Living guidelines that incorporate new evidence as it becomes available have the potential to overcome some of the limitations inherent in static guidelines
Diabetes is a complex chronic condition that affects about 1.7 million Australians and represents an estimated $15 billion per annum in direct and indirect costs to the Australian economy.1 Almost $215 million of subsidies were delivered during the 2015–16 financial year to the 1.32 million registrants of the National Diabetes Services Scheme, an Australian Government initiative that provides support to Australians living with diabetes. In 2019, an additional $100 million was announced for funding the Continuous Glucose Monitoring Initiative, which provides fully subsidised continuous glucose monitoring products to patients with diabetes who meet certain criteria.2 In 2017, almost 1.2 million hospitalisations and 11% of all deaths in Australia listed diabetes as the principal or associated cause.3
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- 8. Baker IDI Heart and Diabetes Institute. National evidence based guideline on secondary prevention of cardiovascular disease in type 2 diabetes. Canberra: Commonwealth of Australia, 2015. https://www.clinicalguidelines.gov.au/portal/2519/national-evidence-based-guideline-secondary-prevention-cardiovascular-disease-type-2 (viewed May 2019).
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- 13. Davies MJ, D'Alessio DA, Fradkin J, et al. Management of Hyperglycemia in Type 2 Diabetes, 2018. A consensus report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD). Diabetes Care 2018; 41: 2669–2701.
- 14. Hng TM, Burren D. Appearance of do‐it‐yourself closed‐loop systems to manage type 1 diabetes. Int Med J 2018; 48: 1400–1404.
No relevant disclosures.