Abstract:
:The Diabetes Control and Complications Trial (DCCT) led to considerable improvements in the management of type 1 diabetes, with the wider adoption of intensive insulin therapy to reduce the risk of complications. However, a large gap between evidence and practice remains, as recently shown by the Pittsburgh Epidemiology of Diabetes Complications (EDC) study, in which 30-year rates of microvascular complications in the 'real world' EDC patients were twice that of DCCT patients who received intensive insulin therapy. This gap may be attributed to the many challenges that patients and practitioners face in the day-to-day management of the disease. These barriers include reaching glycaemic goals, overcoming the reality and fear of hypoglycaemia, and appropriate insulin therapy and dose adjustment. As practitioners, the question remains: how do we help patients with type 1 diabetes manage glycaemia while overcoming barriers? In this article, the Global Partnership for Effective Diabetes Management provides practical recommendations to help improve the care of patients with type 1 diabetes.
journal_name
Int J Clin Practjournal_title
International journal of clinical practiceauthors
Aschner P,Horton E,Leiter LA,Munro N,Skyler JS,Global Partnership for Effective Diabetes Management.doi
10.1111/j.1742-1241.2009.02296.xsubject
Has Abstractpub_date
2010-02-01 00:00:00pages
305-15issue
3eissn
1368-5031issn
1742-1241pii
IJCP2296journal_volume
64pub_type
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更新日期:2016-08-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2019-08-29 00:00:00
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