title: Clinical practice guideline for the prevention, early detection, diagnosis, management and follow up of type 2 diabetes mellitus in adults.
abstract: In Colombia, diabetes mellitus is a public health program for those responsible for creating and implementing strategies for prevention, diagnosis, treatment, and follow-up that are applicable at all care levels, with the objective of establishing early and sustained control of diabetes. A clinical practice guide has been developed following the broad outline of the methodological guide from the Ministry of Health and Social Welfare, with the aim of systematically gathering scientific evidence and formulating recommendations using the GRADE (Grading of Recommendations Assessment, Development and Evaluation) methodology. The current document presents in summary form the results of this process, including the recommendations and the considerations taken into account in formulating them. In general terms, what is proposed here is a screening process using the Finnish Diabetes Risk Score questionnaire adapted to the Colombian population, which enables early diagnosis of the illness, and an algorithm for determining initial treatment that can be generalized to most patients with diabetes mellitus type 2 and that is simple to apply in a primary care context. In addition, several recommendations have been made to scale up pharmacological treatment in those patients that do not achieve the objectives or fail to maintain them during initial treatment. These recommendations also take into account the evolution of weight and the individualization of glycemic control goals for special populations. Finally, recommendations have been made for opportune detection of micro- and macrovascular complications of diabetes.
authors.affiliation: Hospital Universitario San Ignacio, Bogota, Colombia; Pontificia Universidad Javeriana, Bogota, Colombia; Asociación Colombiana de Diabetes, Bogota, Colombia.
authors.forename: Pablo M
authors.initials: PM
authors.lastname: Aschner
authors.affiliation: Hospital Universitario San Ignacio, Bogota, Colombia; Pontificia Universidad Javeriana, Bogota, Colombia.
authors.forename: Oscar Mauricio
authors.initials: OM
authors.lastname: Muñoz
authors.affiliation: Departamento de Epidemiología y Bioestadística. Pontificia Universidad Javeriana, Bogota, Colombia.
authors.forename: Diana
authors.initials: D
authors.lastname: Girón
authors.affiliation: Hospital Universitario San Ignacio, Bogota, Colombia; Pontificia Universidad Javeriana, Bogota, Colombia.
authors.forename: Olga Milena
authors.initials: OM
authors.lastname: García
authors.affiliation: Hospital Universitario San Ignacio, Bogota, Colombia; Pontificia Universidad Javeriana, Bogota, Colombia.
authors.forename: Daniel Gerardo
authors.initials: DG
authors.lastname: Fernández-Ávila
authors.affiliation: Asociación Colombiana de Endocrinología, Universidad del Valle, Cali, Colombia.
authors.forename: Luz Ángela
authors.initials: LÁ
authors.lastname: Casas
authors.affiliation: Federación diabetológica Colombiana, Bogota, Colombia; Universidad Nacional de Colombia, Bogota, Colombia.
authors.forename: Luisa Fernanda
authors.initials: LF
authors.lastname: Bohórquez
authors.affiliation: Universidad de Antioquia, Medellin, Colombia.
authors.forename: Clara María
authors.initials: CM
authors.lastname: Arango T
authors.affiliation: Asociación Colombiana de Diabetes, Bogota, Colombia.
authors.forename: Liliana
authors.initials: L
authors.lastname: Carvajal
authors.affiliation: Universidad Nacional de Colombia, Bogota, Colombia.
authors.forename: Doris Amanda
authors.initials: DA
authors.lastname: Ramírez
authors.affiliation: Hospital Universitario San Ignacio, Bogota, Colombia; Pontificia Universidad Javeriana, Bogota, Colombia.
authors.forename: Juan Guillermo
authors.initials: JG
authors.lastname: Sarmiento
authors.affiliation: Hospital Universitario San Ignacio, Bogota, Colombia; Pontificia Universidad Javeriana, Bogota, Colombia.
authors.forename: Cristian Alejandro
authors.initials: CA
authors.lastname: Colon
authors.affiliation: Hospital Universitario San Ignacio, Bogota, Colombia; Pontificia Universidad Javeriana, Bogota, Colombia.
authors.forename: Néstor Fabián
authors.initials: NF
authors.lastname: Correa G
authors.affiliation: Hospital Universitario San Ignacio, Bogota, Colombia; Pontificia Universidad Javeriana, Bogota, Colombia.
authors.forename: Pilar
authors.initials: P
authors.lastname: Alarcón R
authors.affiliation: Hospital Universitario San Ignacio, Bogota, Colombia; Pontificia Universidad Javeriana, Bogota, Colombia.
authors.forename: Álvaro Andrés
authors.initials: ÁA
authors.lastname: Bustamante S
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D000419:Albuminuria / Q000175:diagnosis; D002318:Cardiovascular Diseases / Q000097:blood / Q000175:diagnosis; D003105:Colombia; D003924:Diabetes Mellitus, Type 2 / Q000175:diagnosis* / Q000517:prevention & control / Q000628:therapy*; D003927:Diet, Diabetic; D004359:Drug Therapy, Combination; D006442:Glycated Hemoglobin / Q000032:analysis; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D008019:Life Style; D008875:Middle Aged; D011795:Surveys and Questionnaires
chemical_list: D006442:Glycated Hemoglobin; D007004:Hypoglycemic Agents
keywords: Type 2 diabetes mellitus; clinical practice guidelines