|
Sign In to gain access to subscriptions and/or personal tools.
|
The Alphabet StrategyThe ABC of reducing diabetes complications
Vinod Patel
Diabetes and Endocrinology Centre, George Eliot Hospital NHS Trust, College Street, Nuneaton, Warwickshire, CV10 7DJ, UK, vinod.patel@ geh-tr.wmids.nhs.uk
John Morrissey
We have no cure for diabetes but as the recently published National Service Framework for Diabetes: Standards notes `with the support of high quality healthcare, people with diabetes have the potential to live long lives free of the devastating complications suffered by previous generations`.1 An earlier NSF, that for Coronary Heart Disease, observes that `excellence requires that important, simple things are done right all the time`.2 Exactly the same maxim can be applied to diabetes care. Vinod Patel and John Morrissey outline their Alphabet Strategy — a condensed but simple mnemonic to help them get seven important, simple things right:
References
- National Service Framework for Diabetes: Standards, 2002, Department of Health.
- National Service Framework for Coronary Heart Disease, 2000, Department of Health.
- Tuomilehto J., Lindstrom J., Eriksson JG et al. Prevention of type 2 diabetes mellitus by changes in lifestyle among patients with impaired glucose tolerance. N Engl J Med 2001; 344:1343-50.[Abstract/Free Full Text]
- Bailey CJ The Diabetes Prevention Program: headline results. Br J Diabetes Vasc Dis 2001;1:62-4.[Abstract/Free Full Text]
- Mogensen C-E. Diabetic nephropathy: evidence for renoprotection and practice. Heart 2000;84(suppl I):i26-8.[Free Full Text]
- UK Prospective Diabetes Study Group. Tight blood pressure control and risk of macrovascular and microvascular complications in type 2 diabetes (UKPDS 38). BMJ 1998;317:703-13.[Abstract/Free Full Text]
- UK Prospective Diabetes Study Group. Efficacy of atenolol and captopril in reducing risk of macrovascular and microvascular complications in type 2 diabetes (UKPDS 39). BMJ 1998;317:713-20.[Abstract/Free Full Text]
- Pyorali K., Pedersen TR, Kjekshus J., Faergeman O., Olsson AG, Thorgeirsson G. Cholesterol lowering with simvastatin improves prognosis of diabetic patients with coronary heart disease. Diabetes Care 1997;20:614-20.[Abstract]
- UK Prospective Diabetes Study (UKPDS) Group. Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33). Lancet 1998;352:837-53.[CrossRef][Web of Science][Medline]
[Order article via Infotrieve]
- UK Prospective Diabetes Study (UKPDS) Group. Effect of intensive blood-glucose control with metformin on complications in overweight patients with type 2 diabetes (UKPDS 34). Lancet 1998;352:854-65.[CrossRef][Web of Science][Medline]
[Order article via Infotrieve]
- Kohner E., Allwinkle J., Andrews J. et al. Saint Vincent and improving diabetes care. Report of the visual handicap group. Diabetic Med 1996:13:S13-26.[Web of Science][Medline]
[Order article via Infotrieve]
- Edmonds ME, Boulton AJM, Buckingham T. et al. Report of the Diabetic Foot and Amputation Group. Diabetic Med 1996;13: S27-42.[Web of Science][Medline]
[Order article via Infotrieve]
- Aspirin and diabetes. Diabetes Update Fact Sheet 21 (Summer) 2000. Diabetes UK.
- The Heart Outcomes Prevention Evaluation (HOPE) Study Investigators. Effects of an angiotensin-converting-enzyme inhibitor, ramipril, on cardiovascular events in high-risk patients. N Engl J Med 2000;342:145-53.[Abstract/Free Full Text]
- The Heart Outcomes Prevention Evaluation (HOPE) Study Investigators. Effects of ramipril on cardiovascular and microvascular outcomes in people with diabetes mellitus: results of the HOPE study and MICRO-HOPE sub-study. Lancet 2000;355:253-9.[CrossRef][Web of Science][Medline]
[Order article via Infotrieve]
- Lewis EJ, Hunsicker LG, Clarke WR et al. Renoprotective effect of the angiotensin-receptor antagonist irbesartan in patients with nephropathy due to type 2 diabetes. N Engl J Med 2001;345:851-60.[Abstract/Free Full Text]
- Brenner BM, Cooper ME, De Zeeuw D. et al. Effects of losartan on renal and cardiovascular outcomes in patients with type 2 diabetes and nephropathy. N Engl J Med 2001;345: 861-9.[Abstract/Free Full Text]
- Parving H-H., Lehnert H., Brochner-Mortensen J. et al. The effect of irbesartan on the development of diabetic nephropathy in patients with type 2 diabetes. N Engl J Med 2001;345: 870-8.[Abstract/Free Full Text]
- Testing Times: a review of diabetes services in England and Wales. Audit Commission, 2000.
The British Journal of Diabetes & Vascular Disease, Vol. 2, No. 1,
58-59 (2002)
DOI: 10.1177/14746514020020010701

CiteULike Complore Connotea Del.icio.us Digg Reddit Technorati Twitter What's this?
This article has been cited by other articles:

|
 |

|
 |
 
N. Gholap, M. Pillai, S. Virmani, J. D Lee, D. James, J. Morrissey, V. Datta, and V. Patel
The Alphabet Strategy and standards of care in young adults with type 1 diabetes
The British Journal of Diabetes & Vascular Disease,
July 1, 2006;
6(4):
168 - 170.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
P. K Jaiveer, S. Jaiveer, S. B Jujjavarapu, J. Morrissey, J. White, R. Gadsby, and V. Patel
Improvements in clinical diabetes care in the first year of the new General Medical Services contract in the UK
The British Journal of Diabetes & Vascular Disease,
January 1, 2006;
6(1):
45 - 48.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
V. Patel, O. Pedersen, J. Morrissey, H.-H. Parving, P. Gaede, and J. D. Lee
The `polypill' to reduce cardiovascular risk: proof of concept: Data from the Steno-2 multifactorial intervention study in type 2 diabetes supports the `polypill' strategy to reduce cardiovascular risk
The British Journal of Diabetes & Vascular Disease,
September 1, 2004;
4(5):
339 - 341.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
M. Kirby
Type 2 diabetes within primary care
The British Journal of Diabetes & Vascular Disease,
March 1, 2004;
4(2):
67 - 69.
[PDF]
|
 |
|

|
 |

|
 |
 
N. P Jagjivan, S. H Shotton, and V. Patel
An unusual cause of a foot ulcer in a patient with type 1 diabetes
The British Journal of Diabetes & Vascular Disease,
January 1, 2004;
4(1):
55 - 56.
[PDF]
|
 |
|

|
 |

|
 |
 
P. Jaiveer, J. Saraswathy, J. D Lee, J. Morrissey, and V. Patel
The Alphabet strategy -- a tool to achieve clinical trial standards in routine practice?
The British Journal of Diabetes & Vascular Disease,
November 1, 2003;
3(6):
410 - 413.
[Abstract]
[PDF]
|
 |
|
|
|