RT Journal Article
SR Electronic
T1 The individualisation of glycaemic targets in response to patient characteristics in type 2 diabetes: a scoping review
JF Clinical Medicine
JO Clin Med
FD Royal College of Physicians
SP 257
OP 265
DO 10.7861/clinmed.2021-0764
VO 22
IS 3
A1 Samuel J Westall
A1 Ram Prakash Narayanan
A1 Simon Watmough
A1 Greg Irving
A1 Niall Furlong
A1 Sid McNulty
A1 Sumudu Bujawansa
A1 Kevin Hardy
YR 2022
UL http://www.rcpjournals.org/content/22/3/257.abstract
AB Background Evidence 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.Methods We 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.Conclusion The 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.