June 2011, Volume 33, No. 2
Internet

What's in the web for family physicians - practice guidelines for diabetes mellitus

Alfred KY Tang 鄧權恩

American Diabetes Association (ADA)
http://www.diabetes.org/for-health-professionals-and-scientists/cpr.jsp

ADA Clinical Practice Guidelines are based on reviews of the relevant literature by a designated panel of specialists. Summary of Revisions for 2007 is available online, including clinical practice recommendations, standards of medical care in Diabetes, diagnosis and classification of Diabetes Mellitus. At the website is also the position statement on Nutrition Recommendations and Interventions for Diabetes issued by ADA.

Canadian Diabetes Association e-guidelines
http://www.diabetes.ca/cpg2003/default.aspx

This site is designed to enable healthcare professionals to browse the entire Clinical Practice Guidelines document in a user friendly manner. The FAQ feature enables one to find quick answers to frequently asked clinical questions such as "How do I diagnose diabetes?". The Search feature allows searching for guidelines specifically related to particular clinical issues and activities. This unique search function enables one to ask specific questions and retrieve only those guidelines relevant to the clinical scenario (for example: Treatment of hypertension in the elderly or Screening for nephropathy in women with diabetes planning a pregnancy).

National Diabetes Information Clearinghouse (NDIC)
http://diabetes.niddk.nih.gov/

The National Diabetes Information Clearinghouse (NDIC) provides an information dissemination service of the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). Its goal is to identify and satisfy informational needs about diabetes and its management. This site offers comprehensive information on diabetes including treatment, complications, and links to patient organizations. It also hyperlinks to National Guideline Clearinghouse (http://www.guideline.gov/) where more guidelines on diabetes can be found.

National Collaborating Centre for Chronic Conditions, UK
http://www.rcplondon.ac.uk/college/ceeu/t2d/index.asp

The National Collaborating Centre for Chronic Conditions (NCC-CC) was commissioned by NICE to review recent evidence on the management of Type 2 Diabetes, and update the existing Clinical Guidelines for Type 2 Diabetes. The updated guideline will provide recommendations for good practice that are based on the best available evidence of clinical and cost effectiveness. The site also hyperlinks to the NICE database of guidelines on Diabetes e.g. Type 2 Diabetes - retinopathy, Type 2 Diabetes - renal disease, Type 2 Diabetes - blood glucose, Type 2 Diabetes - management of blood pressure and blood lipids, Type 2 Diabetes - Footcare.

Scottish Intercollegiate Guidelines Network (SIGN)
http://www.sign.ac.uk/pdf/2005diabetesreport.pdf

Scottish Intercollegiate Guidelines Network was established with the objective of improving the quality of health care in Scotland by reducing variations in practice and outcome, through the development of national clinical guidelines based on current evidence. Guidelines related to Diabetes Mellitus management were published in 2005. A list of guidelines published by SIGN can be located at http://www.sign.ac.uk/guidelines/published/index.html .

Diabetes Australia
http://www.diabetesaustralia.com.au/education_info/nebg.html

At the website is the National Evidence Based Guidelines for the Management of Type 2 Diabetes Mellitus. Its contents include primary prevention, case detection, management of diabetic foot, lipid control for Diabetes Mellitus.

New Zealand Guidelines Group (NZGG)
http://www.nzgg.org.nz/guidelines/0036/Diabetes_full_text.pdf

A 169-page practice guidelines on management of Type 2 Diabetes issued by the New Zealand Guideline Group is available for download. At the website of NZGG, one can access all evidence-based publications of NZGG, as well as those developed by other New Zealand organisations. For each guideline, supporting resources are available, including summaries, search strategies and consumer resources.n


Alfred K Y Tang, MBBS (HK)
Family Physician in Private Practice.

Correspondence to : Dr Alfred K Y Tang, Shop 3A, 2/F, Hsin Kuang Shopping Centre, Wong Tai Sin, Kowloon, Hong Kong SAR.

E-mail : alfredtang@hkma.org