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Table 2 Specialities for inter-professional, multidisciplinary team-based type 2 diabetes care for a comprehensive multifactorial risk-reduction strategy in the context of cardiovascular comorbidity

From: Translating recent results from the Cardiovascular Outcomes Trials into clinical practice: recommendations from the Central and Eastern European Diabetes Expert Group (CEEDEG)

Speciality Key functions and areas of responsibility
Diabetologist/endocrinologist Therapy induction including patient education: explanation of therapy choice, side-effects, complications, acute emergencies
Sets BP, lipid, HbA1c targets
Trained in cardiology/nephrology/internal medicine
Internist Follow-up care, including monitoring of BP, lipid targets and controls, ECG, echocardiagram imaging
Trained in diabetology (patients with diabetes who are complicated to treat should always be referred to diabetologists/endocrinologists)
Nephrologist Renal function, ACR, BP control
Lipid targets
Cardiologist Essential for CVD and CV risk management
Trained in diabetology
Nutritionist/dietician Dietary counselling at therapy induction
A key figure in patient education together with diabetologist/endocrinologist
Monitoring of glucose control and intake, and body weight
Individual diet plans for weight reduction if needed, and/or long-term weight maintenance
Nurses Education programmes
Individual support
BMI monitoring
Certified diabetes educator Smoking cessation
Diabetes education at treatment induction and for re-enforcement
Education programmes, team work
Consistent and structured education that is crucial for adherence, motivation and minimising barriers to treatment
  1. ACR albumin:creatinine ratio, BMI body mass index, BP blood pressure, CV cardiovascular, CVD CV disease, ECG electrocardiogram, ECHO echocardiogram