Diabetes mellitus type 2 Cost-Effectiveness of Therapy
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Cost-effectiveness of Therapy
- Based on 56 studies done on 20 countries, the following interventions are considered as cost saving interventions in diabetes:[1]
- ACE inhibitor (ACEI) therapy, compared to other antihypertensive treatments for maintaining the goal blood pressure.
- ESRD prevention by using ACE inhibitor (ACEI) or angiotensin receptor blocker (ARB), compared to no ESRD prevention.
- Initiation of Irbesartan treatment when there is microalbuminuria, compared to initiation of Irbesartan treatment at macroalbuminuria stage.
- Thorough foot care in order to prevent foot ulcer.
- Control and assessment of diabetic risk factors and appropriate interventions in order to minimize the complications.
- The aforementioned study also determined the following interventions as very cost-effective interventions in diabetes:[1]
- Intensive lifestyle interventions in prediabetes, compared to standard lifestyle intervention.
- General screening for diabetes in 45 to 54 years old African Americans.
- Intensive glycemic control in newly diagnosed type 2 diabetes, based on the UK Prospective Diabetes Study, compared with conventional glycemic control.
- Initiation of statins in order to prevent cardiovascular disease, compared to no treatment.
- Smoking cessation
- Screening for diabetic retinopathy once a year.
- Prompt vitrectomy in patients with diabetic retinopathy, compared to delayed vitrectomy.