International Circulation:   When we talk about treatment strategies in general， for some of these patients， when assessing patients for total overall cardiovascular risk stratification， is there a way to assess the target in an overall way and not just select a target for blood glucose or a number for blood pressure?  How can clinicians treat the person in an overall way instead of just looking at the individualized numbers for glucose levels and so on?

  《国际循环》：当我们谈及一般的治疗策略，对这些患者中的某些，当评估患者进行总体心血管危险分层时，有没有方法从整体上评估目标 ，而不仅仅是选择一个血糖目标或者血压数值？临床医生如何从总体上来治疗患者而不是仅仅关注血糖水平等的个体化数值？
 

    Prof. Kjeldson:  It is a good and complicated question.  As you know we are not only dealing with blood pressure， this is a congress about hypertension where we focus on blood pressure but all of us are interested in all of the other risk factors， particularly smoking， cholesterol， bad lipids， inactivity， and diabetes.  The job is to get an overall view of all the different risk factors.  We put all of the risk factors into an algorithm， assess the overall risk， and then we do our intervention.  Some people require lifestyle changes with more physical activity， a healthier diet， less sodium， while some people require blood pressure lowering drugs， and still other require all intevention strategies.  It is an overall package that we are really looking for.  Particularly people with diabetes and very high blood pressure it is difficult to control blood pressure in such patients.  Mostly these patients will require drug to control their high blood pressure.

    Kjeldson教授：这是一个好并且复杂的问题。如你所知，我们不只是在处理血压问题，这是一个有关高血压的会议，在这个会议上我们着重于血压，但我们所有人都对所有其他危险因素，尤其是吸烟、胆固醇、“坏”的 脂质、不活动和糖尿病等感兴趣。要对所有不同的危险因素有一个整体的看法。我将所有这些危险因素放入一个公式中，评估整体风险，继而我们采取干预措施。一些人需要生活方式改变，更多体力锻炼、更健康的因素以及较少的钠摄入，而另一些人需要降压药物，还会有其他人需要所有干预策略。这是我们真正寻求的整体方案。尤其是对糖尿病合并极高血压的患者，在这种患者中很难控制血压。大多数情况下，这些患者会需要药物来控制其高血压。