In addition, the document emphasizes recommendations for blood pressure (BP) and lipid control, the two most important risk factors for atherosclerotic cardiovascular disease (ASCVD) in addition to comprehensively managing micro and macro vascular complications. The current document not only advocates glycemic control to reduce microvascular and macrovascular complications, but also highlights obesity as underlying risk factor for the development of T2DM. Special emphasis has been given to develop the concept of multi-disciplinary team for the management of diabetes and hence chapters on nutrition, physical exercise and diabetes education have been included. These guidelines not only concentrate on diagnosis and management of T2DM but also provide a key to maintain referral system from primary to secondary and tertiary care and vice versa. 2 Pakistan Endocrine Society (PES) guidelines for type 2 diabetes mellitus (T2DM) are based on available local, regional and international scientific evidence including special considerations to affordability and availability of medicines in Pakistan and consensus statements by Guidelines committee of PES. 1 Pakistan faces health challenges in diabetes due to its high prevalence and its related complications. Pakistan ranks 4th in the world with an estimated prevalence of 19.4 million people with diabetes as per IDF data published in 2019. PAKISTAN ENDOCRINE SOCIETY (PES) 2020 GUIDELINES FOR MANAGEMENT OF TYPE 2 DIABETES MELLITUS AND CARDIOMETABOLIC SYNDROME Lastly, I am very thankful to the guidelines writing committee members from Pakistan Endocrine Society who all worked very hard to finalize this document.įatima Memorial Medical and Dental College LahoreĬonsultant: Doctors Hospital and Medical Center And with this I hope that you and your patients benefit from it and together we can serve to create healthier, vibrant and productive communities. Pakistan Endocrine Society's goal is to enhance our members' knowledge, education, and management skills so that they can provide the highest quality of care to their patients.
Our focus has been on evidence-based medicine and ethical practices. A special emphasis has been placed on preventive practices to avoid not only the disease process itself, but also its complications.
These guidelines will help promote better patient care by serving the expanding needs of all healthcare professionals committed to the care of their patients with diabetes. The purpose of these guidelines is to have a uniform healthcare delivery protocols across Pakistan for the management of patients with diabetes and cardiometabolic syndrome. These guidelines have been designed keeping in mind our local patient population, their needs and the limitations our healthcare structure faces. As President of the Pakistan Endocrine Society (PES), I am pleased to share these guidelines with our medical community.
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