Brief Commentary: Social Determinants of Health and Treatment Targets for Type 2 Diabetes
Authors: D.R. Bailey Miles
Journal: Annals of Internal Medicine (2018)

Ideas and Opinions21 August 2018Brief Commentary: Social Determinants of Health and Treatment Targets for Type 2 DiabetesD.R. Bailey Miles, MDD.R. Bailey Miles, MDJohns Hopkins Community Physicians and Johns Hopkins University School of Medicine, Baltimore, Maryland (D.B.M.)Author, Article, and Disclosure Informationhttps://doi.org/10.7326/M18-1472 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Editors' Note: This commentary was selected for publication from among several submitted in response to a call for readers' perspectives on treatment targets for type 2 diabetes.Diabetes disproportionately affects vulnerable groups, including racial and ethnic minorities and those at a socioeconomic disadvantage (1). Designing and updating diabetes guidelines and treatment goals provide a unique opportunity to reduce disparities and promote health equity for vulnerable populations. To achieve these aims, all diabetes clinical practice guidelines (CPGs) should include recommendations to evaluate for social determinants of health (SDHs) and to use shared decision making to develop patient-centered treatment plans based on SDHs.... References1. Beckles GL, Chou CF; Centers for Disease Control and Prevention (CDC). Diabetes—United States, 2006 and 2010. MMWR Suppl. 2013;62:99-104. [PMID: 24264498] MedlineGoogle Scholar2. Conlin PR, Colburn J, Aron D, Pries RM, Tschanz MP, Pogach L. Synopsis of the 2017 U.S. Department of Veterans Affairs/U.S. Department of Defense clinical practice guideline: management of type 2 diabetes mellitus. Ann Intern Med. 2017;167:655-63. [PMID: 29059687]. doi:10.7326/M17-1362 LinkGoogle Scholar3. American Diabetes Association. Standards of medical care in diabetes—2018 abridged for primary care providers. Clin Diabetes. 2018;36:14-37. [PMID: 29382975] doi:10.2337/cd17-0119 CrossrefMedlineGoogle Scholar4. Currie CJ, Peters JR, Tynan A, Evans M, Heine RJ, Bracco OL, et al. Survival as a function of HbA(1c) in people with type 2 diabetes: a retrospective cohort study. Lancet. 2010;375:481-9. [PMID: 20110121] doi:10.1016/S0140-6736(09)61969-3 CrossrefMedlineGoogle Scholar5. Gerstein HC, Miller ME, Byington RP, Goff DC, Bigger JT, Buse JB, et al; Action to Control Cardiovascular Risk in Diabetes Study Group. Effects of intensive glucose lowering in type 2 diabetes. N Engl J Med. 2008;358:2545-59. [PMID: 18539917] doi:10.1056/NEJMoa0802743 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Johns Hopkins Community Physicians and Johns Hopkins University School of Medicine, Baltimore, Maryland (D.B.M.)Disclosures: The author has disclosed no conflicts of interest. The form can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M18-1472.Corresponding Author: D.R. Bailey Miles, MD, Johns Hopkins Community Physicians, 1000 East Eager Street, Baltimore, MD 21202; e-mail, [email protected]edu.Author contributions are available at Annals.org.Author Contributions: Drafting of the article: D.R.B. Miles.Final approval of the article: D.R.B. Miles.This article was published at Annals.org on 26 June 2018. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoBrief Commentary: Confusing Treatment Guidelines for Patients With Type 2 Diabetes Irl B. Hirsch and Jay S. Skyler Brief Commentary: Laboratory Accuracy of Hemoglobin A1c Ranges and Treatment Targets for Patients With Type 2 Diabetes Brian V. Burke and Sandra Hedin Brief Commentary: The Glycemic Target Guideline Controversy: Same Evidence, Different Perspectives, and a Proposal for Common Ground David C. Aron , Paul R. Conlin , and Leonard Pogach Brief Commentary: Glycemic Targets for Older Adults With Type 2 Diabetes Emily B. Schroeder and Andrew J. Karter Metrics Cited byComplications in Diabetes Mellitus: Social Determinants and Trends 21 August 2018Volume 169, Issue 4Page: 252KeywordsDecision makingFoodHbA1cInsulin-like growth factorsPopulation statisticsPrevention, policy, and public healthRacial and ethnic issuesSocioeconomic statusTreatment guidelinesType 2 diabetes ePublished: 26 June 2018 Issue Published: 21 August 2018 Copyright & PermissionsCopyright © 2018 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...