Summary of the practice guideline 'Diabetes mellitus type 2' (first revision) of the Dutch College of General Practitioners

The main changes of the first revision of the guideline of the Dutch College of General Practitioners on the diagnosis and treatment of diabetes mellitus type 2 compared with the first edition concern the following aspects: more attention is given to organisation and management of diabetes care; new diagnostic criteria for diabetes are introduced; guidelines are given for the early detection of diabetes in high risk groups; the distinction between sulfonylureas of the first and the second generation has been dropped; in the treatment of patients with diabetes and a body mass index > 27 metformin is the drug of first choice; optional guidelines are given for the treatment with insulin; guidelines are given for the treatment of hypertension and hypercholesterolaemia in patients with diabetes.

Published by Nederlands tijdschrift voor geneeskunde, 1999. The guideline itself is at the source linked here.

pubmed.ncbi.nlm.nih.gov/10494309/