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. 2011 Oct;101(10):1871-3.
doi: 10.2105/AJPH.2011.300148. Epub 2011 Aug 18.

The wrong tool for the job: diabetes public health programs and practice guidelines

Urmimala Sarkar  1 , Andrea López, Karen Black, Dean Schillinger
Affiliations

The wrong tool for the job: diabetes public health programs and practice guidelines

Urmimala Sarkar et al. Am J Public Health. 2011 Oct.

Abstract

We surveyed state diabetes programs to determine whether they develop and disseminate diabetes guidelines. We found they largely disseminate clinical practice guidelines developed from subspecialty organizations, do not prioritize among the many recommendations contained in diabetes guidelines, and have not adapted guidelines to focus on population rather than individual health. An opportunity exists for state diabetes control programs to better align guidelines with public health goals.

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Figures

FIGURE 1
FIGURE 1
Perceived cost-effectiveness of diabetes interventions: survey of Centers for Disease Control and Prevention–Funded state diabetes prevention and control programs, United States, 2009. Note. BP = blood pressure; HbA1c = marker of glycemic control or a form of hemoglobin which is measured primarily to identify the average plasma glucose concentration over prolonged periods of time; LDL = low-density lipoprotein. The sample size was n = 49.
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