Open AccessScreening, Prevention, Counseling, and Treatment for the Complications of Type II Diabetes Mellitus
Author(s) -
Vijan Sandeep,
Stevens Deryth L.,
Herman William H.,
Funnell Martha M.,
Standiford Connie J.
Publication year - 1997
Publication title -
journal of general internal medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.746
H-Index - 180
eISSN - 1525-1497
pISSN - 0884-8734
DOI - 10.1046/j.1525-1497.1997.07111.x
Subject(s) - medicine , guideline , psychological intervention , medline , intensive care medicine , diabetes mellitus , type 2 diabetes mellitus , life expectancy , quality of life (healthcare) , disease , multidisciplinary approach , family medicine , nursing , pathology , population , social science , environmental health , sociology , political science , law , endocrinology
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. KEY WORDS: diabetes mellitus, non‐insulin‐dependent; guideline; prevention; complications; patient education.