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Cited by 95Diabetes Management and EducationInterprofessional Education and CollaborationDiabetes Management and Research

The interdisciplinary team in type 2 diabetes management: Challenges and best practice solutions from real-world scenarios

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McGill, Margaret, Blonde, Lawrence, Chan, Juliana C.N., Khunti, Kamlesh, Lavalle, Fernando J., Bailey, Clifford J.·2017·Journal of Clinical & Translational Endocrinology
DOI 10.1016/j.jcte.2016.12.001PMC PMC5651292
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Abstract

has previously recommended the implementation of an interdisciplinary team (IDT) approach to type 2 diabetes (T2DM) management as one of 10 practical steps for health care professionals to help more people achieve their glycaemic goal. This article discusses some of the key contributors to success and also the challenges faced when applying IDT care, by examining case studies and examples from around the world. The real-world practices discussed show that implementing successful interdisciplinary care in diabetes is possible despite significant barriers such as established hierarchal structures and financial resource constraints. Instituting collaborative, integrated working relationships among multiple disciplines under strong leadership, together with enhanced and active communication and improved patient access to appropriate specialties is essential. Patients have a crucial role in the management of their own disease and including them as part of the treatment team is also critical. IDTs in diabetes care improve patient outcomes in terms of control of glycaemia and cardiometabolic risk factors, and decreased risk of diabetes complications. Ensuring access to an appropriate IDT, in whatever form, is paramount to enable the best care to be delivered.

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  • DSMES results in improved A1C values.

    “Evidence indicates that DSMES imparts enhanced knowledge of DM and self-care practices resulting in improved A1C values,909,912,1449–1451 modest reductions in weight, better QoL,912,1451,1452 and lower mortality risk,1453 while at the same time leading to a reduction in health care costs.1454,1455”

    From American Association of Clinical Endocrinology Clinical Practice Guideline: Developing a Diabetes Mellitus Comprehensive Care Plan-2022 Update. (2022) · cites this paper as [1449]

    In the USA real-world experiences section (page unavailable), the paper reports lower HbA1c after the Diabetes Empowerment Clinic, which provides individualized diabetes education. But education was delivered alongside an interdisciplinary management plan, so the paper does not establish that DSMES itself caused the improvement. (LLM, conf=0.82)

    Experimental — accuracy not yet measured

  • DSMES results in modest weight reductions.

    “Evidence indicates that DSMES imparts enhanced knowledge of DM and self-care practices resulting in improved A1C values,909,912,1449–1451 modest reductions in weight, better QoL,912,1451,1452 and lower mortality risk,1453 while at the same time leading to a reduction in health care costs.1454,1455”

    From American Association of Clinical Endocrinology Clinical Practice Guideline: Developing a Diabetes Mellitus Comprehensive Care Plan-2022 Update. (2022) · cites this paper as [1449]

    The sections on interdisciplinary diabetes care report improved HbA1c and quality of life, but do not report weight outcomes. Searches of our copy for weight reduction and DSMES found no passage addressing whether DSMES produces modest weight loss. (LLM, conf=0.72)

    Experimental — accuracy not yet measured

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References 35 · Cited by 95

Research works printed but not linked: 28

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Authors
McGill, M., Blonde, L., Chan, J. C. N., Khunti, K., Lavalle, F. J., & Bailey, C. J.
Affiliations
  • The University of Sydney (AU)
  • Ochsner Health System (US)
  • Chinese University of Hong Kong (HK)
  • University of Leicester (GB)
  • Aston University (GB)
Corresponding author
Blonde, Lawrence
ORCID
Venue
Journal of Clinical & Translational Endocrinology
Publisher
Elsevier BV
Published
2017-03
Volume
7
Pages
21-27
ISSN
2214-6237 (ISSN-L)
DOI
10.1016/j.jcte.2016.12.001
PMC
PMC5651292
OpenAlex
W2560356525
Cited by
95
References
35
Citations by year
2026: 3 · 2025: 7 · 2024: 12 · 2023: 16 · 2022: 12 · 2021: 11 · 2020: 16 · 2019: 12 · 2018: 6
FWCI
0.88
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of Clinical & Translational Endocrinology (publishedVersion, cc-by-nc-nd)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • El Repositorio Academico Digital de la UANL (Universidad Autónoma de Nuevo León) (acceptedVersion)
  • Aston Publications Explorer (Aston University) (acceptedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Figshare (submittedVersion, cc-by-nc-nd)
  • Leicester Research Archive (University of Leicester) (submittedVersion, cc-by-nc-nd)
Funders
AstraZeneca
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
  • Health Sciences › Health Professions › General Health Professions › Interprofessional Education and Collaboration
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
Keywords
type 2 diabetes management, interdisciplinary team care, glycemic control, barriers to care delivery, interprofessional collaboration, patient involvement in care, healthcare leadership, cardiometabolic risk factors, diabetes complications, financial constraints

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