The Berlin Declaration: A call to improve early actions related to type 2 diabetes. Why is primary care important?

Kamlesh Khunti; James R Gavin 3rd; Andrew J M Boulton; Rick Blickstead; Margaret McGill; Antonio Ceriello; Itamar Raz; Shaukat Sadikot; David A Wood; Xavier Cos; Sanjay Kalra; Ashok Kumar Das; Cutberto Espinosa López; Berlin Declaration Steering Group

doi:10.1016/j.pcd.2018.04.003

The Berlin Declaration: A call to improve early actions related to type 2 diabetes. Why is primary care important?

Prim Care Diabetes. 2018 Oct;12(5):383-392. doi: 10.1016/j.pcd.2018.04.003. Epub 2018 May 8.

Affiliations

¹ Diabetes Research Centre, University of Leicester, Leicester, UK. Electronic address: kk22@leicester.ac.uk.
² Emory University School of Medicine, Atlanta, GA, United States.
³ Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK.
⁴ Diabetes Canada, Toronto, Canada.
⁵ Central Clinical School, The University of Sydney, Sydney, Australia; The Diabetes Centre, Royal Prince Alfred Hospital, Sydney, Australia.
⁶ Department of Cardiovascular and Metabolic Diseases, IRCCS Multimedica, Milan, Italy; Insititut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain; Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Barcelona, Spain.
⁷ Hadassah Ein Kerem Hospital, Jerusalem, Israel.
⁸ Department of Endocrinology/Diabetology, Jaslok Hospital and Research Centre, Mumbai, India.
⁹ Cardiovascular Medicine, National Heart and Lung Institute, Imperial College, London, UK.
¹⁰ Sant Marti de Provençals Primary Care Centres, Institut Català de la Salut, Barcelona, Spain; University Research Institute in Primary Care (IDIAP Jordi Gol), Barcelona, Spain.
¹¹ Bharti Hospital, Karnal, India.
¹² Pondicherry Institute of Medical Sciences, Pondicherry, Puducherry, India.
¹³ CENAPRECE "National Center for Preventive Programs and Disease Control", Mexico City, Mexico.

PMID: 29752222
DOI: 10.1016/j.pcd.2018.04.003

Abstract

Diabetes is epidemic worldwide and places a huge burden on healthcare systems. The majority of the cost of type 2 diabetes (T2D) is related to hospitalization and the management of complications, and these also have a negative impact on the individual's quality of life. The Berlin Declaration is a global call for early action for the identification of high risk individuals, prevention of T2D and the prevention of complications in those with T2D, through prevention, early detection, early control and early access to the right multidisciplinary interventions. This should empower people to take action to prevent T2D and its complications.

Keywords: Access to interventions; Berlin Declaration; Early action; Early control; Prevention; Primary care; Type 2 diabetes.

Publication types

Research Support, Non-U.S. Gov't
Review

MeSH terms

Consensus
Diabetes Mellitus, Type 2 / diagnosis
Diabetes Mellitus, Type 2 / epidemiology
Diabetes Mellitus, Type 2 / prevention & control*
Early Diagnosis
Global Health* / standards
Health Services Accessibility
Humans
International Cooperation
Primary Health Care* / standards
Primary Prevention / methods*
Primary Prevention / standards
Secondary Prevention / methods*
Secondary Prevention / standards
Treatment Outcome