Improving glucose management: Ten steps to get more patients with type 2 diabetes to glycaemic goal

Stefano Del Prato*, Anne Marie Felton, Neil Munro, Richard Nesto, Paul Zimmet, Bernard Zinman, George Alberti, Pablo Aschner, Cliff J. Bailey, Lawrence Blonde, Barry Goldstein, Ramon Gomis, Edward Horton, James LaSalle, Hong Kyu Lee, Lawrence Leiter, Stephan Matthaei, Marg McGill

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Despite increasingly stringent clinical practice guidelines for glycaemic control, the implementation of recommendations has been disappointing, with over 60% of patients not reaching recommended glycaemic goals. As a result, current management of glycaemia falls significantly short of accepted treatment goals. The Global Partnership for Effective Diabetes Management has identified a number of major barriers that can prevent individuals from achieving their glycaemic targets. This article proposes 10 key practical recommendations to aid healthcare providers in overcoming these barriers and to enable a greater proportion of patients to achieve glycaemic goals. These include advice on targeting the underlying pathophysiology of type 2 diabetes, treating early and effectively with combination therapies, adopting a holistic, multidisciplinary approach and improving patient understanding of type 2 diabetes. Implementation of these recommendations should reduce the risk of diabetes-related complications, improve patient quality of life and impact more effectively on the increasing healthcare cost related to diabetes.

Original languageEnglish
Pages (from-to)1345-1355
Number of pages11
JournalInternational Journal of Clinical Practice
Issue number11
Publication statusPublished - 1 Nov 2005


  • Glycaemic control
  • Glycaemic targets
  • Patient management
  • Type 2 diabetes


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