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Michael Berger, MD; Ingrid Mühlhauser, MD

JAMA. 1999;281:1676-1678.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

A major problem in contemporary diabetes mellitus care is the poor translation of knowledge derived from clinical research into routine clinical practice.¹ To improve standards and outcomes of diabetes care, efforts in the following areas appear crucial: diagnostic procedures and therapeutic management must be evidence-based; patients need to become more actively involved in their disease management; and every center/geographic area needs to perform quality assessment based on patient-oriented outcomes.

Patient-Oriented Treatment Goals and Evidence-Based Diabetes Care

Only recently has appropriate evidence according to the criteria of evidence-based medicine² become available to guide the routine management of diabetes to achieve specific patient-oriented outcomes.

Type 1 Diabetes Mellitus.

Patient-oriented outcome goals of type 1 diabetes therapy include maintenance of a quality of life as little affected by the disease as possible, prevention of acute complications (ketoacidosis, iatrogenic hypoglycemia), and prevention of microangiopathic late complications and subsequent macrovascular disease. During the early 1990s, the Diabetes Control and Complications . . . [Full Text of this Article]

Type 2 Diabetes Mellitus.

Patient Education and Self-management

Quality of Care

Author Affiliations: Department of Metabolic Diseases and Nutrition (World Health Organization Collaborating Center for Diabetes Treatment and Prevention), Heinrich-Heine University, Düsseldorf, Germany (Drs Berger and Mühlhauser), and the Unit for Health Science and Education, University of Hamburg, Hamburg, Germany (Dr Mühlhauser). Dr Berger is a member of the JAMA Editorial Board.

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