Protocolo de seguimiento clínico del paciente diabético

The main goal of patient clinical monitoring is both macrovascular and microvascular prevention and early diagnosis. The existence of a coordinate multidisciplinary team is definitely a crucial condition. The control and treatment aims must be personalized and the patient must take an important part in his or her monitoring of the illness. Assessment, control and treatment of all cardiovascular factors are completely necessary. Clinical revisions will be planned and patient characteristics will be taken into consideration together with his or her illness evolutive stage, control aims and health team organization. Primary and Specialized health care criteria must be well organized and family doctors must be knowledgeable about the subject. Therapeutic decisions must be based on guidelines with scientific evidence and patient prognosis, preferences and comorbidities must be taken into account.