Background
macrovascular complications, kidney failure, T2DM, diabetic complications, Diabetes, vision loss, diabetes
CARDIOVASCULAR DISEASE, SECONDARY, CHRONIC DISORDERS, KIDNEY FAILURE, DIABETIC COMPLICATIONS, DIABETES, TYPE 2 DIABETES, TYPE 2 DIABETES MELLITUS, DIABETES
Diabetes is one of the most common chronic disorders and a major public health problem in the western world which leads to an enormous economic burden; type 2 diabetes mellitus (T2DM) constitutes about 85–95% of all diabetes cases [Recent preventive therapeutic interventions and treatment concepts have been focusing to reduce and avoid microvascular and macrovascular complications, such as vision loss, cardiovascular disease, and kidney failure [In Germany T2DM patients are primarily treated in general practice [Former guidelines recommended HbA1c levels of less than 7%, however most patients did not achieve these recommended goals [Setting individualized treatment goals tailored to patients needs and preferences may reduce the risk for diabetic complications and help patients achieve their treatment targets [As setting individualized treatment goals needs a participatory approach to be more effective, it seems reasonable to incorporate goal setting in the concept of Shared Decision Making (SDM) [In previous studies we could show how important the HbA1c monitoring for GPs in type 2 diabetes management is [In this secondary analysis of the DEBATE trial [