Page 264 - fourth year book

DIABETES MELLITUS

Management Plan:

People with diabetes should receive medical care from a
collaborative, integrated team with expertise in diabetes. This team may

include physicians, nurse practitioners, physician’s assistants, nurses,
dietitians, pharmacists, and mental health professionals. Individuals

with diabetes must also assume an active role in their care.

The objectives of diabetes management are:

 To reduce symptoms of diabetes
 To achieve optimum glycemic control.

 To prevent development or progression of diabetic complications.
 To enable affected individuals to maintain their quality of life

(QOL) and life expectancy.

Glycemic control:
 Optimal glycemic control is fundamental to the management of
diabetes.

 Glycemic targets should be individualized based on the

individual’s age, duration of diabetes, risk of severe hypoglycemia,
presence or absence of cardiovascular disease and life expectancy.
 It is important that hyperglycaemia, hypertension and

dyslipidaemia are all controlled to reduce the risk of development

or progression of complications.

The ABC’s of Diabetes management:

The “ABCs of Diabetes” are defined as :

 Hemoglobin A1c < 7.0%,

 Blood pressure < 130/80 mm Hg, and

 Low- density lipoprotein cholesterol (LDL-C) <100 mg per dl.

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