A Research Study On The American Diabetes Association ( Ada )

1469 Words Nov 7th, 2016 6 Pages
Strict glycemic control in T2DM can prevent the onset and progression of complications [4]. Despite of numerous interventions to improve adherence to the recommended standards have been implemented, control is improving, but slowly [5]. Based on recent large clinical trials there is a growing current of opinion that no single hemoglobin A1c (HbA1c) target is appropriate for all patients. The American Diabetes Association (ADA) suggests a fundamentally patient-centered approach to determine an individual’s HbA1c target. However, the ADA also recommends a HbA1c target level of less than 7% for the majority of patients [6].


Two-phases observational descriptive study. In the quantitative phase we conducted a cross-sectional survey of a sample of 380 healthcare professionals (general practitioners
(GPs), endocrinologists, internists and nurses). In the qualitative phase, a discussion group reviewed the results of the survey to propose solutions.

• Challenges of insulin initiation
• To set personalized targets reminding the current targets recommended by guidelines
• To recommendHbA1c test every 3months in patients with poorly controlled Type 2 diabetes and take action
• Patients may benefit from early treatment with basal insulin added to oral antidiabetic drug (OAD) through early glycemic
• control (metabolic memory can reduce complications)
• To reinforce insulin therapy as the most effective treatment
• To initiate insulin therapy with basal insulin reaching for…
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