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Title: Norma terapêutica da diabetes mellitus tipo 2 : metformina : uma perspectiva crítica
Author: Pinto, Daniel
Heleno, Bruno
Gallego, Rosa
Santos, Isabel
Santiago, Luiz Miguel
Maria, Vasco
Keywords: Diabetes Mellitus Tipo 2
Norma de orientação clínica
Terapêutica farmacológica
Issue Date: 2011
Publisher: Ordem dos Médicos
Citation: Acta Med Port 2011;24:331-338
Abstract: Clinical guidelines have the potential to increase health gains, but also to cause harm. In this opinion article we state some misgivings about the application of the Portuguese National Health Directorate’s guideline type 2 diabetes therapy: metformin in primary care. We seek to highlight guideline wording that may allow for multiple interpretations(alternatives to monotherapy with metformin, hierarchy of drugs to be associated with metformin, and metformin contraindications). Furthermore, we argue that it seems that choosing a glycemic target of 6.5% in a normative document to be applied in the general population may have unforeseen consequences.
Peer review: yes
ISSN: 1646-0758
Appears in Collections:FM-IMP-Artigos em Revistas Nacionais

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