SUMMARY With the growing worldwide diabetes epidemic, the management of individuals with Type 2 diabetes (T2D) will, out of necessity, be undertaken more by primary-care health providers and less by subspecialist diabetologists. To overcome the barriers to effective management of T2D, we will need to address the issue of clinical inertia by providing healthcare professionals with pragmatic evidence-based algorithms. The International Diabetes Center (MN, USA) has created an algorithm for T2D, which is customizable to local conditions and fosters discussion between the patient and provider of the risks and benefits of the different therapeutic options. Using clinical evidence coupled with clinical experience, it establishes a glycemic target-driven systematic, multidiscipline team approach to initiate and advance T2D therapies by addressing the underlying pathophysiological defects associated with T2D.
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Cuddihy et al. (2011) studied this question.
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