Whether to screen a patient for type 2 diabetes is the focus of a Beyond the Guidelines feature in the Oct. 4 Annals of Internal Medicine.
The article presents the case of a man who meets the U.S. Preventive Services Task Force criteria for diabetes screening. With information about his preferences and concerns regarding screening, 2 experts debate screening merits and benefits, the significance of abnormal blood glucose levels and diabetes as cardiovascular risk factors, and application of the guidelines to this particular patient.
Beyond the Guidelines is an educational feature based on recent guidelines and presented at Beth Israel Deaconess Medical Center Grand Rounds. Each considers a patient who “falls between the cracks” of available evidence and for whom the optimal clinical course is unclear. Videos of the patient and conference, the slide presentation, and a CME/MOC activity accompany each article.
Annals of Internal Medicine's Diabetes Collection is online.