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In the Clinic |

Type 2 Diabetes

Jennifer F. Wilson
Ann Intern Med. 2007;146(1):ITC1-1. doi:10.7326/0003-4819-146-1-200701020-01001
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It is nearly impossible to be a practicing internist in the United States and have a day of clinical work pass without encountering at least 1 patient with type 2 diabetes. Currently, over 20 million Americans and over 150 million persons worldwide have type 2 diabetes. Models estimate that this number will nearly double by the year 2050 so that about one third of adult Americans will have the disease (1)-(3). Unfortunately, although researchers are gaining new insights into the pathophysiology of the disease, including its genetic basis (4), and therapeutic options are expanding (5), many people with type 2 diabetes develop complications of the disease. A recent national analysis of diabetes care in the United States shows that despite improvements in processes of care and intermediate outcomes over the past decade, there remains much room for improvements in diabetes care (6). Among adult Americans with diabetes, 2 in 5 have suboptimal lipid control, 1 in 3 has poor blood pressure control, and 1 in 5 has poor glycemic control.

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