The management of diabetes

摘要

Over the past 30 years care of diabetes has been in the vanguard of the change in the management of chronic diseases from specialties based in hospital outpatient clinics to a more primary care led service. The specialist versus general-ist debate is sterile; there is greater variation in outcomes within than between traditional disciplinary boundaries. Effective delivery of care to people with diabetes over this period has depended on the three Rs of management of chronic diseases-registration, recall, and regular review.