Synthesis: Deriving a Core Set of Recommendations to Optimize Diabetes Care on a Global Scale

Background: <a title="Learn more about Diabetes" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/diabetes">Diabetes</a> afflicts 382 million people worldwide, with increasing prevalence rates and adverse effects on health, well-being, and society in...

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Autores principales:	Jeffrey I. Mechanick, Derek Leroith
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2016
Materias:	diabetes recommendations global diabetes care type 2 diabetes type 1 diabetes public policy Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/854f27b84abf4c16a104c5086419a842
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spelling	oai:doaj.org-article:854f27b84abf4c16a104c5086419a8422021-12-02T08:07:41ZSynthesis: Deriving a Core Set of Recommendations to Optimize Diabetes Care on a Global Scale2214-999610.1016/j.aogh.2016.02.008https://doaj.org/article/854f27b84abf4c16a104c5086419a8422016-04-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/1455https://doaj.org/toc/2214-9996Background: <a title="Learn more about Diabetes" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/diabetes">Diabetes</a> afflicts 382 million people worldwide, with increasing prevalence rates and adverse effects on health, well-being, and society in general. There are many drivers for the complex presentation of diabetes, including environmental and genetic/epigenetic factors. Objective: The aim was to synthesize a core set of recommendations from information from 14 countries that can be used to optimize diabetes care on a global scale. Methods: Information from 14 papers in this special issue of Annals of '<a title="Learn more about Global Health" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/global-health">Global Health</a>' was reviewed, analyzed, and sorted to synthesize recommendations. PubMed was searched for relevant studies on diabetes and global health. Findings: Key findings are as follows: (1) Population-based transitions distinguish region-specific diabetes care; (2) biological drivers for diabetes differ among various populations and need to be clarified scientifically; (3) principal resource availability determines quality-of-care metrics; and (4) governmental involvement, independent of economic barriers, improves the contextualization of diabetes care. Core recommendations are as follows: (1) Each nation should assess region-specific epidemiology, the scientific evidence base, and population-based transitions to establish risk-stratified guidelines for diagnosis and therapeutic interventions; (2) each nation should establish a public health imperative to provide tools and funding to successfully implement these guidelines; and (3) each nation should commit to education and research to optimize recommendations for a durable effect. Conclusions: Systematic acquisition of information about diabetes care can be analyzed, extrapolated, and then used to provide a core set of actionable recommendations that may be further studied and implemented to improve diabetes care on a global scale.Jeffrey I. MechanickDerek LeroithUbiquity Pressarticlediabetesrecommendationsglobaldiabetes caretype 2 diabetestype 1 diabetespublic policyInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 81, Iss 6, Pp 874-883 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	diabetes recommendations global diabetes care type 2 diabetes type 1 diabetes public policy Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	diabetes recommendations global diabetes care type 2 diabetes type 1 diabetes public policy Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Jeffrey I. Mechanick Derek Leroith Synthesis: Deriving a Core Set of Recommendations to Optimize Diabetes Care on a Global Scale
description	Background: <a title="Learn more about Diabetes" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/diabetes">Diabetes</a> afflicts 382 million people worldwide, with increasing prevalence rates and adverse effects on health, well-being, and society in general. There are many drivers for the complex presentation of diabetes, including environmental and genetic/epigenetic factors. Objective: The aim was to synthesize a core set of recommendations from information from 14 countries that can be used to optimize diabetes care on a global scale. Methods: Information from 14 papers in this special issue of Annals of '<a title="Learn more about Global Health" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/global-health">Global Health</a>' was reviewed, analyzed, and sorted to synthesize recommendations. PubMed was searched for relevant studies on diabetes and global health. Findings: Key findings are as follows: (1) Population-based transitions distinguish region-specific diabetes care; (2) biological drivers for diabetes differ among various populations and need to be clarified scientifically; (3) principal resource availability determines quality-of-care metrics; and (4) governmental involvement, independent of economic barriers, improves the contextualization of diabetes care. Core recommendations are as follows: (1) Each nation should assess region-specific epidemiology, the scientific evidence base, and population-based transitions to establish risk-stratified guidelines for diagnosis and therapeutic interventions; (2) each nation should establish a public health imperative to provide tools and funding to successfully implement these guidelines; and (3) each nation should commit to education and research to optimize recommendations for a durable effect. Conclusions: Systematic acquisition of information about diabetes care can be analyzed, extrapolated, and then used to provide a core set of actionable recommendations that may be further studied and implemented to improve diabetes care on a global scale.
format	article
author	Jeffrey I. Mechanick Derek Leroith
author_facet	Jeffrey I. Mechanick Derek Leroith
author_sort	Jeffrey I. Mechanick
title	Synthesis: Deriving a Core Set of Recommendations to Optimize Diabetes Care on a Global Scale
title_short	Synthesis: Deriving a Core Set of Recommendations to Optimize Diabetes Care on a Global Scale
title_full	Synthesis: Deriving a Core Set of Recommendations to Optimize Diabetes Care on a Global Scale
title_fullStr	Synthesis: Deriving a Core Set of Recommendations to Optimize Diabetes Care on a Global Scale
title_full_unstemmed	Synthesis: Deriving a Core Set of Recommendations to Optimize Diabetes Care on a Global Scale
title_sort	synthesis: deriving a core set of recommendations to optimize diabetes care on a global scale
publisher	Ubiquity Press
publishDate	2016
url	https://doaj.org/article/854f27b84abf4c16a104c5086419a842
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Synthesis: Deriving a Core Set of Recommendations to Optimize Diabetes Care on a Global Scale

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