Diabetic microvascular disease(DMiVD)is the most common chronic complication of diabetes mellitus,and early identification and effective intervention can significantly improve patients'quality of life and prognosis.The Diabetes and Microcirculation Professional Committee of Chinese Society of Microcirculation and the Primary Endocrine and Metabolic Diseases Group of the Chinese Society of Endocrinology have convened experts in the field to revise the Expert Consensus on Screening and Prevention of Diabetic Microvascular Diseases for Primary Care(2024),based on the 2021 edition,considering the latest research advances and the specific needs of primary care.This consensus elaborates the screening methods,comprehensive management and prevention strategies for DMiVD(diabetic retinopathy,diabetic kidney disease,distal symmetric polyneuropathy and diabetic cardiomyopathy),clarifies the graded diagnosis and treatment and referral processes,emphasizes the importance of preventing and treating DMiVD,and offers guidance and recommendations for physicians,particularly primary care physicians and general practitioners.The aim is to reduce the incidence,progression,and disability associated with DMiVD,ultimately lowering morbidity and mortality rates.
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