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Patient perceptions of diabetes guideline frameworks for individualizing glycemic targets

JAMA Sep 24, 2019

Schoenborn NL, et al. - Researchers sought to ascertain the perceptions of older adults regarding factors used in diabetes guidelines for individualizing glycemic targets. They conducted a cross-sectional national online survey of 818 US adults (65 years and older) with type 2 diabetes from December 13, 2018, to January 3, 2019. The assessment comprised ascertaining the importance of seven factors (diabetes duration, established diabetes complications, other health conditions, life expectancy, risk of adverse effects, cost, and treatment effort) in diabetes treatment decisions and perceptions of how factors affected treatment intensity. The factors were considered important by the participants when adding medicines to their treatment plans, however, they considered the factors less important when removing medicines from their treatment plans. As per participants, more aggressive treatment should be provided to patients with longer disease duration, more established complications, and more other health conditions; this perception is opposite to guideline recommendations. These perceptions may present substantial barriers to appropriate treatment goals and care.
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