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Changing the care pathway for Type 2 diabetes at the time of diagnosis: the role of the multidisciplinary team

Whyte, M. B. and Munro, N. (2019) Changing the care pathway for Type 2 diabetes at the time of diagnosis: the role of the multidisciplinary team Diabetic Medicine, 36 (5). pp. 653-654.

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Abstract

Conventionally, specialists become involved in the later stages of Type 2 diabetes mellitus, whereas evidence supports the role of time‐limited specialist input at the start of treatment journey. The diagnosis of Type 2 diabetes should be seen as a key opportunity for multidisciplinary teams to intensify therapy aimed at quickly correcting underlying metabolic dysfunction. Insulin resistance can precede diabetes for a decade, during which time β‐cell dysfunction and higher cardiovascular risk have accrued. Over half of newly-diagnosed Type 2 DM have evidence of diabetes-related tissue damage . Therefore by the time of diagnosis, many years of metabolic dysfunction may have elapsed. Further treatment delay, under the belief that the condition is ‘new’ or ‘mild’, cannot be justified.

Item Type: Article
Divisions : Faculty of Health and Medical Sciences > School of Biosciences and Medicine
Authors :
NameEmailORCID
Whyte, M. B.m.b.whyte@surrey.ac.uk
Munro, N.
Date : 13 April 2019
DOI : 10.1111/dme.13852
Copyright Disclaimer : © 2018 The Authors. Diabetic Medicine published by John Wiley & Sons Ltd on behalf of Diabetes UK This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
Depositing User : Clive Harris
Date Deposited : 07 Nov 2018 15:51
Last Modified : 20 Jun 2019 15:31
URI: http://epubs.surrey.ac.uk/id/eprint/849837

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