The individualisation of glycaemic targets in response to patient characteristics in type 2 diabetes: a scoping review

Abstract

BackgroundEvidence and guidelines increasingly support an individualised approach to care for people with type 2 diabetes and individualisation of glycaemic targets in response to patient factors. MethodsWe undertook a scoping review of the literature for evidence of factors impacting upon glycated haemoglobin target individualisation in adults with type 2 diabetes. Data were analysed thematically with the themes inductively derived from article review. Findings Evidence suggests that presence of cardiovascular disease, hypoglycaemia unawareness, severe hypoglycaemia, limited life expectancy, advanced age, long diabetes duration, frailty, cognitive impairment, disability, extensive comorbidity, diabetes distress and patient preference should inform the setting of glycaemic targets. ConclusionThe management of people with diabetes is complex. In clinical practice, many patients will have a variety of factors that should be considered when personalising their care. Approaches to personalised care and glycaemic treatment targets should be undertaken as part of a shared decision-making process between physician and patient. Use of electronic records might enable greater efficiency and more widespread use of personalised care plans for people with diabetes.

Lived experiences and perspectives of patients with type 2 diabetes on poor glycaemic control in Kinshasa, Democratic Republic of the Congo: a qualitative study

“…Compared to those attended in public health facilities, participants attended to in an individualized manner in private clinics reported a better knowledge of diabetes and could access the doctor or the health facility for their diabetes-related needs at any time. This recommendable individualized care for patients with type 2 diabetes have been linked with improved glycaemic control in many studies [41,42] and should be a priority goal for all patients, irrespective of setting. How feasible this is in the public healthcare services has not been well explored in Kinshasa.…”

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“…Pharmacists play a critical role in detecting and preventing possible medication errors. As a result, the current research will aid in the understanding of prescribing habits and errors, which will lead to the development of an appropriate healthcare policy, which will, in turn, improve the quality of medicine and healthcare facilities 28,29 . Globally, the irrational use of medicines has gained more concern due to a lack of collaboration and coordination between healthcare professionals, patients, and entire communities.…”