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Is It Time To Rethink How We Think About Diabetes
| Content Provider | Semantic Scholar |
|---|---|
| Author | Bogen, Janet Titchener |
| Copyright Year | 2008 |
| Abstract | INTRODUCTION Good medical management of any disease is based on two fundamental principles: fi rst, the diagnosis must rely on objective criteria that are sensitive and specifi c to the disease; and second, the diagnosis should directly dictate medical management. Yet the diagnosis, classifi cation, and treatment of diabetes fall short of fulfi lling these two basic criteria. While the diagnosis of diabetes is based on objective laboratory criteria (fasting blood glucose [FBG] 126 or non-FBG 200 mg/dl), determination of the patient’s type of diabetes (i.e. disease etiology or mechanism of disease) is based predominantly on a set of clinical parameters such as age at time of onset and presence or absence of metabolic syndrome.1 Furthermore, such categorization provides minimal guidance about the patient’s insulin requirements. Assumptions are made about the patient’s endogenous insulin production and insulin sensitivity which can lead to suboptimal medical management. |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | http://www.jlgh.org/JLGH/media/Journal-LGH-Media-Library/Past%20Issues/Volume%203%20-%20Issue%201/V3I1_IsItTimeToRethink.pdf |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
