- Describe your topic.
- Hypertension management in diabetes. Recent National Guidelines have conflicting recommendations particularly for those over 60. AHA/ACC- ACP/AAFP and large studies either include or exclude patients with DM. There is recent data altering the target from 130/80 to 140/90 for patients with diabetes. Population- adults with diabetes Intervention:Best management for patients with diabetes- treatment goals- i.e. target blood pressure vs risk assessment, harm- number of meds needed to treat, impact of treatment on renal function, use of risk calculator for HBP and DM use for shared decision making. benefit of Self-measure blood pressure in managing HBP in this population. Outcome: Reduced morbidity and mortality.- Specialty societies do not seem to provide unbiased opinions.
- Describe why this topic is important.
- Tell us why you are suggesting this topic.
- Target Date.
- Describe what you are doing currently and what you are hoping will change because of a new evidence report.
- How will you or your group use the information from a new evidence report?
- How would you or your group plan to disseminate information from the report? Who would you plan to disseminate it to?
- Do you know of organizations that could use an evidence report to change clinical practice? Are you a part of, or have you been in contact with, any organizations that might implement the research findings of an evidence report?
- Fellow in ACP, Member of the American Diabetes Association.
- Information About You: (optional)
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- Provide a description of your role or perspective.
- Primary care physicians and long standing member of the ADA
- If you are you making a suggestion on behalf of an organization, please state the name of the organization.
- Lana'i Community Health Center
- Please tell us how you heard about the Effective Health Care Program.
- literature
