• J Gen Intern Med · Sep 1997

    Review

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

    • S Vijan, D L Stevens, W H Herman, M M Funnell, and C J Standiford.
    • Division of General Internal Medicine, University of Michigan, Ann Arbor, USA.
    • J Gen Intern Med. 1997 Sep 1; 12 (9): 567580567-80.

    PurposeTo summarise current knowledge of interventions that should improve the care of patients with type II diabetes mellitus. Interventions lie within the realms of preventions, screening, and treatment, all of which are focused on office practice.MethodsReview 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 ResultsAn 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.

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