Urine albumin care process checks are being completed less frequently than other checks across all types of diabetes, according to the latest National Diabetes Audit. Body mass index recording and foot examinations appear to have improved since the last audit. Most other care processes remain well completed, although less often in people with type 1 diabetes and in younger people with any type of diabetes.
The American Diabetes Association and the European Association for the Study of Diabetes have published a new consensus guidance document on the management of type 2 diabetes in adults. The guidance does not take a target-driven approach, rather suggesting that patient factors and preferences should inform the process of individualising treatment goals and strategies. It points out that not all people living with diabetes should have the same level of diabetes control and that patient-centred care is vital. It also acknowledges that the goals of treatment for type 2 diabetes are to prevent or delay complications and maintain quality of life.
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