title: [How I treat a diabetes type 2 patient: the DREAM project for better general practitioner-specialist collaboration. Diabetes Reinforcement of Adequate Management].
abstract: Type 2 diabetes is an important public health problem because of its high prevalence and morbidity rate which both are associated with a considerable social and human cost. The general practitioner should play a central role in the management of patients with type 2 diabetes and try to meet the therapeutic objectives. Main goals include reinforcement of early diagnosis, by a better screening of individuals at risk for type 2 diabetes, achievement of a good glycaemic control, through an optimized antidiabetic treatment, correction of associated risk factors as well as detection and treatment of disease complications. DREAM ("Diabetes Reinforcement of Adequate Management") is a pilot project which started in Liege area end 1997 for at least 2 years. It aims at improving the management of type 2 diabetic patients through a better free collaboration between general practitioners and diabetologists and the adhesion to an optimized therapeutic strategy. This ambitious project benefits from the valuable support of three pharmaceutical companies.
authors.affiliation: Université de Liege, Service de Diabétologie, Nutrition et Maladies métaboliques, Département de Médecine.
authors.forename: A J
authors.initials: AJ
authors.lastname: Scheen
mesh_terms: D000368:Aged; D001786:Blood Glucose / Q000032:analysis; D017281:Cost of Illness; D003924:Diabetes Mellitus, Type 2 / Q000178:diet therapy / Q000188:drug therapy / Q000191:economics / Q000517:prevention & control / Q000628:therapy*; D003927:Diet, Diabetic; D004345:Drug Industry; D005081:Exercise Therapy; D005194:Family Practice; D005240:Feasibility Studies; D006442:Glycated Hemoglobin / Q000032:analysis; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D007328:Insulin / Q000627:therapeutic use; D008403:Mass Screening; D008511:Medicine; D008687:Metformin / Q000627:therapeutic use; D010348:Patient Care Team; D010349:Patient Compliance; D010353:Patient Education as Topic; D010865:Pilot Projects; D015995:Prevalence; D016730:Program Development; D011634:Public Health; D012307:Risk Factors; D013038:Specialization
chemical_list: D001786:Blood Glucose; D006442:Glycated Hemoglobin; D007004:Hypoglycemic Agents; D007328:Insulin; D008687:Metformin