Guía de práctica clínica para la prevención, diagnóstico, tratamiento y seguimiento de la diabetes mellitus tipo 2 en la población mayor de 18 años
2016
In Colombia, diabetes mellitus is a public health program for those
responsible for creating and implementing strategies for prevention,
diagnosis, treatment, and follow-up that are applicable at all care
levels, with the objective of establishing early and sustained control
of diabetes. A clinical practice guide has been developed following
the broad outline of the methodological guide from the Ministry
of Health and Social Welfare, with the aim of systematically
gathering scientific evidence and formulating recommendations
using the GRADE (Grading of Recommendations Assessment,
Development and Evaluation) methodology. The current document
presents in summary form the results of this process, including the
recommendations and the considerations taken into account in
formulating them.
In general terms, what is proposed here is a screening process using the
Finnish Diabetes Risk Score questionnaire adapted to the Colombian
population, which enables early diagnosis of the illness, and an
algorithm for determining initial treatment that can be generalized to
most patients with diabetes mellitus type 2 and that is simple to apply
in a primary care context. In addition, several recommendations
have been made to scale up pharmacological treatment in those
patients that do not achieve the objectives or fail to maintain them
during initial treatment. These recommendations also take into
account the evolution of weight and the individualization of glycemic
control goals for special populations. Finally, recommendations have
been made for opportune detection of micro- and macrovascular
complications of diabetes.
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