Escalante Miguel, Gagliardino Juan José, Guzmán Juan Rosas, Tschiedel Balduino
Hospital de Especialidades, Centro Medico Nacional de Occidente, Mexican Institute of Social Security, Guadalajara, Mexico.
CENEXA. Centro de Endocrinología Experimental y Aplicada (UNLP-CONICET La Plata), PAHO/WHO Collaborating Centre for Diabetes, Facultad de Ciencias Médicas UNLP, La Plata, Argentina.
Diabetes Res Clin Pract. 2014 Jun;104(3):343-52. doi: 10.1016/j.diabres.2014.01.004. Epub 2014 Jan 8.
Latin America faces a unique set of challenges in the treatment of type 2 diabetes mellitus (T2DM). This report identifies these challenges and provides a framework for implementation of the strategies, policies and education programs which are needed to optimize the management of this condition. In order to improve future diabetes care, it will be necessary to address existing problems such as limitation of resources, inadequate management of hyperglycemia, and inappropriate education of healthcare team members and people with diabetes. Achieving these goals will require collaborative efforts by many individuals, groups and organizations. These include policymakers, international organizations, healthcare providers, those responsible for setting medical school curricula, patients and society as a whole. It is anticipated that improved/continuing education of healthcare professionals, diabetes self-management education and development of a team approach for T2DM care will lead to optimization of patient-centered care. Implementation of multicentric demonstration studies and rational use of antidiabetic treatments will be necessary to demonstrate the long-term favorable impact of these strategies upon quality of care, prevention of chronic complications, mortality, healthcare costs and patient quality of life.
拉丁美洲在2型糖尿病(T2DM)的治疗上面临一系列独特的挑战。本报告识别了这些挑战,并提供了一个框架,用于实施优化该疾病管理所需的策略、政策和教育项目。为了改善未来的糖尿病护理,有必要解决现有问题,如资源有限、高血糖管理不足以及对医疗团队成员和糖尿病患者的教育不当。实现这些目标需要许多个人、团体和组织的共同努力。这些包括政策制定者、国际组织、医疗服务提供者、负责制定医学院课程的人员、患者以及整个社会。预计改善/持续开展医疗专业人员教育、糖尿病自我管理教育以及发展T2DM护理的团队方法将有助于优化以患者为中心的护理。开展多中心示范研究以及合理使用抗糖尿病治疗方法对于证明这些策略对护理质量、预防慢性并发症、死亡率、医疗成本和患者生活质量的长期有利影响是必要的。