中国2型糖尿病运动治疗指南（2024版）

doi:10.12114/j.issn.1007-9572.2024.A0019

摘要/Abstract

摘要： 在2型糖尿病（T2DM）患者的综合管理中，运动是生活方式干预的主要形式之一。我国目前仍然缺乏符合中国国情且纳入最新研究证据的T2DM运动治疗指南。为此，国家老年医学中心、中华医学会糖尿病学分会和中国体育科学学会联合组织国内内分泌及代谢病学、运动医学、康复医学、医学营养、老年医学等相关领域专家团队，系统整理了近年来国内外高质量文献，编写了《中国2型糖尿病运动治疗指南（2024版）》，旨在为临床医师、糖尿病教育护士等糖尿病防控人员提供安全、有效的T2DM运动指导。该指南包括T2DM运动治疗的基本原则、急慢性并发症、共患疾病、常用药物、运动时机、运动中血糖监测、运动营养、运动损伤、运动依从性及数字医疗等，共76条推荐意见。该指南具有较强实用性和可操作性，期望能为中国T2DM患者提供科学、规范的运动治疗方案。

中图分类号:

R 587.1

国家老年医学中心,中华医学会糖尿病学分会,中国体育科学学会. 中国2型糖尿病运动治疗指南（2024版）[J]. 中国全科医学, 2024, 27(30): 3709-3738. DOI: 10.12114/j.issn.1007-9572.2024.A0019.
National Center of Gerontology,Chinese Diabetes Society,China Sport Science Society. Guideline for Eexercise Therapy of Type 2 Diabetes Mellitus in China (2024 Edition)[J]. Chinese General Practice, 2024, 27(30): 3709-3738. DOI: 10.12114/j.issn.1007-9572.2024.A0019.

图/表 1

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序号	具体说明
1	年龄>40岁，有糖尿病，有或无心血管风险因素
2	年龄>30岁，且符合以下任何一项：
	T2DM病程>10年
	高血压
	吸烟
	血脂异常
	增殖性或增殖前期视网膜病变
	慢性肾脏病
3	不论年龄，符合以下任何一项：
	已知疑似心血管、冠状动脉或外周动脉疾病
	自主神经病变
	晚期肾病伴肾衰竭
	备注：鼓励在有条件的情况下，对开具运动处方的所有患者进行体适能的评估

序号	具体说明
1	年龄>40岁，有糖尿病，有或无心血管风险因素
2	年龄>30岁，且符合以下任何一项：
	T2DM病程>10年
	高血压
	吸烟
	血脂异常
	增殖性或增殖前期视网膜病变
	慢性肾脏病
3	不论年龄，符合以下任何一项：
	已知疑似心血管、冠状动脉或外周动脉疾病
	自主神经病变
	晚期肾病伴肾衰竭
	备注：鼓励在有条件的情况下，对开具运动处方的所有患者进行体适能的评估