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A disease state approach to the pharmacological management of Type 2 diabetes in primary care: A position statement by Primary Care Diabetes Europe
Diabetes Research Centre, University of Leicester, Leicester General Hospital, Leicester, United Kingdom.
Sant Marti de Provençals Primary Care Centres, Institut Català de la Salut, University Research Institute in Primary Care (IDIAP Jordi Gol), Barcelona, Spain.
Primary Care Metabolic Group, Los Angeles, CA, USA.
Department of Family Medicine, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.
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2021 (Engelska)Ingår i: Primary Care Diabetes, ISSN 1751-9918, E-ISSN 1878-0210, Vol. 15, nr 1, s. 31-51Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Type 2 diabetes and its associated comorbidities are growing more prevalent, and the complexity of optimising glycaemic control is increasing, especially on the frontlines of patient care. In many countries, most patients with type 2 diabetes are managed in a primary care setting. However, primary healthcare professionals face the challenge of the growing plethora of available treatment options for managing hyperglycaemia, leading to difficultly in making treatment decisions and contributing to therapeutic inertia. This position statement offers a simple and patient-centred clinical decision-making model with practical treatment recommendations that can be widely implemented by primary care clinicians worldwide through shared-decision conversations with their patients. It highlights the importance of managing cardiovascular disease and elevated cardiovascular risk in people with type 2 diabetes and aims to provide innovative risk stratification and treatment strategies that connect patients with the most effective care.

Ort, förlag, år, upplaga, sidor
Elsevier, 2021. Vol. 15, nr 1, s. 31-51
Nyckelord [en]
Cardiovascular disease, Cardiovascular risk factors, Chronic kidney disease, Elderly, Heart failure, Multimorbidity, Patient-centred care, Primary care, Shared decision making, Therapeutic inertia, Type 2 diabetes
Nationell ämneskategori
Endokrinologi och diabetes
Identifikatorer
URN: urn:nbn:se:oru:diva-83200DOI: 10.1016/j.pcd.2020.05.004ISI: 000604616900010PubMedID: 32532635Scopus ID: 2-s2.0-85086150627OAI: oai:DiVA.org:oru-83200DiVA, id: diva2:1470763
Forskningsfinansiär
Novo Nordisk
Anmärkning

Funding Agencies:

National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care -East Midlands  

NIHR Leicester Biomedical Research Centre 

Tillgänglig från: 2020-09-25 Skapad: 2020-09-25 Senast uppdaterad: 2021-02-04Bibliografiskt granskad

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Jansson, Stefan P. O.

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Institutionen för medicinska vetenskaperRegion Örebro län
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