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Related Concept Videos

Diabetes: Management and Pharmacotherapy01:15

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The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
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Diabetes: Symptoms, Diagnosis, and Complications01:15

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For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
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Decision Making01:20

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Decision-making is a fundamental cognitive process that involves evaluating alternatives and selecting among them. This process can range from simple choices, such as deciding what to wear, to complex decisions, like choosing a major in college or a career path. The complexity of the decision often dictates the approach we use, which can be broadly categorized into two types: automatic and controlled decision-making.
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Decision Making: P-value Method01:09

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The process of hypothesis testing based on the P-value method includes calculating the P- value using the sample data and interpreting it.
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Decision Making: Traditional Method01:14

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The process of hypothesis testing based on the traditional method includes calculating the critical value, testing the value of the test statistic using the sample data, and interpreting these values.
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Improving IV Insulin Administration in a Community Hospital
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Shared Decision-Making in Diabetes Care.

Shrikant Tamhane1, Rene Rodriguez-Gutierrez2, Ian Hargraves3

  • 1Knowledge and Evaluation Research Unit, Division of Endocrinology, Diabetes, Metabolism, and Nutrition, Department of Medicine, Mayo Clinic, 200 1st Street SW, Rochester, MN, 55905, USA. Tamhane.Shrikant@Mayo.edu.

Current Diabetes Reports
|October 14, 2015
PubMed
Summary
This summary is machine-generated.

Shared decision-making (SDM) involves patients and clinicians collaborating to choose treatments aligning with patient values. Implementing SDM in diabetes care is crucial but faces policy-to-practice gaps.

Keywords:
Decision aidsDiabetesEvidence-based medicineShared decision-making

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Area of Science:

  • Health Services Research
  • Medical Informatics
  • Patient-Centered Care

Background:

  • Shared decision-making (SDM) is a collaborative dialogue between patients and clinicians.
  • It ensures management options align with individual patient values and context.
  • SDM is essential for patient-centered evidence-based medicine.

Purpose of the Study:

  • To define Shared Decision-Making (SDM).
  • To explore the impact and feasibility of SDM in diabetes care.
  • To identify barriers and necessary steps for SDM implementation in diabetes management.

Main Methods:

  • Literature review on SDM principles and application.
  • Analysis of SDM's role in evidence-based practice.
  • Examination of policy advocacy versus clinical practice in diabetes care.

Main Results:

  • SDM is feasible and beneficial for patient involvement in decision-making.
  • Diabetes care requires management options tailored to patient life demands.
  • Despite policy support, SDM integration into diabetes care remains limited.

Conclusions:

  • SDM is vital for patient-centered diabetes care, integrating evidence with patient values.
  • Current policies advocating SDM have not translated into widespread practice for diabetes.
  • Further work is needed to implement SDM effectively for millions of diabetes patients.