Diabetes treatment guidelines stress individualized care

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Northerner

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The American Diabetes Assn. recommends that physicians take a less prescriptive but more patient-centered approach to managing hyperglycemic patients with type 2 diabetes.

Doctors should focus on patients? individual needs, preferences and tolerances as well as age and disease progression, say the new guidelines, developed by the ADA and the European Assn. for the Study of Diabetes. The recommendations, published in the April 19 online edition of Diabetes Care, update the two associations? 2009 guidelines on the subject (ncbi.nlm.nih.gov/pubmed/22517736/).

Individualized care is key to treating patients with the disease, said Silvio Inzucchi, MD, co-guideline author and a professor of medicine at the Yale School of Medicine in Connecticut. He also is director of the Yale Diabetes Center.

?In the older, more infirm patient, a more conservative, less aggressive approach may be best,? Dr. Inzucchi said in an email. ?In younger, healthier patients, it may pay to be more rigorous. It all involves clinical judgment and, importantly, bringing the patient into that discussion.?

http://www.ama-assn.org/amednews/2012/05/07/hlsb0509.htm
 
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