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Getting ambitious diabetes 2007 short
1. Getting Ambitious with
Type 2 Diabetes Control in 2007
Dr Pete Davies
Sandwell Hospital
“Diabetes- Could do Better?”
2. New Reality Game Show
• Based on “The Apprentice”
• 2 teams of health care professionals
• Attempting to attain
• best level of glucose control in diabetes
• In a person-centred manner
• With high cost-effectiveness
• Team Hawk represents „usual care‟ post-UKPDS
• Team Dove represents a new ambitious approach
3. “Apprentices in Strict Metabolic Control”
The Reality TV Game Show
Team “Hawk”
• Strict
• Tight
• Stringent
• Rigid
• Intensive
• Aggressive
Team “Dove”
• Ambitious
• Good
• Optimal
• Near-normal
• Non-diabetes range
• Gold medallist
Attitudes to Diabetes Glucose Control
5. Optimising treatment in Type 2 diabetes
• LET‟S GET POSITIVE…
• New Management goals and guidelines
• New management strategies/algorithms
• When and how to use insulin