American Academy of Clinical Endocrinologist Treatment Guide

By kdroberts Latest Reply 2012-01-09 07:38:37 -0600
Started 2011-05-25 08:15:35 -0500

Here is a document that spells out the guidelines for diabetes care standards from the American Academy of Clinical Endocrinologists. It's written for doctors but a lot is fairly easy to understand if you care to read it all. It's also very interesting and explains about diagnosing, what normal, impaired glucose tolerance and diabetes is, has goals for various things like blood sugar, blood pressure and cholesterol, explains treatment plans, explains how drugs can be used 'off label' to help with aspects of diabetes, explains about complication risks, talks about different types of healthcare professionals, recommendations for blood sugar testing and, what I think is the most interesting of all, what doctors should be doing and explaining to patients.

Like I said, it's kind of tough reading at times since it is aimed at medical professionals but if you have some time and can get through it, there is some useful and interesting info. It's a PDF so you will need a PDF reader installed on your computer/phone/tablet. You can also save the document by (usually) right clicking the link below and selecting "Save as" or similar.

5 replies

GabbyPA 2012-01-09 07:38:37 -0600 Report

I wonder if my primary would be offended if I printed this for him? He is all I have and I really would like him to be on top of his game. I sure have to be.

Kuai Princess
Kuai Princess 2011-05-25 08:52:28 -0500 Report

I wish more Doctors followed thses guidelines!

kdroberts 2011-05-25 09:12:09 -0500 Report

Don't be afraid to print of sections, or the whole thing, and question your doctor why they are or are not following the guidelines. It may be they have a very good reason for not doing so in your case, it may be they have no idea what the guidelines are but you will never know until you ask. That goes for everything you read, if you find a study, or discussion or whatever that you think can start a dialogue or your doctor would find interesting then take it with you.

I once took a printed quiz about insulin (put together by nurses and doctors based on common patient interactions and misunderstandings) to my endocrinologist and had him fill it in. That particular day he happened to have a resident with him who also took it. He got 100%, the resident didn't. Although I'm sure she would have learned the info sooner or later, on that day she learned that "cloudy insulin" is NPH, how to mentally figure out an insulin dose based on the persons weight and about a subsection of type 2 diabetics who are extremely prone to diabetic ketoacidosis. She ended up taking the quiz and answer sheet to share with her class. You can't assume that doctors know everything or have seen every study, journal article, new development, etc, you can help educate them as much as they help educate you.

Kuai Princess
Kuai Princess 2011-05-25 21:14:02 -0500 Report

I think it is awesome that you took a quiz to your doctor . . . and believe that when we hold our doctors accountable for information they should follow (or provide explanation for not following) we will all be better informed and treated. I am blessed to have an Endo who is very informed . . . who has in fact been able to tell me exactly which page of the AACE or ADA clinical practice recommendations to look for the information I wanted. In the past, however, I was not so blessed, and was made to believe I was non complaint . . . when indeed I was not given the tools I needed to succeed.

Graylin Bee
Graylin Bee 2011-05-25 08:44:40 -0500 Report

Will be taking my time to read this document. A quick scan has shown it has a lot of good, useful info. Again thanks for the link.

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