Resourcing issues

Abstract

Diabetes is a chronic, progressive disease and achieving appropriate control of glycaemia and the other associated cardiovascular risk factors is essential to prevent its long-term complications. Currently, recovery and rehabilitation from the cardiovascular complications of diabetes are the major focus of diabetes care rather than primary and secondary prevention of diabetes and its complications. This focus, coupled with limited funding and other resource issues, means that diabetes care and outcomes are generally suboptimal. More efficient and effective management strategies, primarily based upon a broad educational approach including both those with diabetes and their care-givers will be essential in reducing the cost of diabetes and diabetes-related complications. Continuous education of patients and providers increases the quality of care and improves clinical and metabolic outcomes as well as reducing the cost of care and optimising human and financial resources. Thus, education will be a key strategy in minimising the growing burden of diabetes on society. Making these changes will require the co-operation of patients, their families, the community, healthcare policy makers, national governments and the pharmaceutical industry. Medical schools must also place more emphasis on educating doctors about chronic disease management using not only recovery and rehabilitation, but also prevention strategies, emphasising the importance of helping patients to participate in the control of their disease. European Journal of Endocrinology 151 T9-T11

Treating to goal: challenges of current management

“…There are multiple barriers to optimal glycaemic control that need to be overcome so that the established benefits of good glycaemic control can be experienced by more people with diabetes. The following papers in this supplement (27)(28)(29)(30) show that breaking down these barriers requires that treatment goals and strategies are individualised, bearing in mind patients' needs and goals as well as socioeconomic, psychological and pathophysiological factors. In addition, new treatment options that offer superior flexibility, convenience and acceptability will help to implement more effective diabetes management strategies and to improve diabetes outcomes.…”