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Appendix 10. Assessment proposal. Indicators The authors of this CPG have designed some indicators in order to assess both the care provided to a DM 2 patient as well as the possible impact the implementation of this guideline could have. The aim has not been to design an in-depth and detailed assessment which implies the use of all the indicators proposed. The aim is to create a tool for clinicians and managers interested in this field, that can be useful to create a specific assessment on the care of DM 2 patients. The indicators proposed are related to both the process (laboratory determinations, examination activities and content of the medical consultations) as well as the outcomes, subrogated or final, expected according to the control aims proposed and which are supposed to be the fulfilment of an appropriate and effective care of the type 2 diabetic patient. Those in charge of the CPG’s impact and diabetic patients’ care assessment must choose the most appropriate time to which each indicator refers to. Process indicators • Number of patients ≥45 years with fasting blood glucose carried out in the last 3 years /Population ³ 45 years (percentage). • Number of patients diagnosed with DM 2/population ≥ 15 years (percentage). • Number of DM 2 patients with two HbA 1c determinations per year / DM 2 patients (percentage). • DM 2 patients
Indicators of final outcomes • Number of lower limb amputations / DM 2 patients (percentage). • Number of patients with terminal renal disease / DM 2 patients (percentage). • Number of deaths due to cardiovascular disease / DM 2 patients (percentage). • Number of patients with coronary disease / DM 2 patients (percentage). • Number of patients with cerebrovascular disease / DM 2 patients (percentage). • Number of photocoagulations and vitrectomies / DM 2 patients (percentage). • Number of admission due to hyperosmotic coma or hypoglycaemias / DM 2 patients (percentage). CLINICAL PRACTICE GUIDELINE ON TYPE 2 DIABETES 155
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Clinical Practice Guideline on type
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A bibliographic record of this work
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Table of Contents Presentation 9 Au
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11. Diabetic foot. Assessment, prev
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Presentation Care practice is becom
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Other collaborations Rosa Rico Itur
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13. Which drug combination strategi
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Summary of recommendations Defi nit
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D CPG B B B B A daily single dose
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A B CPG Hypertense patients with DM
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Treatment for diabetic foot ulcers
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1. Introduction Effective care for
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3. Methodology Methodology. Evidenc
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4. Epidemiology and sanitary impact
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However, the quality of the assista
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5.2. Risk factors for the developme
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5.2.8. Diet and alcohol Type of die
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5.2.12. Heart failure The associati
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The ADA does not recommend it for c
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Figure 1. DM 2 diagnostic algorithm
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46 CLINICAL PRACTICE GUIDELINES IN
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6.1. Impaired Fating Glucoseucose (
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1++ An intensive intervention on li
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Different SRs (81-84) have assessed
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7.1.4. Other dietary interventions
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Exchange system This system is base
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duration and intensity). Performing
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[RR 0.75 (CI 95%: 0.60-0.93)], and
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The optimum dose in most patients i
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without heart failure. In this stud
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B B B B Metillinides can play a ro
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Recommendations B A A B B B B When
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8.2. Insulin therapy 8.2.1. Associa
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Slow-acting insulin analogues vs. N
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9. Screening and treatment of macro
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The validity and applicability of a
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The RCTs and the meta-analysis are
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1+ In primary prevention, aspirin b
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9.5.2. Pharmacological treatment of
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Recommendations B/D A B CPG Patient
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incidence was 0.3% after the first
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it is believed that microalbuminuri
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Summary of evidence 1++ In hyperten
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An SR on drugs to treat diabetic ne
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(241), the response rate to placebo
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11. Diabetic foot. Assessment, prev
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11.2.2. Peripheral arterial disease
Page 105 and 106: 11.4. Other preventive measures The
Page 107 and 108: B D CPG B Diabetic foot screening m
Page 109 and 110: 11.5.4. Antibiotic treatment for in
Page 111: 2+ The culture has a limited value
Page 114 and 115: • Promote healthy lifestyles: die
Page 116 and 117: In another recent RCT (289), sMBG w
Page 118 and 119: 12.3. Contents and methods of an ed
Page 120 and 121: Assessment of self-management recor
Page 122 and 123: 13.4. Referral criteria to medical
Page 125 and 126: Appendices Appendix 1. Levels of Ev
Page 127 and 128: Appendix 2. DM 2 diet Estimating ca
Page 129 and 130: CLINICAL PRACTICE GUIDELINE ON TYPE
Page 141 and 142: GPL-1 Analogues Biguanides Glitazon
Page 143 and 144: Devices FLEXPEN (Novo Nordisk): OPT
Page 145 and 146: Treatment for an unconscious patien
Page 147 and 148: Appendix 6. Assessment of macro- an
Page 149 and 150: Appendix 8. Use of monofilament Mon
Page 155: CLINICAL PRACTICE GUIDELINE ON TYPE
Page 159 and 160: Impaired Glucose Tolerance (IGT): I
Page 161 and 162: IGT INSIGHT Trial IV LDL LH LIFE Tr
Page 163 and 164: Bibliography 1. Estrategia en diabe
Page 165 and 166: 33. Iso H, Date C, Wakai K, Fukui M
Page 167 and 168: 64. Screening for type 2 diabetes.
Page 169 and 170: 97. Thomas DE, Elliott EJ, Naughton
Page 171 and 172: 129. Lincoff AM, Wolski K, Nicholls
Page 173 and 174: 157. Natarajan S, Liao Y, Cao G, Li
Page 175 and 176: 185. de GG. Low-dose aspirin and vi
Page 177 and 178: 214. Rahman M, Pressel S, Davis BR,
Page 179 and 180: 245. NZGG. Management of type 2 dia
Page 181 and 182: 279. Norris SL, Nichols PJ, Caspers
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