Introductory remarks: diabetes care in America - "a sense of urgency".

Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists
Jaime A Davidson

Abstract

To review the status of diabetes care in America and present questions to be addressed in the current consensus conference. Data from recent studies are reviewed, and trends in diabetes care are summarized in an effort to improve interventional strategies and future results. The diabetes epidemic is worsening; more than 20 million Americans have diabetes. Another 42 million Americans have pre-diabetes. Diabetes care in America has deteriorated during the past decade, with fewer patients at target hemoglobin A1c levels. New diabetes-related therapies and technologies are available, but clinicians often fail to intervene early and aggressively to achieve good glycemic control and help avoid complications. Moreover, many patients do not receive education and training in diabetes self-management. Several questions must be addressed in order to develop recommendations for implementing more aggressive treatment strategies in patients with diabetes. Substantial clinical and financial benefits can be gained through better control of diabetes. Finding ways to meet this challenge must be a priority.

References

Sep 30, 1993·The New England Journal of Medicine·UNKNOWN Diabetes Control and Complications Trial Research GroupC Siebert
Dec 24, 1997·Diabetes Care·T P GilmerW A Rush
May 22, 2002·JAMA : the Journal of the American Medical Association·UNKNOWN Writing Team for the Diabetes Control and Complications Trial/Epidemiology of Diabetes Interventions and Complications Resea
Oct 25, 2002·The New England Journal of Medicine·David M Nathan
Jan 29, 2005·Diabetes Care·Richard W GrantUNKNOWN University HealthSystem Consortium (UHC) Diabetes Benchmarking Project Team

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Citations

May 1, 2007·Annual Review of Nutrition·Xin Gen LeiJames P McClung
Apr 29, 2008·Journal of the Neurological Sciences·Allon GoldbergNeil Burton Alexander
Sep 30, 2008·Arquivos brasileiros de endocrinologia e metabologia·Jaime A DavidsonJorge L Gross

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