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


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.


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.
Vijan
S
S
Division of General Internal Medicine, University of Michigan, Ann Arbor, USA.
Stevens
D L
DL
Herman
W H
WH
Funnell
M M
MM
Standiford
C J
CJ
D000465:Algorithms; D001786:Blood Glucose / Q000032:analysis; D003376:Counseling; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000150:complications* / Q000188:drug therapy / Q000628:therapy*; D003925:Diabetic Angiopathies / Q000517:prevention & control*; D003928:Diabetic Nephropathies / Q000517:prevention & control; D003929:Diabetic Neuropathies / Q000517:prevention & control; D003930:Diabetic Retinopathy / Q000517:prevention & control; D006801:Humans; D006973:Hypertension / Q000517:prevention & control; D008403:Mass Screening; D017410:Practice Guidelines as Topic; D016032:Randomized Controlled Trials as Topic
D001786:Blood Glucose