be found,Once found that will have more serious.so,In diabetic patients,Reasonable selection of hypoglycemic/decompression/Lipid drug,In order to achieve full control of blood sugar/Blood fat/The purpose of the risk factors, such as blood pressure.

　　为了使心血管疾病的危险性降到最低，必须同时治疗这三种疾病。但我国当前仅有不到三分之一的患者血糖达标。然而，为了控制血糖达标，糖尿病患者需要加大药物剂量或同时服用多个口服降糖药物，此时往往会遭遇低血糖和体重增加的问题，二者都对患者的心脏带来负担。针对这种情况，欧洲和美国指南均推荐肠促胰素类降糖药沙格列汀与二甲双胍两药联合应用。

In order to make the risk for cardioascular disease (CD) to a minimum,Must treat at the same time the three kind of disease.But China's current only less than a third of the patients blood glucose control is at target levels.however,In order to control blood glucose control is at target levels,Patients with diabetes need to increase the drug dose or at the same time more than taking oral glucose-lowering drugs,At this time will often encounter hypoglycemia and gain weight problems,Both to the patient's heart bring burden.In view of this situation,Europe and the United States are guidelines recommend intestinal promote pancreatic element class diabetes sand lattice column (and metformin two medicine combined application.

　　翁建平说，在考虑用药方案时，医生不但要考虑降糖疗效、安全性，而且要考虑是否能保护年轻患者的“心”。(记者 张华)

WengJianPing said,In considering the regimen,The doctor not only consider the hypoglycemic effect/safety,But also have to consider whether to protect young patients"heart".(Reporter zhang hua)