Clinical Guide for Family Physicians to Manage Type 2 Diabetes
Compiling clinical guidelines is one of the requirements of family physician plan and classification of health care services.1 The high prevalence of type 2 diabetes can easily be seen in general practice so that 2.5% of referrals to general practitioners are due to diabetes. More than half of th...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Shiraz University of Medical Sciences
2015-10-01
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| Series: | Journal of Health Sciences and Surveillance System |
| Subjects: | |
| Online Access: | http://jhsss.sums.ac.ir/index.php/jhsss/article/view/136/98 |
| _version_ | 1828424978747359232 |
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| author | Seyed Esmaeil Managheb Mesbah Shams Mahmood Soveid Mohamad Hadi Imanieh Mohsen Moghadami |
| author_facet | Seyed Esmaeil Managheb Mesbah Shams Mahmood Soveid Mohamad Hadi Imanieh Mohsen Moghadami |
| author_sort | Seyed Esmaeil Managheb |
| collection | DOAJ |
| description | Compiling clinical guidelines is one of the requirements of family physician
plan and classification of health care services.1 The high prevalence of type
2 diabetes can easily be seen in general practice so that 2.5% of referrals
to general practitioners are due to diabetes. More than half of the patients
with Type 2 diabetes are left undiagnosed and most of them suffer from its
complications at the time of diagnosis. For example, 6.2% of patients suffer
from diabetic retinopathy at the time of diagnosis.2
Most patients diagnosed with diabetes take more than one type
of medication to treat the complications; about 60% take only oral
medications, and 14 percent take oral medications and insulin.3
Although the principles of care for people with Type 2 diabetes
is well known, there is a gap between the quality of care in general
practice and optimal care so that up to 50% of patients’ condition are
weakly controlled.4
Chronic care model for patients with chronic diseases explains the
necessary measures to improve the care of people with chronic diseases.
These elements include supporting disease management by the patients
themselves, patient care, and support teams. Consultation and training are
often done in general practice while it is usually a brief consultation about
weight, medication or exercise. There is little evidence that mere printed
texts are effective in controlling the disease. Extensive training programs
are designed to develop self-management skills for diabetes control.4 The
implementation of clinical guidelines in medical practice is a challenging
task. But, a number of evidences have been shown to accelerate effective
clinical guideline implementation and care improvement.5 Management of
diabetes mellitus type 2 is shown in Figure 1. |
| first_indexed | 2024-12-10T16:24:40Z |
| format | Article |
| id | doaj.art-3a682b198afe4214b176c8bbbc8f554c |
| institution | Directory Open Access Journal |
| issn | 2345-2218 2345-3893 |
| language | English |
| last_indexed | 2024-12-10T16:24:40Z |
| publishDate | 2015-10-01 |
| publisher | Shiraz University of Medical Sciences |
| record_format | Article |
| series | Journal of Health Sciences and Surveillance System |
| spelling | doaj.art-3a682b198afe4214b176c8bbbc8f554c2022-12-22T01:41:41ZengShiraz University of Medical SciencesJournal of Health Sciences and Surveillance System2345-22182345-38932015-10-0134165166Clinical Guide for Family Physicians to Manage Type 2 DiabetesSeyed Esmaeil Managheb0Mesbah Shams1Mahmood Soveid2 Mohamad Hadi Imanieh3Mohsen Moghadami4Quality Improvement in Clinical Education Research Center, Education Development Center, Shiraz University of Medical Sciences, Shiraz, Iran;Endocrinology and Metabolism Research Center, Nemazee Teaching Hospital, Shiraz University of Medical Sciences, Shiraz, Iran;Department of Internal Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran;Department of Pediatrics, Namazee Hospital, Shiraz University of Medical Sciences, Shiraz, IranDepartment of Internal Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran;Compiling clinical guidelines is one of the requirements of family physician plan and classification of health care services.1 The high prevalence of type 2 diabetes can easily be seen in general practice so that 2.5% of referrals to general practitioners are due to diabetes. More than half of the patients with Type 2 diabetes are left undiagnosed and most of them suffer from its complications at the time of diagnosis. For example, 6.2% of patients suffer from diabetic retinopathy at the time of diagnosis.2 Most patients diagnosed with diabetes take more than one type of medication to treat the complications; about 60% take only oral medications, and 14 percent take oral medications and insulin.3 Although the principles of care for people with Type 2 diabetes is well known, there is a gap between the quality of care in general practice and optimal care so that up to 50% of patients’ condition are weakly controlled.4 Chronic care model for patients with chronic diseases explains the necessary measures to improve the care of people with chronic diseases. These elements include supporting disease management by the patients themselves, patient care, and support teams. Consultation and training are often done in general practice while it is usually a brief consultation about weight, medication or exercise. There is little evidence that mere printed texts are effective in controlling the disease. Extensive training programs are designed to develop self-management skills for diabetes control.4 The implementation of clinical guidelines in medical practice is a challenging task. But, a number of evidences have been shown to accelerate effective clinical guideline implementation and care improvement.5 Management of diabetes mellitus type 2 is shown in Figure 1.http://jhsss.sums.ac.ir/index.php/jhsss/article/view/136/98Family Physicians |
| spellingShingle | Seyed Esmaeil Managheb Mesbah Shams Mahmood Soveid Mohamad Hadi Imanieh Mohsen Moghadami Clinical Guide for Family Physicians to Manage Type 2 Diabetes Journal of Health Sciences and Surveillance System Family Physicians |
| title | Clinical Guide for Family Physicians to Manage Type 2 Diabetes |
| title_full | Clinical Guide for Family Physicians to Manage Type 2 Diabetes |
| title_fullStr | Clinical Guide for Family Physicians to Manage Type 2 Diabetes |
| title_full_unstemmed | Clinical Guide for Family Physicians to Manage Type 2 Diabetes |
| title_short | Clinical Guide for Family Physicians to Manage Type 2 Diabetes |
| title_sort | clinical guide for family physicians to manage type 2 diabetes |
| topic | Family Physicians |
| url | http://jhsss.sums.ac.ir/index.php/jhsss/article/view/136/98 |
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