n CME : Your SA Journal of CPD - Type 2 diabetes : an evidence-based approach to its management by the family practitioner : main article




The presence of glycosuria is a strong indicator of diabetes. <br>The prevalence of type 2 diabetes mellitus (Dm) is increasing as the prevalence of obesity increases. <br>All adults older than 45 years should be screened every 3 years by means of a fasting plasma glucose test. <br>A healthy diet with just enough calories to maintain ideal body mass index (20 - 24) plus regular exercise is the cornerstone of treatment for both types 1 and 2 diabetes mellitus. <br>Haemoglobin a&lt;sub&gt;1c&lt;/sub&gt; is the best measure of diabetic control, should be checked every 3 - 6 months and kept under 7% to minimize complications. <br>Control of blood pressure, lipid levels and smoking cessation are important measures in reducing the chance of macrovascular complications. <br>Family practitioners should endeavour to understand the context of their diabetic patient's illness by assessing cultural beliefs including dietary practices, look for any evidence of depression, family dysfunction and available financial resources.


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