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【medical-news】NICE新指南：某些糖尿病患者可使用
NICE has issued guidance to the NHS in England and Wales on the use of inhaled insulin for the treatment of diabetes (type 1 and 2).
NICE has recommended inhaled insulin for some people with type 1 or 2 diabetes who have either a severe needle phobia or serious ongoing problems with injection sites, making injections very difficult. NICE has not recommended inhaled insulin for the routine treatment of type 1 or 2 diabetes.
Andrea Sutcliffe, Deputy Chief Executive at NICE and Executive Lead for this appraisal, said: "NICE's job is to decide whether new treatments are more clinically and cost effective than those currently being used. Whilst inhaled insulin is as effective as injected insulin, it is much more expensive, meaning it's not a good use of NHS resources to routinely offer it to people with diabetes. However people with a severe fear of injections or those with serious problems that make injecting very difficult may not take their insulin properly which can make their diabetes worse. For these people, inhaled insulin can represent good value for money"
She continued: "This decision is good news for those people with diabetes for whom injecting insulin seriously affects the quality of their life. And it is good news for the health service and the tax payers who fund it, because we can be assured that inhaled insulin will be used by the people who can benefit the most thus providing good value for money. We have also recommended further research takes place so we can better establish the place of this innovative approach to delivering insulin."
Consultees had the opportunity to appeal against NICE's provisional recommendations in October but no appeals were received.
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About NICE:
1. The National Institute for Health and Clinical Excellence (NICE) is the independent organisation responsible for providing national guidance on the promotion of good health and the prevention and treatment of ill health.
2. NICE produces guidance in three areas of health:
* public health - guidance on the promotion of good health and the prevention of ill health for those working in the NHS, local authorities and the wider public and voluntary sector
* health technologies - guidance on the use of new and existing medicines, treatments and procedures within the NHS
* clinical practice - guidance on the appropriate treatment and care of people with specific diseases and conditions within the NHS.
http://www.medicalnewstoday.com/medicalnews.php?newsid=58927 本人已认领该文编译，48小时后若未提交译文，请其他战友自由认领。 【medical-news】NICE新指南：某些糖尿病患者可使用吸入型胰岛素
NICE has issued guidance to the NHS in England and Wales on the use of inhaled insulin for the treatment of diabetes (type 1 and 2).
NICE向英格兰和威尔士国家卫生局发布了治疗糖尿病（1型和2型）的吸入性胰岛素使用的指导报告。
NICE has recommended inhaled insulin for some people with type 1 or 2 diabetes who have either a severe needle phobia or serious ongoing problems with injection sites, making injections very difficult. NICE has not recommended inhaled insulin for the routine treatment of type 1 or 2 diabetes.
NICE为下列患有1型或2型糖尿病的部分患者推荐吸入型胰岛素：有强烈的注射针头恐怖症或注射部位有严重问题使注射难以进行的患者。NICE对1型或2型糖尿病患者并不推荐吸入型胰岛素作为常规治疗。
Andrea Sutcliffe, Deputy Chief Executive at NICE and Executive Lead for this appraisal, said: "NICE's job is to decide whether new treatments are more clinically and cost effective than those currently being used. Whilst inhaled insulin is as effective as injected insulin, it is much more expensive, meaning it's not a good use of NHS resources to routinely offer it to people with diabetes. However people with a severe fear of injections or those with serious problems that make injecting very difficult may not take their insulin properly which can make their diabetes worse. For these people, inhaled insulin can represent good value for money"
Andrea Sutcliffe，NICE的首席执行官兼该项评估计划的执行领导说道：“NICE的工作是确认新的治疗方案是否更符合临床需要，且比目前使用的治疗方案更为高效经济。时时吸入性胰岛素与注射用胰岛素同样有效，但是更为昂贵。这说明它并不是国家卫生局认为的对患有糖尿病的人群提供的一种好的使用方式。然而，对于有强烈注射恐惧的人群或注射十分困难的的人群，他们不能很好的摄入胰岛素从而使病情更加恶化。对于这些人，吸入性胰岛素相对与它的价格来说，是物有所值的。
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作者:admin@医学,生命科学 2011-04-25 17:19
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