Screening, prevention, counseling, and treatment for the complications of type II diabetes mellitus - Putting evidence into practice

被引:70
作者
Vijan, S [1 ]
Stevens, DL [1 ]
Herman, WH [1 ]
Funnell, MM [1 ]
Standiford, CJ [1 ]
机构
[1] UNIV MICHIGAN, MED CTR, DIV GEN INTERNAL MED, ANN ARBOR, MI 48109 USA
关键词
diabetes mellitus; non-insulin-dependent; guideline; prevention; complications; patient education;
D O I
10.1046/j.1525-1497.1997.07111.x
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
PURPOSE: To summarize current knowledge of interventions that should improve the care of patients with type II diabetes mellitus. Interventions lie within the realms of prevention, screening, and treatment, all of which are focused on office practice. METHODS: Review of the literature by a multidisciplinary team involved in the care of patients with diabetes, followed by synthesis of the literature into a clinical care guideline. Literature was identified through consultation with experts and a focused MEDLINE search. MAIN RESULTS: An algorithm-based guideline for screening and treatment of the complications of diabetes was developed. The emphasis is on prevention of atherosclerotic disease, and prevention, screening, and early treatment of microvascular disease. Implementation of these practices has the potential to significantly improve quality of Life and increase life expectancy in patients with type Ii diabetes mellitus.
引用
收藏
页码:567 / 580
页数:14
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