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                ǷҧôԹҹѧäѹԵ٧äҹẺóҡ ѺʶҹԡдѺ 㹡äѴͧдŵͧ 觨Фͺ§ Фͺäҹ/ѹԵ٧ ʹʹ ġ ҵ ǷҧǷҧѲҵͨҡǷҧäѴͧäѹԵ٧äҹ 㹻էҳ 2550 աԨѧҡ觡§͡繡 – – С͹觵;ᾷ㹡 - ѧ
                1. ԹĵԡͧѺäѴͧä DM/HT 㹡 駷 2 Ẻͧͧآ֡ ( ʨ.Ҵ ҾԨóһѺا㹺ҧǹ) ʶҹԡûԹĵԡͧѺäѴͧºؤ öӢ㹡èѴٻẺԡеԴûѺĵԡҧ
                2. Թ§ Stroke (ẺͧǺä) 㹼ѺäѴͧä DM/HT 㹡 駷 2 ͻԹ§äġ ҵ ͹觵;ᾷ 繢ͧ㹡ԹԨСѡҢͧᾷ (ҨлԹдѺ (٧/٧ҹҧ/٧ҡ) Ѻ觵;ᾷ ҡ/ ѺôŵͧǷҧ˹)
                3. ѧ觵;ᾷ (Ƿҧ) ѺԹԨä DM/HT ѡҢͧᾷ ҡѺԹԨä DM/HT աõǨǡѺ (Ƿҧ)
                ǷҧõԴż·/ ѧ觵;ᾷ ᾷ/çҺŷѺѡ ͧ觵͡ѺʶҹԡࢵѺԴͺʶҹԡõͧԴšѡҢͧᾷ ͵ԴѺôѡҵǷҧ˹͵ԴŵͧǷҧ˹
äѹԵ٧
        ǷҧôżäѹԵ٧ ʶҹԡдѺԤâ鹷¹ (óռ) ͵ԴغѵԡóԴä繢ŵԴͧͧʶҹԡ 觵Ƿҧ˹觻·ͧԴ 2 ˭ (JNC7,ҤѹԵ٧觻) Ѻôŵͧ
1.             ·ѺѡҴ¡ûѺĵԡ/Ѻ
2.             ·ѺѡҴŴѹԵ
¼· 2 ͧѺûԹѨ§ ͡˹Ƿҧ/㹡õԴ
ѺآҾͧ
 
óѺҵͧ
- ˹աõԴ 1 ͹ 㹡óѺ辺Ѩ§ С˹աõԴ 2-3 ѻ 㹡óѺоѨ§ ͧҡ JNC7 ·Ѻ ͧԴҧ͹ 1 ж㹡óдѺѹ Stage 2 (дѺѹԵ ³ 160/100 mmHg) ջѨ§
óѺ
- ˹աõԴ 6 ͹ 㹡óѺ辺Ѩ§ С˹աõԴ 3 ͹ 㹡óѺоѨ§ ͧҡ ҤѹԵ٧觻 դ§辺Ѩ§ õԴ 6-12 ͹ ǹ龺Ѩ§ 1-2 Ѩ õǨ 3-6 ͹
´ͧѨ§ ѧ (ǺѨ§ҡ JNC7,WHO., ҤѹԵ٧觻 оԨóһѨ§ʶҹԡûöԹöԴ)
1.             дѺѹԵ ³ 140/90 mmHg (óѺ) зʴҼѧöǺдѺѹԵࡳ (Target goal < 140/90 mmHg; WHO.,JNC7) еͧաõԴдѺѹ 2 ͹
2.             дѺѹԵ ³ 160/100 mmHg (óѺ) ФѹԵ Stage 2  дѺ moderate JNC7 µͧѺõԴ (Ѻ JNC7 µͧѺõԴҧ͹ 1 )
3.             дѺ ³ 240 mg/dl дѧ §͡Դäʹʹ (AHA) AHA ˹ High Blood Cholesterol ³ 240 mg/dl Total Cholesterol
4.             ǹ ԨóҴѪš (BMI) > 25 ;ҡ,͹ ͺ > 36 , ˭ԧ > 32 (͹) ǹ繻Ѩ§ͧäѹԵ٧,äҹ,äʹʹ (ADA) ǹҧ·͹ դѹѺԴ insulin resistance
5.             ³ 55 ·դ§͡Դäʹʹ (JNC7)
6.             äá͹ äҹ,äʹʹ, ä 繻ѨзҧԹԡԷԾŵ͡Դäʹʹ (WHO)
7.             ٺ (ҨШӹǹ㴡 ҧõԴ) ͧҡٺ 繻Ѩ¡Դäʹʹ ¼ҡ- 鹡Ѻӹǹǹٺ
˵ : Ҩо㴢˹觶ջѨ§
ͺ觪觵;ᾷ
1.             дѺѹԵ ³ 180/110 mmHg ͧҡ繤ѹԵдѺعç (severe) Stage 3 High Risk 辺Ѩ§ (ҤѹԵ觻,WHO) 觾ᾷѺ
2.             дѺѹԵ ³ 160/100 mmHg 繤ѹԵдѺ moderate Stage 2 ѺõԴ
Թ ҡ繤ѹԵ ³ 160/100 mmHg ա 觾ᾷ ; 鹢ͧ systolic ء
20 mmHg Diastolic ء 10 mmHg Դ§͡Դäʹʹ (JNC7)
3.             дѺѹԵ ³ 140/90 mmHg 觤ѹԵдѺ mild Stage 1 ջѨ§ 3 Ѩ¢ WHO ˹繻Ѩ§͡ԴäʹʹдѺ§٧
4.             дѺѹԵ ³ 140/90 mmHg ú 1 㹡óѺ ʴҼöǺдѺѹ (Target goal < 140/90 mmHg; WHO.,JNC7) 觾ᾷͻѺŴ
* ҡдѺѹԵ ³ 140/90 mmHg ú 1 㹡óѺ ʴաûѺĵԡͧ
աõԴӷء 6 ͹ ǷҧäѴͧäͧ ʨ.Ҵ
äҹ
Ƿҧôżäҹ ʶҹԡдѺԤâ鹷¹ (óռ) ͵ԴغѵԡóԴä繢ŵԴͧͧʶҹԡ 觵Ƿҧ˹觻·ͧԴ 2 ˭ (ADA) Ѻôŵͧ
1.             ·ѺѡҴ¡ûѺĵԡ/Ѻ
2.             ·ѺѡҴŴѹԵ
óѺҵͧ
- ˹աõԴ 4-8 ѻ 㹡óѺ ͧҡ ADA ·Ѻ ͧǺдѺӵдѺ 4-8 ѻ (Target goal 80-120 mg/dl; ADA)
óѺ
-                   ˹աõԴдѺӵ ѧ
- FPG < 140mg/dl աõԴдѺӵŵͧء駷Դ ҧ·ء 3 ͹ (ICMR, ADA)
- FPG ³  140mg/dl աõԴдѺӵū͹Ѵ ͧҡдѺӵдѺ (Target goal 80-120 mg/dl) ҡ ³  140mg/dl ͧѺ (ADA)
ͺ觪觵;ᾷ
1.             дѺӵ ³ 200 mg/dl ͧҡдѺ severe ͧѺѡҨҡᾷͧ (ADA)
2.             дѺӵ < 80 mg/dl ͧҡ§͡Դйӵʹ (< 70 mg/dl) ա ADA ˹ ҡдѺӵ < 80 mg/dl ͧѺ
3.             дѺӵ ³ 140 mg/dl  2 駵ͧѹ ʴöǺдѺӵ 駡óѺѺ 觵ͧöǺдѺӵ 4-8 ѻ Ἱѡ(ADA)
4.             дѺӵ 80-140 mg/dl  ú 1 㹡óѺ ʴҼöǺдѺӵдѺѺ (Target goal 80-120 mg/dl; ADA) 觾ᾷͻѺŴ
* ҡдѺӵ 80-140 mg/dl  ú 1  㹡óѺ ʴաûѺĵԡͧ
աõԴӷء 1 ǷҧäѴͧäͧ ʨ.Ҵ
 
                JNC        :               Joint National Committee
                AHA      :               American Heart Association
                ADA      :               American Diabetes Association
                WHO     :              World Health Organization
 
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