[Management of the diabetic patient. When consult the general practitioner, when the specialist practice?].
The perception that in type 2 diabetes mellitus the prognosis with regard to micro-angiopathic and macro-angiopathic complications significantly depends on the quality of metabolism and the level of the blood pressure, should prompt all of us to considerably intensify our efforts to ensure optimal treatment for the diabetic. For example, insulin will have to administered at an earlier time-point and to a much greater extent than formerly. In order to meet the objectives specified in the St. Vincent Declaration of 1989, not only close cooperations between family doctors and diabetologists in specialist practices and hospitals, but also comprehensive quality control measures will be needed. In new diabetes contracts, for example the interface model, attempts are being made to take account of these facts. The various tasks of family doctors and specialized diabetes practices are discussed on the basis of the interface model.
Meincke
G
G
D003922:Diabetes Mellitus, Type 1 / Q000628:therapy*; D003924:Diabetes Mellitus, Type 2 / Q000628:therapy*; D005194:Family Practice; D005858:Germany; D006801:Humans; D010348:Patient Care Team; D012017:Referral and Consultation