2008 Clinical Practice Guidelines - Canadian Diabetes Association

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2008 CLINICAL PRACTICE GUIDELINES iv NOTES TO READERS Overview The Canadian Diabetes Association 2008 Clinical Practice Guidelines for the Prevention and Management of Diabetes in Canada are intended to guide practice and are not intended to serve as a comprehensive text of diabetes management, nor are they intended to set criteria for research protocols.These guidelines are intended to inform general patterns of care.These guidelines are also intended to enhance diabetes prevention efforts in Canada and to reduce the burden of diabetes complications in people living with this disease. As per the Canadian Medical Association Handbook on Clinical Practice Guidelines (Davis D, et al. Ottawa, ON: Canadian Medical Association; 2007), guidelines should not be used as a legal resource in malpractice cases as “their more general nature renders them insensitive to the particular circumstances of the individual cases.” Healthcare professionals must consider the needs, values and preferences of individual patients, use clinical judgement, and work with available human and healthcare service resources in their settings.These guidelines were developed using the best available evidence. It is incumbent upon healthcare professionals to stay current in this rapidly changing field. Unless otherwise specified, these guidelines pertain to the care of adults with diabetes.Two chapters – “Type 1 Diabetes in Children and Adolescents” and “Type 2 Diabetes in Children and Adolescents” – are included to highlight aspects of care that must be tailored to the pediatric population. Suggested Citation Canadian Diabetes Association Clinical Practice Guidelines Expert Committee. Canadian Diabetes Association 2008 clinical practice guidelines for the prevention and management of diabetes in Canada. Can J Diabetes. 2008;32(suppl 1): S1-S201. Reproduction of the Guidelines Reproduction of the Canadian Diabetes Association 2008 Clinical Practice Guidelines for the Prevention and Management of Diabetes in Canada in whole or in part is prohibited without written consent of the publisher. Extra Copies Copies of this document may be ordered, for a nominal fee, from the Canadian Diabetes Association. Please dial 1-800-BANTING or visit orders.diabetes.ca. Website These guidelines are available at http://www.diabetes.ca.
2008 Clinical Practice Guidelines Committees The Canadian Diabetes Association 2008 Clinical Practice Guidelines for the Prevention and Management of Diabetes in Canada were developed under the auspices of the Clinical & Scientific Section of the Canadian Diabetes Association.The following committee members contributed to these guidelines. Committee members were volunteers and received no remuneration or honoraria for their participation. Executive Committee Lori D. Berard RN CDE Advisor Nurse Manager, Health Sciences Centre, Diabetes Research Group,Winnipeg, Manitoba Gillian Booth MD MSc FRCPC Sub-group Chair, Methods Division of Endocrinology and Metabolism and Li Ka Shing Institute, St. Michael’s Hospital and University of Toronto,Toronto, Ontario Steering Committee Alice Y.Y. Cheng MD FRCPC Advisor Division of Endocrinology and Metabolism, St. Michael’s Hospital and Credit Valley Hospital, University of Toronto,Toronto, Ontario Maureen Clement MD CCFP Advisor Medical Director, Diabetes Education, Vernon Jubilee Hospital; Assistant Clinical Professor, University of British Columbia,Vernon, British Columbia Keith Dawson MD PhD FRCPC Advisor Professor of Medicine (Emeritus), University of British Columbia,Vancouver, British Columbia Amir Hanna MB BCh FRCPC Sub-group Chair, Management Professor Emeritus, Department of Medicine, University of Toronto, and St. Michael’s Hospital,Toronto, Ontario William Harper MD FRCPC Advisor Associate Professor of Medicine, McMaster University, Hamilton, Ontario Sarah Capes MD MSc FRCPC Staff,Vancouver Island Health Authority,Victoria, British Columbia Karie Quinn RD CDE Grand Prairie, Alberta Vincent Woo MD FRCPC (Chair) Health Sciences Centre, University of Manitoba, Winnipeg, Manitoba Stewart B. Harris MD MPH FCFP FACPM Advisor Professor of Medicine, Department of Family Medicine, University of Western Ontario, London, Ontario Robyn Houlden MD FRCPC Sub-group Chair, Management Professor, Division of Endocrinology, Queen’s University, Kingston, Ontario Dereck Hunt MD MSc FRCPC Methods Associate Professor, McMaster University, Hamilton, Ontario Helen Jones RN MSN CDE Advisor Clinical Nurse Specialist/Manager, Leadership Sinai Centre for Diabetes, Mount Sinai Hospital and University of Toronto,Toronto, Ontario Margaret L. Lawson MSc MD FRCPC Sub-group Chair, Diabetes in Children and Adolescents Associate Professor of Pediatrics, University of Ottawa; Division of Endocrinology and Metabolism, Children’s Hospital of Eastern Ontario, Ottawa, Ontario v
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2008 Clinical Practice Guidelines - Canadian Diabetes Association

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