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Enferm Clin. 2008 Jan-Feb;18(1):41-5. doi: 10.1016/s1130-8621(08)70692-2.

[Comprehensive review of type 2 diabetes treatment in primary health care. Hygienic, dietetic, educational and pharmacological aspects].

Enfermeria clinica

[Article in Spanish]
María Violeta Fernández-Duque, Carmen Maciá-Bobes, Eva Prida-Villa, Aránzazu Ronzón-Fernández

Affiliations

  1. Centro de Salud La Ería. Oviedo. España.

PMID: 18218266 DOI: 10.1016/s1130-8621(08)70692-2

Abstract

Type 2 diabetes is a highly prevalent disease and its management is performed mainly in primary health care. In the present article, focused on the nursing point of view, we propose a comprehensive and very simple approach to the treatment of patients with diabetes, based on the authors' broad clinical experience. There are 5 pillars of type 2 diabetes treatment: diet, exercise, blood glucose autoanalysis, drugs, and control of vascular risk factors (an important question that is not dealt with in this article). A diabetic diet is always required at all phases of the disease. Regular, moderate-intensity aerobic exercise has demonstrated benefits in the treatment of diabetes. Blood glucose autoanalysis is recommended in certain subgroups of patients. Throughout the natural history of type 2 diabetes, drug therapy is structured in stages, which are analyzed in depth in the present article.

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