title: [Practice guideline. Diagnosis and treatment of type 2 diabetes mellitus].
abstract: Our objective was to develop a guide based on the best available evidence that allow family physicians to establish criteria for screening, diagnosis, prevention, treatment of disease, early detection and management of complications; to standardize the organizing processes of the diabetic patient's care in the primary care level; and to achieve lifestyle modification for patients and promote self-care. Clinical questions were stated according to the diagram and structured patient-intervention-comparison-outcome. We used a mixed methodology-adoption adjustment, and include 32 guides. For recommendations not included in these, the search process was conducted in PubMed and Cochrane Library Plus with these terms: diabetes mellitus type 2, epidemiology, detection and diagnosis, classification, drug therapy, effects, prevention, control and complication. The clinical practice guideline emphasizes the fundamental change in lifestyle (diet and exercise), self-care and proactive participation of the patient, in addition to the dynamic prescription of medications that would achieve metabolic control in order to reduce late complications.
authors.affiliation: División de Medicina Familiar, Coordinación de Areas Médicas, Instituto Mexicano del Seguro Social, Distrito Federal, México. luisa.gil@imss.gob.mx
authors.forename: Luisa Estela
authors.initials: LE
authors.lastname: Gil-Velázquez
authors.forename: María Juana
authors.initials: MJ
authors.lastname: Sil-Acosta
authors.forename: Elia R
authors.initials: ER
authors.lastname: Domínguez-Sánchez
authors.forename: Laura del Pilar
authors.initials: Ldel P
authors.lastname: Torres-Arreola
authors.forename: Juan Humberto
authors.initials: JH
authors.lastname: Medina-Chávez
mesh_terms: D000465:Algorithms; D003924:Diabetes Mellitus, Type 2 / Q000175:diagnosis* / Q000628:therapy*; D006801:Humans; D017410:Practice Guidelines as Topic