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Episode 137: Putting the patient back into the diabetes guidelines – the VA perspective

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In episode 137, James and Mike welcome Mark McConnell back to podcast land to discuss the latest change in diabetes management guidelines. Mark leads us through a great discussion about how the VA has decided to do a bit of an about face, and incorporate not only evidence but also patient values and preferences into their most recent glucose control guidelines. At the end we all agree that an A1C measurement, no matter if it is 7, 8, or 9, is just a number and is not the ultimate endpoint for proper diabetes care.

Show notes

1) VA-DoD Update of Diabetes Guidelines

2) Glycemic control in type 2 diabetes: time for an evidence-based about-face?

Ann Intern Med. 2009 Jun 2;150(11):803-8. Epub 2009 Apr 20

3) The ACCORD Trial and control of blood glucose level in Type 2 diabetes mellitus

Arch Intern Med 2009;169:150-4

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