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Published on: June 11, 2012
[Integrated Care Protocol: Chronic complications of diabetes mellitus 2]
Juan Humberto Medina-Chávez1, Manuel Vázquez-Parrodi1, Denisse Lizeth Santoyo-Gómez2
1Instituto Mexicano del Seguro Social, Coordinación de Innovación en Salud, División de Excelencia Clínica. Ciudad de México, México.
Background:
According to the International Diabetes Federation, 18% of Mexican adults live with diabetes and it is expected that by 2030 it will occupy the seventh place in the world in number of cases. In the population covered by the Mexican Institute of Social Security, diabetes is the second cause of mortality, years lost due to premature death, years lived with disability and years of healthy life lost, placing it as one of the costliest diseases.
Objective:
Address in a timely and integrated manner chronic complications of type 2 diabetes mellitus, by implementing coordinated actions by multidisciplinary health team in the 3 levels of care.
Material And Methods:
The process of developing the Integrated Care Protocols consisted of: 1) Prioritization of the health problem, 2) Formation of an interdisciplinary working group, 3) Development of content and systematic search for information 4) Analysis, review and discussion of interventions, 5) Review and validation by regulatory areas, 6) Dissemination and implementation.
Conclusions:
Adequate glycemic control, blood pressure, lipids and a healthy lifestyle are the key to delaying the presence of micro and macrovascular complications of DM2. However, the progression of the disease will eventually be inevitable, it will confront the health personnel and the patient with some of the complications. In this sense, timely detection and treatment to delay them becomes the main function of the health worker.
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