[Guideline: type 2 diabetes mellitus therapy: metformin, a critical perspective]. / Norma terapêutica da diabetes mellitus tipo 2: metformina uma perspectiva crítica.
Acta Med Port
; 24(2): 331-8, 2011.
Article
em Pt
| MEDLINE
| ID: mdl-22011607
ABSTRACT
Clinical guidelines have the potential to increase health gains, but also to cause harm. In this opinion article we state some misgivings about the application of the Portuguese National Health Directorate's guideline type 2 diabetes therapy metformin in primary care. We seek to highlight guideline wording that may allow for multiple interpretations (alternatives to monotherapy with metformin, hierarchy of drugs to be associated with metformin, and metformin contraindications). Furthermore, we argue that it seems that choosing a glycemic target of 6.5% in a normative document to be applied in the general population may have unforeseen consequences.
Buscar no Google
Base de dados:
MEDLINE
Assunto principal:
Guias de Prática Clínica como Assunto
/
Diabetes Mellitus Tipo 2
/
Hipoglicemiantes
/
Metformina
Tipo de estudo:
Guideline
Limite:
Humans
Idioma:
Pt
Revista:
Acta Med Port
Ano de publicação:
2011
Tipo de documento:
Article
País de afiliação:
Portugal