Guidelines-disease-specific and context blind: a case of type 2 diabetes
A 56-year-old woman presents to her primary care physician (PCP) with new-onset type 2 diabetes accompanied by comorbidities. Following diabetes guidelines, the PCP instilled insulin therapy. However, after 3 months, the patient had not reached glycemic control and reported feeling burdened by the t...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Permanyer
2023-10-01
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| Series: | Medicina Universitaria |
| Subjects: | |
| Online Access: | https://www.medicinauniversitaria.org/frame_eng.php?id=228 |
| _version_ | 1797401088344719360 |
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| author | Jorge R. Violante-Cumpa Daniela C. González-Cruz Adriana G. Ríos-Ortega José G. González-González René Rodríguez-Gutiérrez |
| author_facet | Jorge R. Violante-Cumpa Daniela C. González-Cruz Adriana G. Ríos-Ortega José G. González-González René Rodríguez-Gutiérrez |
| author_sort | Jorge R. Violante-Cumpa |
| collection | DOAJ |
| description | A 56-year-old woman presents to her primary care physician (PCP) with new-onset type 2 diabetes accompanied by comorbidities. Following diabetes guidelines, the PCP instilled insulin therapy. However, after 3 months, the patient had not reached glycemic control and reported feeling burdened by the treatment. After the clinician had an open conversation with the patient, considering the illness and the patient’s preferences, values, and context, an individualized treatment plan was developed, and better outcomes were achieved. This case highlights the relevance of shared decision-making and patient-centered care while following the best evidence-based recommendations.
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| first_indexed | 2024-03-09T02:04:48Z |
| format | Article |
| id | doaj.art-8cfe9f2e4ba1432b823222c8172fbdc6 |
| institution | Directory Open Access Journal |
| issn | 1665-5796 2530-0709 |
| language | English |
| last_indexed | 2024-03-09T02:04:48Z |
| publishDate | 2023-10-01 |
| publisher | Permanyer |
| record_format | Article |
| series | Medicina Universitaria |
| spelling | doaj.art-8cfe9f2e4ba1432b823222c8172fbdc62023-12-07T21:10:45ZengPermanyerMedicina Universitaria1665-57962530-07092023-10-0125410.24875/RMU.23000037Guidelines-disease-specific and context blind: a case of type 2 diabetesJorge R. Violante-Cumpa0Daniela C. González-Cruz1Adriana G. Ríos-Ortega2José G. González-González3René Rodríguez-Gutiérrez4Plataforma INVEST, Medicina UANL-KER Unit Mayo Clinic (KER Unit Mexico), Universidad Autónoma de Nuevo León, Nuevo León, Monterrey, MexicoPlataforma INVEST, Medicina UANL-KER Unit Mayo Clinic (KER Unit Mexico); Endocrinology Division, Department of Internal Medicine, Hospital Universitario “Dr. José E. González”. Universidad Autónoma de Nuevo León, Nuevo León, Monterrey, MexicoPlataforma INVEST, Medicina UANL-KER Unit Mayo Clinic (KER Unit Mexico); Endocrinology Division, Department of Internal Medicine, Hospital Universitario “Dr. José E. González”. Universidad Autónoma de Nuevo León, Nuevo León, Monterrey, MexicoPlataforma INVEST, Medicina UANL-KER Unit Mayo Clinic (KER Unit Mexico); Endocrinology Division, Department of Internal Medicine, Hospital Universitario “Dr. José E. González”. Universidad Autónoma de Nuevo León, Nuevo León, Monterrey, MexicoPlataforma INVEST, Medicina UANL-KER Unit Mayo Clinic (KER Unit Mexico); Endocrinology Division, Department of Internal Medicine, Hospital Universitario “Dr. José E. González”. Universidad Autónoma de Nuevo León, Nuevo León, Monterrey, Mexico; Knowledge and Evaluation Research Unit, Division of Endocrinology, Diabetes, Metabolism and Nutrition, Department of Medicine, Mayo Clinic, Rochester, MN, USAA 56-year-old woman presents to her primary care physician (PCP) with new-onset type 2 diabetes accompanied by comorbidities. Following diabetes guidelines, the PCP instilled insulin therapy. However, after 3 months, the patient had not reached glycemic control and reported feeling burdened by the treatment. After the clinician had an open conversation with the patient, considering the illness and the patient’s preferences, values, and context, an individualized treatment plan was developed, and better outcomes were achieved. This case highlights the relevance of shared decision-making and patient-centered care while following the best evidence-based recommendations. https://www.medicinauniversitaria.org/frame_eng.php?id=228Type 2 diabetes. Shared decision-making. Minimal disruptive care. Evidence-based medicine. Patient-centered care. |
| spellingShingle | Jorge R. Violante-Cumpa Daniela C. González-Cruz Adriana G. Ríos-Ortega José G. González-González René Rodríguez-Gutiérrez Guidelines-disease-specific and context blind: a case of type 2 diabetes Medicina Universitaria Type 2 diabetes. Shared decision-making. Minimal disruptive care. Evidence-based medicine. Patient-centered care. |
| title | Guidelines-disease-specific and context blind: a case of type 2 diabetes |
| title_full | Guidelines-disease-specific and context blind: a case of type 2 diabetes |
| title_fullStr | Guidelines-disease-specific and context blind: a case of type 2 diabetes |
| title_full_unstemmed | Guidelines-disease-specific and context blind: a case of type 2 diabetes |
| title_short | Guidelines-disease-specific and context blind: a case of type 2 diabetes |
| title_sort | guidelines disease specific and context blind a case of type 2 diabetes |
| topic | Type 2 diabetes. Shared decision-making. Minimal disruptive care. Evidence-based medicine. Patient-centered care. |
| url | https://www.medicinauniversitaria.org/frame_eng.php?id=228 |
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