L'Evidence based medicine en diabétologie : un grand bien et quelques maux

Professional recommendations in diabetology are mainly established on the evidence based medicine paradigm and much less upon pathophysiological knowledge. Both efficiency and safety of diabetes care obviously got much benefit from this approach. However, this change had some consequences on the perception that practitioners have of their own clinical activity, on the acknowledgement of health services of their utility and even on communication between the diabetologist and the diabetic patients. To prevent any vocational crisis in young medical students in the near future, one should drastically rethink our clinical practice to make it more appealing.